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Remote Claims Processor Jobs in Silver Spring, MD

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Grow adjustment expertise (not just processing) * Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly remote, flexible work model * Contract-to-hire with ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Grow adjustment expertise (not just processing) * Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly remote, flexible work model * Contract-to-hire with ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Grow adjustment expertise (not just processing) * Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly remote, flexible work model * Contract-to-hire with ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Grow adjustment expertise (not just processing) * Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly remote, flexible work model * Contract-to-hire with ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Grow adjustment expertise (not just processing) * Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly remote, flexible work model * Contract-to-hire with ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Grow adjustment expertise (not just processing) * Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly remote, flexible work model * Contract-to-hire with ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Grow adjustment expertise (not just processing) * Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly remote, flexible work model * Contract-to-hire with ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Grow adjustment expertise (not just processing) * Exposure to complex claims and dispute resolution * High-impact work on claim backlog * Mostly remote, flexible work model * Contract-to-hire with ...

CareFirst

Claims Adjuster I (Remote)

Washington, DC · Remote

Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes ...

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Remote Claims Processor information

See Silver Spring, MD salary details

$12

$19

$27

How much do remote claims processor jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for remote claims processor in Silver Spring, MD is $19.81, according to ZipRecruiter salary data. Most workers in this role earn between $16.88 and $21.39 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 Silver Spring, MD? For Remote Claims Processor jobs in Silver Spring, MD, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor jobs in Silver Spring, MD look for? The top searched job categories for Remote Claims Processor jobs in Silver Spring, MD are:
What cities near Silver Spring, MD are hiring for Remote Claims Processor jobs? Cities near Silver Spring, MD with the most Remote Claims Processor job openings:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Silver Spring, MD as of July 2026, with employment types broken down into 81% Full Time, 17% Part Time, and 2% Contract. Highlights an 84% Physical, 6% Hybrid, and 10% Remote job distribution, with an average salary of $41,210 per year, or $19.8 per hour.
Healthcare Claims Adjuster

Healthcare Claims Adjuster

System One

Baltimore, MD • Remote

$25/hr

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 26 days ago

Job description

Job Title: Healthcare Claims Adjuster

Location: Baltimore, Maryland (meetings and tranings) Type: Contract To Hire Compensation: $25/HR Contractor Work Model: 80% Remote (must reside in D.C., MD, or VA per client)

About the Role We’re hiring a Healthcare Claims Adjuster with a strong claims processing background and exposure to adjustments, rework, or dispute resolution who wants to grow in that area. The role involves handling claims adjustments, discrepancies, and provider dispute work.

This is a fast-paced role with the opportunity to build hands-on adjustment experience and potential for long-term growth. What You’ll Do Processing (Training Ramp-Up)

  • Process medical claims and learn systems and workflows
Adjustments & Disputes (Core Role)
  • Investigate and resolve claim discrepancies and provider disputes
  • Perform adjustments, reprocessing, and corrections
  • Review overpayments, underpayments, and errors
Daily Operations
  • Handle high volume (~50 cases/day after ramp-up)
  • Update claims systems and maintain accurate records
  • Shift between processing and adjustment work
Quality & Accuracy
  • Identify trends and exceptions
  • Ensure accuracy and compliance
Why This Role Is a Great Fit
  • Grow adjustment expertise (not just processing)
  • Exposure to complex claims and dispute resolution
  • High-impact work on claim backlog
  • Mostly remote, flexible work model
  • Contract-to-hire with potential for full-time conversion based on performance
What You Bring Required Skills:
  • 2+ years of medical claims experience
  • Strong claims processing background
  • Adjustment experience (rework, discrepancies, or dispute resolution)
  • Ability to work in a fast-paced, high-volume environment
  • Strong attention to detail and problem-solving skills
Nice to Have (sets you apart):
  • Payer-side experience
  • FACETS or similar claims system experience
  • Exposure to refunds, subrogation, or workers’ compensation

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-1 #LI-AJ1 Ref: #851-Rockville-S1