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Remote Claims Processor Jobs in Troy, MI (NOW HIRING)

BeneSys, Inc.

Claims Analyst (Troy, MI)

Troy, MI · Remote

Each Analyst will specialize in a particular group but is expected to handle claims processing for multiple groups. Applicants for this remote role will only be considered if they live in these ...

BeneSys, Inc.

Specialty Claims Analyst (Troy, MI)

Troy, MI · Remote

$21 - $24/hr

... process submitted claims. Assists with customer service. Applicants for this remote role will only be considered if they live in these locations: Illinois, Indiana, Iowa, Kentucky, Michigan, Missouri ...

Tmhcc

Property Claims Adjuster

Troy, MI · On-site +1

Remote / Hybrid (dependent upon on proximity of office location) Reports To: Katie Toman Employment ... The Property Claims Adjuster will also support the subrogation process for claims identified as ...

CARS Protection Plus

Claims Adjuster II

Detroit, MI · On-site +1

Key Responsibilities Evaluate and process automotive claims in accordance with company guidelines. Communicate effectively with service providers and customers to gather necessary claim information.

USAA

Manager, Claims Operations - APD (Field)

Detroit, MI · On-site +1

$103K - $197K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Executes process improvements, provides feedback on the process and leads organizational process ...

USAA

Manager, Claims Operations - APD (Field)

Detroit, MI · On-site +1

$103K - $197K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Executes process improvements, provides feedback on the process and leads organizational process ...

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All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Troy, MI

Remote Claims Processor information

See Troy, MI salary details

$11

$18

$24

How much do remote claims processor jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for remote claims processor in Troy, MI is $18.06, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $19.47 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.

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Cities near Troy, MI with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Troy, MI as of July 2026, with employment types broken down into 90% Full Time, 7% Part Time, 2% Contract, and 1% Nights. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution, with an average salary of $37,557 per year, or $18.1 per hour.

Claims Analyst

Global Information Technology (Michigan)

Southfield, MI • Remote

Contractor

Re-posted 7 days ago

Job description

Job Title: EDI Claims Analyst
Job Location: Remote
Job Type: Contract

Job Description:

The EDI Claims Analyst is responsible for analyzing and processing electronic data interchange (EDI) transactions, including claims and eligibility inquiries. This role involves reviewing and resolving claim rejections, ensuring accurate data submission, and supporting various EDI transactions. The analyst will work closely with provider relations, IT, and other internal teams to ensure smooth and efficient claims processing.

Requirement:

  • Strong understanding of EDI transactions and claims processing
  • Proficiency in SQL and data analysis
  • Knowledge of Edifecs Smart-Trading platform, Availity Essentials, Informatica, and Apigee
  • Familiarity with CBH systems, including Connects and Flexicare
  • Excellent problem-solving and analytical skills
  • Ability to mentor and train team members
  • Executive leadership client facing
Interested candidates can send their updated resumes at jobs@global-itech.com

Apply