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Remote Claims Processor Jobs in Springfield, IL (NOW HIRING)

Process Tuner Field Engineer

Springfield, IL ยท On-site +1

$82K - $165K/yr

This role is based in our Houston, TX, but open to remote if you have previous process tuner and ... Analyze, investigate, and resolve customer warranty and policy claims. This requires an in-depth ...

... process. Job Overview The Strategy Analyst / Associate is a high-visibility, hands-on, and dynamic ... This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties:

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Remote Claims Processor information

See Springfield, IL salary details

$11

$18

$26

How much do remote claims processor jobs pay per hour?

As of Jun 6, 2026, the average hourly pay for remote claims processor in Springfield, IL is $18.99, according to ZipRecruiter salary data. Most workers in this role earn between $16.20 and $20.48 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 Springfield, IL? For Remote Claims Processor jobs in Springfield, IL, the most frequently searched job titles are:
What cities near Springfield, IL are hiring for Remote Claims Processor jobs? Cities near Springfield, IL with the most Remote Claims Processor job openings:
Infographic showing various Remote Claims Processor job openings in Springfield, IL as of May 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $39,509 per year, or $19 per hour.
Remote EDI Project Manager for Healthcare Claims

Remote EDI Project Manager for Healthcare Claims

Eliassen Group

Springfield, IL โ€ข Remote

$60 - $70/hr

Contractor

Medical, Retirement

This job post hasย expired today.ย Applications are no longer accepted.


Job description

A leading consulting firm is seeking a Project Manager to lead claims processing and EDI initiative projects. The ideal candidate should have experience with EDI 837 transactions and strong vendor management skills. This remote role requires effective communication and the ability to manage multiple stakeholders.

Benefits include a comprehensive package with medical and 401k match. This is a contract position paying between $60-$70/hr w2. #J-18808-Ljbffr


Eliassen Group logo

About Eliassen Group

Sourced by ZipRecruiter

Eliassen Group provides strategic consulting and talent solutions to drive our clients' innovation and business results. Our purpose is to positively impact the lives of our employees, clients, consultants, and the communities in which we operate. Leveraging over 30 years of success, our expertise in talent solutions, life sciences consulting, Agile consulting, cloud services, risk management, business optimization, and managed services enables us to partner with our clients to execute their business strategy and scale effectively. Headquartered in Reading, MA, and with offices from coast to coast, Eliassen Group offers local community presence and deep networks, as well as national reach.

Industry

It services

Company size

5,001 - 10,000 Employees

Headquarters location

Reading, MA, US

Year founded

1989