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Remote Claims Processor Jobs in Webster, MA (NOW HIRING)

Adhere to all internal claims handling guidelines and external regulatory requirements ... process, you are encouraged to contact the Mapfre Insurance Talent Acquisition team at ...

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Remote Claims Processor information

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How much do remote claims processor jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for remote claims processor in Webster, MA is $19.84, according to ZipRecruiter salary data. Most workers in this role earn between $16.92 and $21.39 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 are popular job titles related to Remote Claims Processor jobs in Webster, MA? For Remote Claims Processor jobs in Webster, MA, the most frequently searched job titles are:
What cities near Webster, MA are hiring for Remote Claims Processor jobs? Cities near Webster, MA with the most Remote Claims Processor job openings:

Claims Senior MedPay Adjuster

ACSC Management Services Inc

Lincoln, RI โ€ข Remote

$35.94 - $47.87/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post hasย expired today.ย Applications are no longer accepted.


Job description

Claims Senior MedPay Adjuster

Job Summary
The Claims Senior Medpay Adjuster handles moderate to high complexity Auto claims matters involving material damage, property and / or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation, and negotiation of moderate to high-complexity claims. Employs discretion and independent judgment to ensure compliance with state and federal law, and with established company, technical, and customer service best practices.
Job Duties

  • Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address coverage issues.
  • Conduct phone investigations to determine liability and damages. Identify and obtain statements from insureds, claimants and witnesses. Verify and resolve coverage by gathering necessary information to ensure policy applicability.
  • Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data.
  • Negotiate within settlement authority with insureds and claimants to resolve first and third party claims.
  • Update database production reports, document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc.
  • Control expenses for areas of responsibility.
  • Verify and interpret / resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required.
  • Independently resolve claim exposures within level of authority.
  • Respond quickly to customer needs and problems.
  • May attend and participate in legal proceedings.


Qualifications

  • Bachelors Equivalent combination of education and experience Preferred
  • 7-9 years Prior claims handling experience. Required
  • 7-9 years Property, Auto, Casualty or relevant claims administration experience. Preferred
  • Comprehensive knowledge of claims administration best practices and procedures.
  • Comprehensive knowledge of building and vehicle repair procedures and third-party liability issues.
  • Extensive knowledge of insurance, fault assessment, negligence and subrogation principles required.
  • Advanced knowledge of Microsoft Office suite, general computer software and claims software.
  • Advanced organization and planning recognition skills required.
  • Advanced oral and written communication skills required.
  • Advanced interpersonal skills required.
  • Advanced leadership skills among peers required.
  • Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required
  • An insurance/claims adjuster license may be required for claims administration in specific states.


Travel Requirements

  • Occasional travel to off-site business meetings or conferences. (5% proficiency)

The starting pay range for this position is $35.94 - $47.87 per hour.  Additionally, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.

Remarkable benefits:

โ€ข    Health coverage for medical, dental, vision

โ€ข    401(K) saving plans with company match AND Pension    

โ€ข    Tuition assistance

โ€ข    Floating holidays and PTO for community volunteer programs

โ€ข    Paid parental leave

โ€ข    Wellness programs

โ€ข    Employee discounts (membership, insurance,

travel, entertainment, services and more!)

Auto Club Enterprises is the largest club within the national AAA federation. We have nearly 17,000 employees in 24 states helping more than 18 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity โ€“ we win. All of Us! With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.

"Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.โ€

AAA is an Equal Opportunity Employer

Our organization participates in E-Verify