2

Remote Claims Processor Jobs in Towson, MD (NOW HIRING)

Remote JobDuration: Contract / FTE Client: Federal Criteria-Need US citizenshipbecause of federal ... Claims, denials, billing or medical-necessity review * Provider communication / provider calls ...

Remote Job Duration: Contract / FTE Client: Federal Criteria- Need US citizenship because of ... Claims, denials, billing or medical-necessity review * Provider communication / provider calls ...

Remote JobDuration: Contract / FTE Client: Federal Criteria-Need US citizenshipbecause of federal ... Claims, denials, billing or medical-necessity review * Provider communication / provider calls ...

Knowledge of standardized processes for evaluating payment support operations and claims adjudication practices. * Must be able to meet established deadlines and handle multiple customer service ...

Coder Financial Coordinator

Baltimore, MD ยท On-site +1

$25 - $30/hr

... REMOTE, WITH QUARTERLY ONSITE MEETINGS. CANDIDATES MUST RESIDE IN MD, DC, PA, VA OR WVA. About the ... to process claims. * Reviews and resolves front desk edit reports, missing charge reports and ...

Showing results 41-60

Remote Claims Processor information

See Towson, MD salary details

$11

$18

$25

How much do remote claims processor jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for remote claims processor in Towson, MD is $18.36, according to ZipRecruiter salary data. Most workers in this role earn between $15.67 and $19.81 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 job categories do people searching Remote Claims Processor jobs in Towson, MD look for? The top searched job categories for Remote Claims Processor jobs in Towson, MD are:
What cities near Towson, MD are hiring for Remote Claims Processor jobs? Cities near Towson, MD with the most Remote Claims Processor job openings:
Infographic showing various Remote Claims Processor job openings in Towson, MD as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $38,189 per year, or $18.4 per hour.

(ii) Technical Program Manager / Technical Delivery Manager - FACETS

System One

Baltimore, MD โ€ข Remote

$132K - $170K/yr

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 19 days ago


Job description

TECHNICAL PROGRAM MANAGER / TECHNICAL DELIVERY MANAGER – FACETS

Location: Baltimore, MD or Washington, DC Type: Contract to hire Model: Hybrid - Both on-site and remote. Schedule: 40 hours/week (EST)

JOB OVERVIEW

We are seeking an experienced Technical Program Manager / Technical Delivery Manager to lead the delivery of FACETS platform workstreams supporting large-scale claims system consolidation initiatives. This role will be responsible for coordinating multiple technical teams across engineering, QA, data, infrastructure, and security functions to ensure successful planning, execution, testing, and deployment of integrated releases.

The ideal candidate brings strong enterprise delivery leadership experience, deep knowledge of software development and release management processes, and prior exposure to healthcare payer systems. Experience with FACETS implementations and complex integration programs is highly preferred.

WHAT YOU'LL DO

  • Drive delivery of FACETS platform workstreams supporting claims system consolidation initiatives.
  • Coordinate across multiple technical teams, including engineering, QA, data, infrastructure, and security, to deliver integrated releases.
  • Build, maintain, and manage integrated delivery plans spanning multiple technical workstreams.
  • Coordinate project estimates, sequencing activities, and dependency management across development, testing, and release teams.
  • Establish and maintain delivery governance processes, including RAID management, action item tracking, milestone management, release gating, and readiness assessments.
  • Partner with architecture, security, and infrastructure teams to ensure non-functional requirements and control objectives are addressed.
  • Lead integrated testing activities, including System Integration Testing (SIT), User Acceptance Testing (UAT), and defect triage processes.
  • Own release planning, deployment coordination, cutover activities, and post-production hypercare support.
  • Monitor delivery risks and proactively drive issue resolution to maintain project timelines and quality standards.
  • Facilitate stakeholder communication and status reporting across technical and business teams.

REQUIRED QUALIFICATIONS

  • Bachelor's degree (BA, BS) or equivalent experience.
  • Proven experience leading technical delivery efforts for enterprise-scale technology implementations.
  • Experience coordinating multiple engineering teams and managing complex release schedules within Agile, Waterfall, or hybrid delivery environments.
  • Strong understanding of Software Development Life Cycle (SDLC), environment management, testing methodologies, and release management practices.
  • Healthcare payer systems experience required.
  • FACETS platform experience strongly preferred.
  • Strong verbal and written communication skills with the ability to manage cross-functional stakeholders.
  • Demonstrated ability to identify, manage, and mitigate delivery risks and dependencies.

NICE TO HAVE

  • Experience supporting integration-heavy programs involving APIs, batch processing, ETL, and data movement solutions.
  • Strong documentation skills, including creation of runbooks, release plans, deployment guides, and cutover checklists.
  • Experience leading large-scale claims transformation or system consolidation initiatives.
  • PMP, SAFe, Scrum Master, or related project/program management certification.
  • Experience supporting production deployments, operational readiness activities, and hypercare stabilization.
  • Familiarity with healthcare operations, claims processing, and payer technology platforms.

System One, and its subsidiaries, including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-M2 #LI-

Ref: #851-Rockville-S1