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Remote Claims Processor Jobs in Terrell, TX (NOW HIRING)

QMACS

Be Seen First

Medical Billing Accounts Receivable (A/R) Specialist- Remote

Richardson, TX · Remote

$19 - $21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • PTO

Our fully remote team supports clients nationwide, with employees working across more than 25 ... Understanding of medical billing terminology and claims processes * Proficiency in Microsoft Excel

QMACS

Be Seen First

Medical Billing Accounts Receivable (A/R) Specialist- Remote

Richardson, TX · Remote

$18 - $21/hr

  • Medical

  • Dental

  • Vision

  • Life

  • PTO

Our fully remote team supports clients nationwide, with employees working across more than 25 ... Understanding of medical billing terminology and claims processes * Proficiency in Microsoft Excel

Markel International

Claims Examiner

Plano, TX · On-site +1

$62K - $85K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Utilizes diary system to pro-actively resolve outstanding issues and to ensure timely processing and closure of the claim. * Negotiates and settles claims directly with claimant * Prepares reports by ...

Addison Group

Behavioral Health Billing Specialist

Plano, TX · Remote

$24 - $25/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Remote (Must reside in San Antonio, TX) Industry: Healthcare Revenue Cycle Pay: $24.00 - $25.00 ... Submit and process high-volume medical claims for outpatient or inpatient services. * Review claims ...

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All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Terrell, TX

Remote Claims Processor information

See Terrell, TX salary details

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How much do remote claims processor jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for remote claims processor in Terrell, TX is $16.88, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $18.22 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.

More about Remote Claims Processor jobs

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For Remote Claims Processor jobs in Terrell, TX, the most frequently searched job titles are:

What job categories do people searching Remote Claims Processor jobs in Terrell, TX look for?

The top searched job categories for Remote Claims Processor jobs in Terrell, TX are:

What cities near Terrell, TX are hiring for Remote Claims Processor jobs?

Cities near Terrell, TX with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Terrell, TX as of August 2026, with employment types broken down into 1% Internship, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution, with an average salary of $35,116 per year, or $16.9 per hour.

DBA (Defense Base Act) Adjuster

Contract Claims Services, Inc.

Dallas, TX • Remote

$67K - $87K/yr

Full-time

Medical

Re-posted 9 days ago

Job description

Primary Responsibility

The Adjuster will manage an assigned caseload of medical only and lost time Workers’ Compensation claims from the first report of injury to resolution according to the applicable law. This includes making decisions about liability/compensability, evaluating losses, and negotiating settlements. The role interacts with claimants, clients, attorneys, and other third parties throughout the claims management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers.

Essential Functions & Responsibilities
  • Manage assigned caseload of workers’ compensation claims.
  • Make decisions about compensability, set reserves and negotiate settlements.
  • Assigns, when necessary, appropriate vocational rehabilitation for the purposes of a labor market survey.
  • Coordinates, when necessary, light duty accommodation with AAFES’ Human Resources Center.
  • Determines whether an injured worker is a Medicare beneficiary or possibly receiving SSDI benefits and assigns, when necessary, a Medicare SetAside to CCS Medicare Services.
  • Interact with claimants, clients, attorneys, representatives of the U.S. Department of Labor, medical providers and other thirdparty representatives throughout the claims process.
  • Assess worst probable exposure and apply appropriate reserving practices.
  • Timely initial contacts and investigation of new claims.
  • Prepares reports and other analytical data as requested by the management team.
  • Independently identify and resolve most common claim file issues.
  • Prepare for and/or represent the Employer at Informal Conferences.
  • Adjust extent of disability claims to include Labor Market Surveys and Loss of WageEarning Capacity (LWEC) calculations.
  • Accurately calculate present value of LWEC claims and prepare settlement memos/analysis.
  • Negotiate settlements.
  • Adjust claims requiring Medicare SetAside Arrangements (MSAs).
  • Adjust claims involving S33 subrogation.
  • Adjust claims involving S8(f).
  • Verify coverage.
  • Take recorded statements as needed.
  • Document files as necessary on conversation and actions taken.
  • Identify and address subrogation issues.
  • Administer benefits timely and accurately.
  • Complete jurisdictional forms timely and accurately.
  • Monitor ongoing medical treatment.
  • Request second medical opinions as needed.
  • Request surveillance appropriately.
  • Work mail and diary on a daily basis.
    • Additional Functions & Responsibilities
  • Client visits as required.
  • Preparation of documents for informal conferences and formal hearings; participate in the
  • proceedings at client discretion.
  • Communicates directly with the client.

    • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Required Qualifications
  • Must have at least 23 years of experience handling indemnity workers’ compensation claims for DBA.
  • High school diploma.
  • Ability to follow instructions, procedures, and rules.
  • Must have strong attention to detail.
  • Must have good written and oral communication skills.
  • Must be well organized and the ability to multitask.
  • Basic computer skills in MS Word, Excel and Outlook.
  • Fast, accurate data entry
    • Preferred Qualifications
  • College degree in business or other related discipline.
    • Knowledge, Skills & Abilities
  • Proficient in MS Office.
  • Consistently completes timely investigation depending on claim type and makes timely compensability determinations.
  • Consistently makes timely and accurate LS form filings as well as Indemnity/Medical payments.
  • Consistently reviews and establishes appropriate reserves and documents rationale.
  • Demonstrates the ability to consistently and concisely document Vista claim notes with pertinent information, to include a plan of action.
  • Demonstrates good time management skills, to include timely completion of claim file diaries, Image Right tasks and organization.
  • Consistently adheres to all Company and account specific policies and procedures.
  • Consistently ensures all claim file coding is accurate/current.
  • Ability to communicate effectively, in both oral and written forms of communication.
  • Ability to work in a fastpaced environment.
  • High level of accuracy and attention to detail.
  • Ability to define problems, collect data, establish facts, and draw valid conclusions.
  • Ability to calculate benefits in accordance with applicable law
    • Travel
  • Less than 5% travel

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