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

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Remote Claims Processor information

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$11

$18

$26

How much do remote claims processor jobs pay per hour?

As of Jul 16, 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.

More about Remote Claims Processor jobs
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 job categories do people searching Remote Claims Processor jobs in Springfield, IL look for? The top searched job categories for Remote Claims Processor jobs in Springfield, IL 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:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Springfield, IL as of July 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $39,509 per year, or $19 per hour.

SQL Data Analyst - Healthcare Claims

MSR Technology Group

Springfield, IL • Remote

Full-time

Re-posted 28 days ago

Job description

SQL Data Analyst - Healthcare Claims
Remote | Contract (Multi-Year or Permanent Option) | Competitive Pay + Benefits

Why This Role Is Different
This opportunity gives you real impact on Medicaid data solutions that improve healthcare delivery for millions. You’ll work with cutting-edge tools, collaborate with smart teams, and enjoy flexibility without sacrificing stability.

What You’ll Do
  • Develop complex SQL for data warehouse reporting and analytics.
  • Analyze business processes and document requirements for new systems.
  • Partner with internal teams and clients to deliver clear documentation and updates.
  • Support user acceptance testing, defect tracking, and scenario development.
  • Dive into Medicaid enrollment, provider, and claims data to uncover insights.
  • Identify and resolve data anomalies across cross-functional teams.
  • Create professional presentations and contribute to operational guides.
What We’re Looking For
  • Must-Have Skills:
    • Advanced ANSI SQL coding experience.
    • Healthcare business analysis and claims/encounter experience.
    • 2+ years of Unix/Linux Shell scripting (Bash/Korn).
    • Strong communication and organizational skills.
    • Ability to thrive with minimal guidance and tight deadlines.
  • Education: Bachelor’s degree in a related field.
Preferred Extras
  • Experience with CMS Federal Reporting (CMS-416, CMS-64), PERM, T-MSIS.
  • Familiarity with HEDIS, CMS Core Set, and Symmetry EBM Connect.
  • Teradata DBMS experience.
  • Knowledge of data integration, agile methodologies, and tools like Azure DevOps, SharePoint, MS Project, Visio.
Why You’ll Love It
  • Flexibility: Remote work with occasional travel.
  • Stability: Multi-year contract or potential permanent hire.
  • Benefits: Competitive pay plus comprehensive benefits.
  • Impact: Your work will directly improve Medicaid program performance.