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Remote Claims Processor Jobs in Spring Hill, TN (NOW HIRING)

Medical Billing Specialist

Brentwood, TN ยท On-site +1

$17.25 - $22.25/hr

We are seeking Medical Billing Specialist to assist with filing medical claims, processing payments ... Eligible to Work Remote * Quarterly Bonus Program * Health Insurance * Dental amp; Vision Insurance

Epic Denials Management Operator

Nashville, TN ยท Remote

$17.50 - $23.25/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...

Accounts Receivable Specialist

Nashville, TN ยท Remote

$19.50 - $25.75/hr

Our in-house medical team are experts in the VA claims process, so they can help veterans identify ... Benefits * Full-time, fully remote position * Two weeks of PTO annually, with additional weeks ...

Be Seen First

Senior Homeowners Property Liability Claims Adjuster Location: Work-From-Home What You'll Do: * Maintain claim metrics. * Handle a case load commensurate with the complexity level of claims assigned.

DRG Auditor (REMOTE)

Franklin, TN ยท Remote

$28 - $31.75/hr

Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert ... This role is primarily office-based or remote, depending on company policy, with extensive computer ...

DRG Auditor (REMOTE)

Franklin, TN ยท Remote

$27 - $30.50/hr

Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert ... This role is primarily office-based or remote, depending on company policy, with extensive computer ...

Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert ... This role is primarily office-based or remote, depending on company policy, with extensive computer ...

Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert ... This role is primarily office-based or remote, depending on company policy, with extensive computer ...

Showing results 21-40

Remote Claims Processor information

See Spring Hill, TN salary details

$11

$18

$24

How much do remote claims processor jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for remote claims processor in Spring Hill, TN is $18.02, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $19.42 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.

What are popular job titles related to Remote Claims Processor jobs in Spring Hill, TN? For Remote Claims Processor jobs in Spring Hill, TN, the most frequently searched job titles are:
What cities near Spring Hill, TN are hiring for Remote Claims Processor jobs? Cities near Spring Hill, TN with the most Remote Claims Processor job openings:
Infographic showing various Remote Claims Processor job openings in Spring Hill, TN as of August 2026, with employment types broken down into 1% Internship, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 83% Physical, 5% Hybrid, and 12% Remote job distribution, with an average salary of $37,484 per year, or $18 per hour.

Multi-Line Claims Adjuster - Litigation & Liability

CCMSI

Nashville, TN โ€ข Remote

$75K - $80K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago


Job description

Overview

Multi-Line Claim Consultant

Location: RemoteSchedule: Monday โ€“ FridaySalary Range: $75,000 โ€“ $80,000 annually

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.

We donโ€™t just process claimsโ€”we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Workยฎ, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.

Job Summary

The Multi-Line Claim Consultant is responsible for the investigation and adjustment of assigned multi-line claims across multiple accounts and jurisdictions nationwide. This role manages claims from assignment through resolution (cradle to grave), including files with litigation exposure, while ensuring compliance with CCMSI claim handling standards, client-specific instructions, and applicable state laws.

This position is designed for experienced adjusters with 5+ years of multi-line claims experience who can independently manage a high-volume caseload while delivering quality claim outcomes and exceptional client service. The ideal candidate brings strong litigation management skills, excellent organization, and the ability to effectively prioritize competing demands across a diverse portfolio of claims.

Responsibilities When we hire Multi-Line Claim Consultants at CCMSI, we look for professionals who take ownership of their files, communicate proactively, navigate complex claims with confidence, and deliver timely, accurate results that support both our clients and claimants. 
  • Investigate, evaluate, and adjust multi-line claims in accordance with corporate standards, client handling instructions, and applicable laws
  • Manage claims from assignment through resolution, including files with litigation exposure
  • Establish and maintain reserves within designated authority levels
  • Review and approve medical, legal, damage estimate, and miscellaneous claim-related invoices
  • Negotiate claim settlements in accordance with client instructions, authority limits, and jurisdictional requirements
  • Authorize and issue claim payments in accordance with established claim procedures
  • Coordinate and oversee defense counsel, surveillance vendors, case managers, and other claim-related service providers
  • Assess and pursue subrogation opportunities where applicable
  • Maintain an active diary and ensure appropriate file movement and timely follow-up
  • Prepare claim status reports, reserve analyses, and client communications as required
  • Provide notices to excess and reinsurance carriers when appropriate
  • Attend mediations, hearings, legal proceedings, and settlement conferences as needed
  • Support claim reviews, client meetings, and training initiatives when requested
  • Ensure full compliance with Corporate Claim Handling Standards and client-specific requirements
Qualifications Required Qualifications
  • 5+ years of multi-line claims handling experience
  • Experience managing litigated claims and working with defense counsel
  • Strong understanding of claim investigation, liability analysis, coverage evaluation, and negotiation strategies
  • Ability to independently manage a caseload of approximately 125โ€“150 files
  • Experience handling claims across multiple jurisdictions
  • Strong analytical, organizational, and decision-making abilities
  • Excellent verbal and written communication skills
  • Ability to work effectively in a fast-paced, deadline-driven environment
  • Proficiency with Microsoft Office applications, including:
    • Microsoft Excel
    • Microsoft Outlook
    • OneNote
  • Reliable, predictable attendance during assigned client service hours
  • Active home-state adjuster license required
  • Must provide license number and NPN (National Producer Number) prior to hire to verify licensing status
  • Ability to obtain and maintain additional state licenses as required
Preferred Qualifications
  • Prior TPA experience
  • Experience handling national account claim programs
  • Multi-state adjuster licensure

Why Youโ€™ll Love Working Here

  • 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
  • Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
  • Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
  • Career growth: Internal training and advancement opportunities
  • Culture: A supportive, team-based work environment

 

How We Measure Success 

 At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:  

  • Quality claim handling โ€“ thorough investigations, strong documentation, well-supported decisions
  • Compliance & audit performance โ€“ adherence to jurisdictional and client standards
  • Timeliness & accuracy โ€“ purposeful file movement and dependable execution
  • Client partnership โ€“ proactive communication and strong follow-through
  • Professional judgment โ€“ owning outcomes and solving problems with integrity
  • Cultural alignment โ€“ believing every claim represents a real person and acting accordingly

This is where we shine, and we hire adjusters who want to shine with us.

Compensation & Compliance

The posted salary reflects CCMSIโ€™s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance.

Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

Our Core Values

At CCMSI, we believe in doing whatโ€™s rightโ€”for our clients, our coworkers, and ourselves. We look for team members who:

  • Lead with transparency We build trust by being open and listening intently in every interaction.
  • Perform with integrity We choose the right path, even when it is hard.
  • Chase excellence We set the bar high and measure our success. What gets measured gets done.
  • Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
  • Win together Our greatest victories come when our clients succeed. 

We donโ€™t just work togetherโ€”we grow together. If that sounds like your kind of workplace, weโ€™d love to meet you.

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