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Remote Claims Processor Jobs in Wilmington, NC (NOW HIRING)

EmergeOrtho

Authorization Specialist

Wilmington, NC · On-site +1

$15.25 - $20.25/hr

Potential for Remote Work - Primarily an in-office role with the possibility of remote flexibility ... processes, we want to hear from you! Be part of something bigger - apply today and help streamline ...

AMM Healthcare

RCM Coder

Wilmington, NC · Remote

$16 - $21.50/hr

This is a remote position and candidates must be located in North Carolina. Essential Functions ... Resolves disputed claims by gathering, verifying, and providing additional information * Identify ...

Atlantic Medical Management

RCM Coder

Wilmington, NC · Remote

$16 - $21.50/hr

This is a remote position and candidates must be located in North Carolina. Essential Functions ... Resolves disputed claims by gathering, verifying, and providing additional information * Identify ...

Getaway

Customer Representative

Wilmington, NC · Remote

$30K - $50K/yr

Perks * 100% remote work with flexible scheduling. * Opportunities for growth within the agency. * Travel perks and exclusive industry discounts. * Supportive team environment with ongoing training.

Getaway

Customer Representative

Wilmington, NC · Remote

$30K - $50K/yr

Perks * 100% remote work with flexible scheduling. * Opportunities for growth within the agency. * Travel perks and exclusive industry discounts. * Supportive team environment with ongoing training.

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Remote Claims Processor information

See Wilmington, NC salary details

$11

$17

$24

How much do remote claims processor jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for remote claims processor in Wilmington, NC is $17.86, according to ZipRecruiter salary data. Most workers in this role earn between $15.24 and $19.28 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

What are popular job titles related to Remote Claims Processor jobs in Wilmington, NC?

For Remote Claims Processor jobs in Wilmington, NC, the most frequently searched job titles are:

What job categories do people searching Remote Claims Processor jobs in Wilmington, NC look for?

The top searched job categories for Remote Claims Processor jobs in Wilmington, NC are:

What cities near Wilmington, NC are hiring for Remote Claims Processor jobs?

Cities near Wilmington, NC with the most Remote Claims Processor job openings:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Wilmington, NC as of August 2026, with employment types broken down into 86% Full Time, 11% Part Time, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $37,147 per year, or $17.9 per hour.

Authorization Specialist

EmergeOrtho

Wilmington, NC • On-site, Remote

$15.25 - $20.25/hr

Full-time

Medical, Dental, Vision

Re-posted 5 days ago

EmergeOrtho rating

6.8

Company rating: 6.8 out of 10

Based on 42 frontline employees who took The Breakroom Quiz

498th of 898 rated healthcare providers

Job description

Bring Compassion to the Coast: Hiring for an Authorizations Specialist Now!

EmergeOrtho is committed to being the trusted leader in innovative, quality-focused comprehensive musculoskeletal care. With offices across North Carolina, the Coastal region is seeking an Authorizations Specialist to join their team in our Ashton office. The Authorizations Specialist is responsible for obtaining and applying all required authorizations, enabling the appropriate compensation for medical claims. Confirms patients' insurance eligibility while obtaining authorization. The specialist acts as a liaison between referring physicians' offices, case managers, adjusters, and social workers to obtain required authorizations.

Why Join EmergeOrtho?

  • Excellent Benefits - Comprehensive health, dental, vision, and more
  • Great Team - Join a collaborative, supportive group that values your contributions
  • Potential for Remote Work - Primarily an in-office role with the possibility of remote flexibility in the future

Who Should Apply?

If you're a detail-oriented professional who excels in a dynamic healthcare environment, values teamwork, and is passionate about ensuring patients receive timely and accurate care through efficient authorization processes, we want to hear from you! Be part of something bigger - apply today and help streamline the future of patient access and care coordination!

What EmergeOrtho employees say

Pay

Benefits

Hours and flexibility

Workplace

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About EmergeOrtho

Sourced by ZipRecruiter

Our Mission Drives Us EmergeOrtho is committed to being the trusted leader in innovative, quality-focused, comprehensive musculoskeletal care. This foundational focus motivates us daily. Our Culture Balances Us Many employers talk about work/life balance. We put it into action. The retention rate of our staff is excellent, speaking volumes about employee satisfaction. Not only do our providers find it professionally stimulating to stay up to date on surgical techniques, nonsurgical treatments, and state-of-the-art equipment—they express overwhelming contentment with the lifestyle they enjoy in their nonworking hours. See how we make working here meaningful and fun.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Durham, NC, US

Social media

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