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Remote Claims Processor Jobs in Simpsonville, SC

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Remote Claims Processor information

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$10

$16

$23

How much do remote claims processor jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for remote claims processor in Simpsonville, SC is $16.99, according to ZipRecruiter salary data. Most workers in this role earn between $14.47 and $18.32 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.

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For Remote Claims Processor jobs in Simpsonville, SC, the most frequently searched job titles are:

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The top searched job categories for Remote Claims Processor jobs in Simpsonville, SC are:

What cities near Simpsonville, SC are hiring for Remote Claims Processor jobs?

Cities near Simpsonville, SC with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Simpsonville, SC as of August 2026, with employment types broken down into 86% Full Time, 12% Part Time, and 2% Contract. Highlights an 84% Physical, 4% Hybrid, and 12% Remote job distribution, with an average salary of $35,330 per year, or $17 per hour.

Field Claims Adjuster - South Carolina

American Integrity Insurance Company of Florida, Inc.

Spartanburg, SC • Remote

Full-time

Posted 6 days ago

Job description

Our Company

About Us:

American Integrity Insurance (NYSE: AII) is a leading provider of homeowners insurance, proudly serving over 400,000 policyholders across the Southeast. Comprised of more than 300 insurance professionals, most of whom work in our Tampa-area headquarters, and exclusively represented by more than 3,000 independent agents, we offer sound and comprehensive property and dwelling insurance to families throughout Florida, Georgia, South Carolina, and North Carolina. Our organization derives its Strength From IntegrityTM, and we are proud to have been recognized as a Top Place to Work in Tampa by the Tampa Bay Times and a Best Place to Work in Insurance by Business Insurance Magazine for the past twelve years. We have also rated among the Top Workplaces in the USA by USA Today for the past five years.

A Day in the Life:

Who knew Insurance could be this fun? From company picnics to charity events, no one can ever say American Integrity Insurance doesn't understand the importance of having fun, helping others, or giving back. Our company culture is priceless, and it's built around our six core values: Integrity, Commitment, Teamwork, Humility, Passion, and Fun. As a team working to provide home insurance solutions to our policyholders, together we aim to achieve greater heights each day and celebrate each other's accomplishments along the way. It is our mission to continue providing reliable, customer-centric homeowners

insurance and paying claims in a timely manner when our customers suffer a loss – and to do so with Integrity.

Learn more about American Integrity Insurance and our job opportunities at https://careers.aii.com.


Brief Summary

Title: Field Claims Adjuster

You'll Report To: Field Claims Director

As a Field Claims Adjuster, you will investigate and evaluate field claims reported on our policies to determine coverage and extent of damage in an attempt to reach an appropriate and negotiated settlement in accordance with statutory requirements, policy provisions and customary and reasonable mitigation techniques. We are looking for a Field Claims Adjuster to cover the entirety of South Carolina. 


What You'll Do
  • Confirm coverage and identifies / resolves coverage issues.  Contacts insured same day as claim is assigned.
  • Conduct proper investigations on cause of loss and procures proper documentation and supporting reports utilizing vendors appropriately.  Continually evaluate vendor performance and techniques.  Identify and recommend subrogation opportunities.
  • Utilize peer review as needed.
  • Review and process correspondence and takes appropriate action.  Maintain up-to-date claim file diary.
  • Complete assigned claims promptly with full required documentation.  Process payment and / or denial based on policy coverage.
  • Assess exposure and sets proper reserves.  Notify management of large losses promptly.
  • Communicate with customers, agents, and other partners verbally and in writing in a professional manner. Represent the company as the product coverage and statutory expert for our insureds, agents, and vendors.
  • Maintain appropriate documentation on all claim files and processes claims in a timely manner.
  • Meet company service standards and effectively uses the diary system to remain current.
  • Manage special projects, as assigned, within the established time and quality guidelines.
  • Responsible for developing and maintaining open and trusting working relationships with insureds in order to gather pertinent information.
  • Perform other related duties as assigned.
  • Regular and reliable attendance is an essential function of the position.

What You'll Need to be a Top Candidate

Education:  High School Diploma or GED required. College Degree preferred.


Experience: One (1) to three (3) years prior experience in field claims adjusting and three (3) to five (5) years prior experience estimating claims, prior carrier experience preferred. 


Licensure: State of South Carolina 520 or 620 License desired.  If you do not have a current South Carolina adjuster's license, American Integrity will work with you to obtain one during a reasonable amount of time.  Completion of insurance courses such as IIA, AEI, or CPCU preferred.


Skills:

  • Ability to analyze facts and coverages in order to evaluate damages. 
  • Proven ability in negotiation and investigation required. 
  • Ability to communicate interpersonally with individuals and groups via telephone and in writing. 
  • Ability to communicate effectively with a wide variety of technical / professional / consumer clients. 
  • Microsoft Windows and Office Suite. 
  • Familiarity with industry claims systems and property estimating systems, Xactimate preferred.

Schedule: This position is remote from your home, but you are required to service the assigned territory on a daily basis. 

#LI-Remote

Working Conditions: Normal business office environment.  Must be able to remain in a stationary position for periods of time while constantly operating a computer and or other office productivity machinery such as a calculator or telephone.  The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery or communicate with coworkers.  The employee must occasionally lift and / or move up to 10 pounds.  During field work, this employee is also regularly exposed to outdoor weather conditions.  During field work the employee is exposed to work in areas of height, small spaces, and fumes or airborne particles and may occasionally be exposed to toxic of caustic chemicals.  The field work noise level is usually moderate.


Travel: Field travel as required.


ADA: The above statements cover what are generally believed to be the principal and essential functions of this job.  Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of job duties. 


American Integrity Insurance Group is an Equal Opportunity Employer.

Qualifications:

Education:  High School Diploma or GED required. College Degree preferred.


Experience: One (1) to three (3) years prior experience in field claims adjusting and three (3) to five (5) years prior experience estimating claims, prior carrier experience preferred. 


Licensure: State of South Carolina 520 or 620 License desired.  If you do not have a current South Carolina adjuster's license, American Integrity will work with you to obtain one during a reasonable amount of time.  Completion of insurance courses such as IIA, AEI, or CPCU preferred.


Skills:

  • Ability to analyze facts and coverages in order to evaluate damages. 
  • Proven ability in negotiation and investigation required. 
  • Ability to communicate interpersonally with individuals and groups via telephone and in writing. 
  • Ability to communicate effectively with a wide variety of technical / professional / consumer clients. 
  • Microsoft Windows and Office Suite. 
  • Familiarity with industry claims systems and property estimating systems, Xactimate preferred.
Education:UNAVAILABLEEmployment Type: FULL_TIME

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