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Remote Claims Processor Jobs in Seattle, WA (NOW HIRING)

Robert Half

CW Appeals Specialist

Mountlake Terrace, WA · Remote

$21 - $21.50/hr

This fully remote opportunity is ideal for individuals with experience in healthcare administration, claims processing, customer service, or medical office support who enjoy research, problem-solving ...

Symetra

Examiner - Stop Loss

Bellevue, WA · On-site +1

$24.62 - $41.04/hr

Process claim reimbursements within established turnaround time targets. Sustain more than 99 ... Maintain current pending claims with consistent follow-up, documentation, and resolution or closure ...

AO ASPIRE

Be Seen First

Remote Sales | No Cold Calling | Working with our US Veterans

Seattle, WA · Remote

$40K - $500K/yr

... claims processing * Build long-term relationships with clients by following up periodically to ... Our company focuses on remote career opportunities, leadership development, mentorship, and helping ...

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How much do remote claims processor jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for remote claims processor in Seattle, WA is $21.82, according to ZipRecruiter salary data. Most workers in this role earn between $18.61 and $23.56 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 Seattle, WA? For Remote Claims Processor jobs in Seattle, WA, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor jobs in Seattle, WA look for? The top searched job categories for Remote Claims Processor jobs in Seattle, WA are:
What cities near Seattle, WA are hiring for Remote Claims Processor jobs? Cities near Seattle, WA with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you

TEMP Workers' Compensation Claims Adjuster

Argonaut Management Services, Inc

Seattle, WA • On-site, Remote

$75K - $97K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago

Job description

Company

Argo Group

Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.


Job Description

Business Title(s):TEMP-Workers' Compensation Claims Adjuster

Employment Type:Contingent Worker

FLSA Status:Non-Exempt

Location:In-Officeor Remote

Summary:
We are looking for a highly capable Workers' Compensation Claims Adjuster to help us on a temporaryassignment with an estimated end date of 9 October 2026,andcanwork from anywhere in the United States. If this role is filled so the individual can work five days a week in any of the following offices, we can consider this a temp-to-hire assignment: Albany (NY), Chicago (IL), Los Angeles (CA), New York City (NY), Omaha (NE), or Richmond (VA). This role willadjudicateindemnity workers' compensation claims of higher technical complexity for our customers in the states ofAL*, NC*, & SC*. *License required in order to adjudicate claims in this jurisdiction.

As this is a temporary assignment, only government mandated benefits will be provided.

Employees in this roleare required toaccurately record all hours worked andsubmittimesheetsin accordance withcompany policy. Overtime may be assigned as business needsdictate, and employees are expected to work overtime whenrequired.

Essential Responsibilities:

  • Working under technical direction and within significant limits and authority,adjudicateworkers' compensation claims of higher technical complexity, with a direct impact on departmental results.
  • Resolving issues that are generalized and typically notcomplex, butrequire understanding of a broader set of issues.
  • Reporting to senior management and underwriters onclaimstrends and developments.
  • Investigating claims promptly and thoroughly.
  • Analyzing claims forms, policies and endorsements, client instructions, and other records todeterminewhether the loss falls within the policy coverage.
  • Investigating claims promptly and thoroughly, including interviewing all involved parties.
  • Managing claims in litigation.
  • Managing diarytimelyand complete tasks to ensure that cases move to the best financial outcome andtimelyresolution.
  • Properly setting claim reserves.
  • Identifying, assigning, and coordinating the assignment and coordination ofexpertiseresources toassistin case resolution.
  • Preparing reports for file documentation.
  • Applying creative solutions which result in the best financial outcome.
  • Negotiating settlements.
  • Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
  • Having an appreciation and passion for strong claim management.

Qualifications / Experience Required:

  • A practical knowledge ofadjudicatingworkers' compensation claims through:
  • A minimum of five total years' experienceadjudicatingworkers' compensation claims in the AL, NC, or SC jurisdiction.
  • Bachelor'sdegree from an accredited universityrequired. Two or more insurance designations or fouradditionalyears of related experienceadjudicatingindemnityclaims beyond the minimum experiencerequiredabove may be substituted in lieu of a degree.
  • A license is required at the start of the assignment in at least two of the following jurisdictions: AL, NC, or SC.
  • Must have good business acumen (i.e.understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable).
  • Must have excellent communication skills and the ability to build lasting relationships.
  • Exhibit natural curiosity
  • Desireto work in a fast-paced environment.
  • Excellent evaluation and strategic skillsrequired.
  • Strong claim negotiation skillsa must.
  • Mustpossessa strong customer focus.
  • Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
  • Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO.
  • Must work independently anddemonstratethe ability to exercise sound judgment.
  • Demonstrates inner strength. Has the courage to do the right thing anddemonstratesit on a daily basis.
  • Intellectual curiosity. Consistently considers all options and is not governed by conventional thinking.
  • Proficient in MS Office Suite and other business-related software.
  • Polished and professional written and verbal communication skills.
  • The ability to read and write English fluently isrequired.
  • Mustdemonstratea desire for continued professional development through continuing education and self-development opportunities.

The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, this position is eligible for an annual bonus based on company and individual performance as well as a generous benefits package.

  • Colorado outside of Denver metro, Delaware, Illinois (outside of Chicago metro area), Maine, Maryland, Massachusetts (outside of Boston metro area), Minnesota, Nevada, Rhode Island, Vermont, and Virginia Pay Ranges: $37.66 per hour- $44.33 per hour
  • Boston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. metro area, & Washington State Pay Ranges: $41.44 per hour - $48.79 per hour
  • New York City, Los Angeles and San Francisco metro areas Pay Ranges: $45.11 per hour- $53.16 per hour

About Working in Claims at Argo Group

  • Argo Group does not treat our claims or our claims professionals as a commodity.The work we offer is challenging, diverse, and impactful.
  • Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions andtreateach case as the unique situation it is.
  • We have a very flat organizational structure, enabling our employeeshavemore interaction with our senior management team, especially when it relates to reviewing large losses.
  • Our entire claims team works in a collaborative nature to expeditiously resolve claims. We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas.
  • We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply.

PLEASE NOTE:

Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.

If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at 210-321-8400.

Notice to Recruitment Agencies:
Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions.

We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics.

The collection of your personal information is subject to ourHR Privacy Notice

Benefits and Compensation

We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.

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