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Remote Claims Processor Jobs in Silver Spring, MD

C-MCI

Medical Billing Specialist

Fairfax, VA · On-site +1

$18.50 - $24/hr

Remote / On-site Department: Revenue Cycle Management Overview: CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management ...

Aegon

Sr Claims Examiner

Baltimore, MD · On-site +1

$46K - $58K/yr

... processing questions in the absence of higher level staff. * May serve as a back up to review and ... Hybrid / Remote *Please note that the compensation information that follows is a good faith ...

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All JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Silver Spring, MD

Remote Claims Processor information

See Silver Spring, MD salary details

$12

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$27

How much do remote claims processor jobs pay per hour?

As of Jun 11, 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

Senior Construction Defect Technical Claims Specialist

Argonaut Management Services, Inc

Baltimore, MD • Remote

Other

Medical, Dental, Vision, Retirement, PTO

Posted 2 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):Senior Construction Defect Technical Claims Specialist

Employment Type:Full-Time

FLSA Status:Exempt

Location:In-Officeor Remote

Summary:

We are looking for a highly capable Senior Construction Technical Claims Specialist Team Lead to join our team and work from any of the following Argo offices: Albany, Chicago, Los Angeles, New York City, Omaha, or Richmond (VA). Alternatively we can fill this role with a fully remote employee, except in the States of AK, DE, HI, KY, MI, MS, MT, ND, SD, or VT. This role will be adjudicating our most complex construction defect claims for our customers and contribute to providing superb results for our clients.

Candidates must be able to work during standard business hours.

EssentialResponsibilities:

Working under limited oversight under broadmanagementdirection,adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.

  • Conducting detailed information gathering, analysis and investigation to find solutions to issues that are numerous and undefined.

  • Reporting to senior management and underwriters on claims trends and developments.

  • Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage.

  • Investigating claims promptly and thoroughly, including interviewing all involved parties.

  • Managing claims in litigation

  • Managing diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution.

  • Properly setting claim reserves, taking into account how different policy wordings impact the claims reserving process.

  • Identifying loss drivers and claims trends to reduce claims frequency and severity through data analysis and improved claim management.

  • Identifying, assigning, and coordinating the assignment and coordination of expertise resources to assist in case resolution.

  • Preparing reports for file documentation

  • Applying creative solutions which result in the best financial outcome.

  • Negotiating highly complex settlement packages within scope of authority in order to settle claims in most cost effective manner.

  • Processing mail and prioritizing workload.

  • Responsible for 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 deep knowledge of construction defect claims, along with an exceptional focus on customer service, typically achieved through a minimum of:

    • Seven years' experience adjudicating construction defect claims with exposure of $100,000 or more.

    • Bachelor's degree from an accredited university required. Two or more insurance designations or four additional years of related experience adjudicating commercial general liability bodily injury claims beyond the minimum experience required above may be substituted in lieu of a degree.

    • Licenses in multiple jurisdictions. Applicants either need to possess a General Adjusting License in Florida, Texas or Wyoming or currently be licensed in multiple other jurisdictions. In addition, applicants must have the ability within three months of hire to obtain other licenses in each jurisdiction (either through reciprocity of their Florida, Texas or Wyoming license or by obtaining a license in each jurisdiction (such as required by New York).

  • 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).

  • Ability to regularly exercise discretion and independent judgment with respect to matters of significance.

  • A strong focus on execution in getting things done right. Proven ability to consistently produce and deliver expected results to all stakeholders by:

    • Finding a way to achieve success through adversity.

    • Being solution (not problem) focused

    • Thinking with a global mindset first.

  • Must have excellent communication skills and the ability to build lasting relationships.

  • Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.

  • Successful traits (flexibility, ability to thrive in change, being resourceful on your own) necessary to work in a fast-paced environment that is evolving constantly.

  • Excellent evaluation and strategic skills required.

  • Strong claim negotiation skills a must.

  • Knows how claims reserving techniques are used and how to assess whether a claim reserve is accurate.

  • Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.

  • Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.

  • Demonstrates innovative thinking and regularly shares ideas to help the team whenever possible

  • Intellectual curiosity. Consistently considers all options and is not governed by conventional thinking.

  • Client focus - the ability to effectively determine specific client needs and to provide value added solutions.

  • Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO.

  • Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis.

  • Proficient in MS Office Suite and other business-related software.

  • Polished and professional written and verbal communication skills in order to present information accurately and effectively.

  • The ability to read and write English fluently is required.

  • Must demonstrate a desire for continued professional development through continuing education and self-development opportunities.

  • Licensed Claims Examiner (Based on state) Must be licensed or have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate first party claims. within 120 Days

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: $137,496 - $164,934

  • 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, including but limited to Albany county), Washington, D. C. metro area, & Washington State Pay Ranges: $151,062 - $181,254

  • Los Angeles, San Francisco, and New York City (including but not limited to Westchester county) metro areas Pay Ranges: $165,036 - $ 198,084

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 and treat each case as the unique situation it is.

  • We have a very flat organizational structure, enabling our employees have more 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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