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Remote Claims Processor Jobs in Riverview, FL (NOW HIRING)

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

Process claims end-to-end * Identify and escalate complex or unusual claims for further review or ... Remote work offered * Equipment provided * Paid trainingto set you up for success * Comprehensive ...

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

Process claims end-to-end * Identify and escalate complex or unusual claims for further review or ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

Crawford & Company - América Latina

Claims Clerk

Tampa, FL · Remote

$12.03 - $21.99/hr

Claims Clerk (Remote) Ready to kickstart your career in a fastmoving, supportive environment? Join ... Handle clerical and administrative tasks to support the claims process Assist with documentation ...

Crawford and Company

Claims Clerk

Tampa, FL · Remote

$12.03 - $21.99/hr

Claims Clerk (Remote) Ready to kickstart your career in a fastmoving, supportive environment? Join ... Handle clerical and administrative tasks to support the claims process Assist with documentation ...

USAA

Inside Senior Property Claims Adjuster

Tampa, FL · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.

USAA

Inside Senior Property Claims Adjuster

Tampa, FL · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.

USAA

Inside Senior Property Claims Adjuster

Tampa, FL · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.

USAA

Sr. Injury Claims Adjuster

Tampa, FL · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions.

USAA

Sr. Injury Claims Adjuster

Tampa, FL · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions.

Markel International

Claims Examiner

Tampa, FL · On-site +1

$62K - $85K/yr

Utilizes diary system to pro-actively resolve outstanding issues and to ensure timely processing and closure of the claim. * Negotiates and settles claims directly with claimant * Prepares reports by ...

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All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Riverview, FL

Remote Claims Processor information

See Riverview, FL salary details

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$23

How much do remote claims processor jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for remote claims processor in Riverview, FL is $17.09, according to ZipRecruiter salary data. Most workers in this role earn between $14.57 and $18.46 per hour, depending on experience, location, and employer.

What does a remote claims processor do?

The job duties of a remote claims processor revolve around working to process insurance claims. You typically work from home or another remote location. Your responsibilities start with assessing the claimant's insurance policy and coverage. You review documents and records related to the claim and decide on approval or denial of the claim. A processor also prepares the paperwork necessary for the insurer to process the case for the client. You also have customer service duties, such as answering patient questions and telling them about the claim status. Processors can work with medical insurance, property insurance, or casualty insurance.

What does a remote claims processor do?

A Remote Claims Processor reviews, evaluates, and processes insurance claims from a remote location, typically working from home. They verify information, assess documentation, and determine the validity of claims for insurance companies or healthcare providers. This role requires attention to detail, knowledge of insurance policies, and the ability to communicate with clients or providers to resolve discrepancies. Remote Claims Processors use specialized software to manage claims efficiently and ensure compliance with industry regulations.

What are the key skills and qualifications needed to thrive as a remote claims processor, and why are they important?

To thrive as a Remote Claims Processor, you need strong attention to detail, analytical skills, and a solid understanding of insurance policies, often supported by a high school diploma or relevant experience. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent written communication, time management, and problem-solving abilities help you stand out in this role. These skills ensure accurate and efficient claims handling, customer satisfaction, and compliance with regulatory standards in a remote work environment.

What are some common challenges faced by remote claims processors, and how can they be addressed?

Remote Claims Processors often encounter challenges such as managing high volumes of claims, maintaining accuracy without in-person supervision, and communicating effectively with team members across different locations. To address these, it's essential to develop strong organizational skills, utilize digital tools for tracking and documentation, and participate actively in virtual team meetings. Proactively seeking feedback and staying updated on policy changes can also enhance efficiency and reduce errors in a remote setting.

What is the difference between Remote Claims Processor vs Remote Claims Examiner?

AspectRemote Claims ProcessorRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or claims processing certificationsHigh school diploma or equivalent; often requires licensing or certification in insurance claims examination
Work EnvironmentHome-based or remote office; primarily computer and phone workHome-based or remote; involves reviewing and analyzing insurance claims
Industry UsageInsurance, healthcare, government agenciesInsurance companies, healthcare providers, government agencies
Common Search/ComparisonYesYes

Remote Claims Processors and Remote Claims Examiners both work in the insurance industry, often remotely, handling claims. While both roles require similar credentials and work environments, Claims Examiners typically perform more detailed analysis and may require specific licensing. Understanding these differences helps job seekers identify the right position based on their skills and certifications.

More about Remote Claims Processor jobs

What are popular job titles related to Remote Claims Processor jobs in Riverview, FL?

For Remote Claims Processor jobs in Riverview, FL, the most frequently searched job titles are:

What job categories do people searching Remote Claims Processor jobs in Riverview, FL look for?

The top searched job categories for Remote Claims Processor jobs in Riverview, FL are:

What cities near Riverview, FL are hiring for Remote Claims Processor jobs?

Cities near Riverview, FL with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Riverview, FL as of August 2026, with employment types broken down into 1% Internship, 85% Full Time, 11% Part Time, and 3% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $35,555 per year, or $17.1 per hour.

Claims Examiner - Remote

Tampa, FL • Remote

Imagenet
See more jobs at Imagenetexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago

Job description

Claims Examiner - Remote


Job Type: Full-time

Work Setup: This is a fully remote position
Work Hours:Pacific Time Zone


We are looking forExperienced Claims Examiner to join our rapidly growing team.

Experience isrequiredfor this position.


Job Overview:

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual agreements, regulatory requirements, and internal policies.


Responsibilities:

  • Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
  • Review and investigate provider dispute requests, appeals, and reconsiderations related to processed medical claims.
  • Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
  • Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
  • Participate in ongoing training and professional development activities.
  • Maintain accurate and detailed records of claims processing activities.
  • Review claim forms and supporting documents
  • Determine eligibility, verify data accuracy
  • Request additional information when needed
  • Process claims end-to-end
  • Identify and escalate complex or unusual claims for further review or investigation.
  • Participate in ongoing training and professional development activities.
  • Handle more complex claims with multiple services, providers


Experience:

  • At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment.
  • Experience processing Provider Dispute Resolution (PDR), appeals, reconsiderations, or claim adjustments is highly preferred.
  • Understanding of health claims processing/adjudication
  • Ability to perform basic to intermediate mathematical computation routines
  • Medical terminology strongly preferred
  • Understanding of ICD-9 & ICD-10
  • Basic MS office computer skills
  • Ability to work independently or within a team
  • Time management skills
  • Written and verbal communication skills
  • Attention to detail
  • Must be able to demonstrate sound decision-making skills


What We Offer

  • Remote work offered
  • Equipment provided
  • Paid trainingto set you up for success
  • Comprehensive benefits:Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth


Ready to Grow Your Career?

We'd love to meet you! Click"Apply Now"and tell us why you'd be a great addition to the Imagenet team.


About Imagenet

Imagenet is a technology-forward healthcare operations partner with more than 25 years of experience helping healthcare payers manage critical administrative and operational processes. Founded in 2000 and headquartered in Tampa, Florida, Imagenet supports 150+ health plans through its payer clients.


Our teams help improve efficiency, accuracy, visibility, and service across complex healthcare operations, including digital mailroom, claims adjudication, contact center, member communications, and related administrative functions. By combining experienced operational teams, proven processes, and purpose-built workflow technology, Imagenet helps payers keep essential processes moving for the members, providers, and communities they serve.


Imagenet operates 10 secure facilities across the U.S. and one secure facility in Manila, Philippines.


Joining Imagenet means contributing to work that supports the healthcare operations members and providers rely on every day.

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