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

micro1 AI

Medical Billing Specialist

Tyler, TX · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

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

Remote Claims Processor information

See Tyler, TX 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 Tyler, TX 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.

More about Remote Claims Processor jobs

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

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

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

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

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Tyler, TX as of August 2026, with employment types broken down into 1% Internship, 83% Full Time, 12% Part Time, and 4% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $37,564 per year, or $18.1 per hour.

Workers' Compensation Claims Representative

Claims Administrative Services, Inc.

Tyler, TX • Remote

Full-time

Medical

Re-posted 4 days ago

Job description

About Us

Claims Administrative Services, Inc (CAS) has served as a third-party administrator handling workers' compensation and property and casualty claims for a wide array of clients since 1990. In addition to our claims experience, CAS offers safety and loss control, cost containment services, and program administration. Every day our experienced professionals are on the job, reducing the frequency and severity of workplace injuries, managing associated claims costs, and helping injured employees return to work. Our personalized customer service combined with dedicated experience, innovation, and cost efficiency, assists our clients in reducing costs and protecting their employees.

Structure and Ownership

Heartland Security Insurance Group is the holding company for Claims Administrative Services, Inc. Heartland is comprised of seven different insurance and risk management businesses, providing products and services globally. Each of the companies offer solutions to distinct client groups in the federal, state and private sectors. The organization has been under continuous private family ownership for 50 years. Today, it has over 60 stockholders as well as ESOP ownership. In addition to providing an important retirement benefit to associates, the Employee Stock Ownership Plan (ESOP) assures that everyone in the organization has a vested interest in providing the very highest level of service to the client.

Commitment to the Community

Claims Administrative Services, Inc., and the parent organization, Heartland Security Insurance Group, have a long history of philanthropy to the local, national, and international communities.

Workers' Compensation Claims Representative

Primary Responsibility

The Claims Representative 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, policyholders, appraisers, 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. The Claims Representative will adjudicate medical only and lost time Workers' Compensation files according to applicable law.

Essential Functions & Responsibilities

Manage assigned caseload of workers’ compensation claims.

Make decisions about compensability, set reserves and negotiate settlements.

Interact with claimants, clients, medical providers and other third party representatives throughout the claims process.

Timely initial contacts and investigation of new claims.

Verify coverage.

Take recorded statements as needed.

Document files daily on every conversation and action taken.

Identify and address subrogation issues.

Start and stop indemnity 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.

Client visits as required.

Preparation and handling of hearings

Additional Functions & Responsibilities

Communicates directly with client.

Prepares reports and other analytical data as requested by the management team.

Required Qualifications

Must hold a valid Workers’ Compensation Adjuster license.

Must have at least 2-3 years of experience handling indemnity workers’ compensation claims.

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 multi-task.

Basic computer skills in MS Word, Excel and Outlook.

Fast, accurate data entry

Preferred Qualifications

College degree in business or other related discipline.

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