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Remote Claims Processor Jobs in Schenectady, NY (NOW HIRING)

Sourcedge Solutions

FACETS Claims Processor

Albany, NY · Remote

$17 - $21.25/hr

Remote Reply at: Jobs@sourcedge.com FACETS SENIOR CLAIMS PROCESSOR * 5 Years Facets Claims Adjudication Experience * The Claims Examiner must maintain production and inventory standards compliant ...

Albanymed

EPIC Analyst II - Hospital Billing

Albany, NY · On-site +1

$77K - $119K/yr

... claims processing * Strong analytical and problem-solving skills Preferred: * 2-5+ years of Epic ... Remote or on-site based on organizational needs * May require off-hours support during go-lives ...

System One

Customer Support Reps

Albany, NY · Remote

$18/hr

Hybrid - onsite and remote Hours: 40.0 If interested reach out directly to kimberly.spicer@sytemone ... Learn and understand Medicaid claims processes to assist providers effectively. * Process ...

System One

Customer Support Reps

Albany, NY · Remote

$18/hr

Hybrid - onsite and remote Hours: 40.0 If interested reach out directly to kimberly.spicer@sytemone ... Learn and understand Medicaid claims processes to assist providers effectively. * Process ...

System One

Customer Support Reps

Albany, NY · Remote

$18/hr

Hybrid - onsite and remote Hours: 40.0 If interested reach out directly to kimberly.spicer@sytemone ... Learn and understand Medicaid claims processes to assist providers effectively. * Process ...

ClinDCast LLC

Facets Configuration Analyst

Albany, NY · Remote

... Claim Processing, Billing, Plan/Product, * At least 3 years experience building contracts in ... Knowledge of claims and how that goes into product and benefit configuration This is a remote ...

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Remote Claims Processor information

See Schenectady, NY salary details

$11

$18

$25

How much do remote claims processor jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for remote claims processor in Schenectady, NY is $18.54, according to ZipRecruiter salary data. Most workers in this role earn between $15.82 and $20.00 per hour, depending on experience, location, and employer.

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 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 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 Schenectady, NY? For Remote Claims Processor jobs in Schenectady, NY, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor jobs in Schenectady, NY look for? The top searched job categories for Remote Claims Processor jobs in Schenectady, NY are:
What cities near Schenectady, NY are hiring for Remote Claims Processor jobs? Cities near Schenectady, NY with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Schenectady, NY as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $38,569 per year, or $18.5 per hour.

FACETS Claims Processor

Sourcedge Solutions

Albany, NY • Remote

$17 - $21.25/hr

Contractor

Re-posted 7 hours ago

Job description

Location: Remote 
Reply at: Jobs@sourcedge.com
FACETS SENIOR CLAIMS PROCESSOR 
Job Description:
 
  • 5 Years Facets Claims Adjudication Experience
 
  • The Claims Examiner must maintain production and inventory standards compliant with Claims Administration requirements
 
  • High school diploma or equivalent required
 
  • Must have 5+ years of relevant claim processing experience in healthcare industry (managed care or TPA Company) to support our clients
 
  • Possess high productivity and quality standards within a claims processing automation environment
 
  • Knowledge of CPT, HCPC, ICD-10 codes
 
  • Knowledge of HMO, PPO, Medicare and Medicaid plans
 
  • Knowledge of Medical terminology
 
  • Computer with 2 Monitors
 
  • High Speed Internet Connection
 
  • Ability to work remote 8 hour day, Mon-Fri.

Responsibilities:
 
  • The claims examiner is responsible for accurate and timely adjudication of claims for the Health Plans lines of business
 
  • Primary duties include analysis and resolution of claims, including reviewing pended claims and manually resolving based on client specified direction and criteria, including  third-party liability claims
 
  • The claims examiner must be able to work independently, effectively prioritizing work in a production environment that frequently changes to meet production standards and contractual requirements
 
  • Success in this position will be based on the individual's ability to effectively prioritize work, identify, and resolve complex concerns in a professional manner, and work in a team environment to achieve and maintain production and audit standards
 
  • Timely and accurate processing and adjudication of all types of claims from assigned workflow queues
 
  • Compliance with state, federal and contractual requirements to Claims Administration
 
  • Demonstrate a thorough knowledge of the Plan's claims processing procedures as provided in training materials and proficiency with the core and ancillary system applications
 
  • Demonstrates the ability to think analytically to resolve complicated claim issues and identify appropriately when to escalate issues for review
 
  • Ability to review and apply Plan directives and desktop procedures to claims, following step by step guidelines
 
  • Claim analysis of coding and billing compliance, potential third-party liability, accurate coordination of benefits (COB), benefit application including limitations and restrictions, pre-existing conditions, subrogation, medical necessity and other claim investigation as appropriate
 
  • Complete all mandatory claims training/refresher courses
 
  • Actively participates and supports department and organization-wide efforts to improve efficiencies while supporting departmental goals and objectives
 
  • Complete all mandatory compliance and corporate training
 
  • Must be able to adapt to a changing work priorities and requirements and perform other duties as directed to support the overall functions of Claims Administration and support of staff without boundaries within the Plan