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Remote Claims Processor Jobs (NOW HIRING)

WPS Health Solutions

Foreign Claims Processor

$18.50/hr

Claims Processing Full-Time Remote Madison, WI 53713, USA +17 more locations Description Role Snapshot Process all MVH overseas claims from receipt through resolution in accordance with MVH ...

New

Conduent, Inc.

Claims Processor

KY · Remote

$18/hr

Claims Processor (Remote) Are you detail-oriented with claims experience and looking for a remote opportunity where your performance is rewarded? We're hiring Claims Processors to join our team! Pay ...

WPS Health Solutions

Foreign Claims Processor

$18.50/hr

Claims Processing Full-Time Remote Madison, WI 53713, USA +17 more locations Description Role Snapshot Process all MVH overseas claims from receipt through resolution in accordance with MVH ...

New

WPS Health Solutions

Foreign Claims Processor

$18.50/hr

Claims Processing Full-Time Remote Madison, WI 53713, USA +17 more locations Description Role Snapshot Process all MVH overseas claims from receipt through resolution in accordance with MVH ...

New

WPS Health Solutions

Foreign Claims Processor

$18.50/hr

Claims Processing Full-Time Remote Madison, WI 53713, USA +17 more locations Description Role Snapshot Process all MVH overseas claims from receipt through resolution in accordance with MVH ...

WPS Health Solutions

Foreign Claims Processor

$18.50/hr

Claims Processing Full-Time Remote Madison, WI 53713, USA +17 more locations Description Role Snapshot Process all MVH overseas claims from receipt through resolution in accordance with MVH ...

New

WPS Health Solutions

Foreign Claims Processor

$18.50/hr

Claims Processing Full-Time Remote Madison, WI 53713, USA +17 more locations Description Role Snapshot Process all MVH overseas claims from receipt through resolution in accordance with MVH ...

New

WPS Health Solutions

Foreign Claims Processor

$18.50/hr

Claims Processing Full-Time Remote Madison, WI 53713, USA +17 more locations Description Role Snapshot Process all MVH overseas claims from receipt through resolution in accordance with MVH ...

New

WPS Health Solutions

Foreign Claims Processor

$18.50/hr

Claims Processing Full-Time Remote Madison, WI 53713, USA +17 more locations Description Role Snapshot Process all MVH overseas claims from receipt through resolution in accordance with MVH ...

New

WPS Health Solutions

Foreign Claims Processor

$18.50/hr

Claims Processing Full-Time Remote Madison, WI 53713, USA +17 more locations Description Role Snapshot Process all MVH overseas claims from receipt through resolution in accordance with MVH ...

WPS Health Solutions

Foreign Claims Processor

$18.50/hr

Claims Processing Full-Time Remote Madison, WI 53713, USA +17 more locations Description Role Snapshot Process all MVH overseas claims from receipt through resolution in accordance with MVH ...

New

WPS Health Solutions

Foreign Claims Processor

$18.50/hr

Claims Processing Full-Time Remote Madison, WI 53713, USA +17 more locations Description Role Snapshot Process all MVH overseas claims from receipt through resolution in accordance with MVH ...

New

WPS Health Solutions

Foreign Claims Processor

$18.50/hr

Claims Processing Full-Time Remote Madison, WI 53713, USA +17 more locations Description Role Snapshot Process all MVH overseas claims from receipt through resolution in accordance with MVH ...

New

Cynet Systems

Claims Processor - Remote / Telecommute

$17.34 - $21.34/hr

Claims Processor Pay Range: $17.34hr - $21.34hr The Claims Processor is responsible for examining, researching, and resolving non-adjudicated claims to ensure accurate and timely processing in ...

WPS Health Solutions

Foreign Claims Processor

Madison, WI · On-site +1

$18.50/hr

Role Snapshot Process all MVH overseas claims from receipt through resolution in accordance with ... During Probationary Period: 8:00-4:35pm CST Mon-Fri Work Location We are open to remote work in the ...

NTT DATA

Medical Claims Processor - Remote

$18/hr

NTT DATA currently seeks a Claims Processor to join our team for a remote position. Role Responsibilities: * Processing of professional claim forms files by provider * Reviewing the policies and ...

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Remote Claims Processor information

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How much do remote claims processor jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for remote claims processor in the United States is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 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.

More about Remote Claims Processor jobs
What cities are hiring for Remote Claims Processor jobs? Cities with the most Remote Claims Processor job openings:
What are the most commonly searched types of Claims Processor jobs? The most popular types of Claims Processor jobs are:
What states have the most Remote Claims Processor jobs? States with the most job openings for Remote Claims Processor jobs include:
What job categories do people searching Remote Claims Processor jobs look for? The top searched job categories for Remote Claims Processor jobs are:
Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in the United States as of June 2026, with employment types broken down into 99% Full Time, and 1% Part Time. Highlights an 37% Physical, 3% Hybrid, and 60% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.

Healthcare Claims Processor, Remote

The Nippon Telegraph and Telephone Corporation (NTT)

Remote

$17.50 - $22/hr

Other

This job post has expired 1 day ago. Applications are no longer accepted.

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JobDiva # 26-01251
Issued: 06/16/26 3:45 PM Title: Optional Ref#: Contact: Company/Dep: Division: ddr 1: ddr 2: City State Country: Zip County: Bill Rate: - / Pay Rate: - / Start:
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APPLICANTS INTERESTED EMAIL/TEXT MERGED SUPPLIER SUBMITTALS AGENT SEARCH NOTES SUBMITTED DIVAMATCH
Job Description
At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring, the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.
NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this Role the candidate will be responsible for:

  • Processing of Professional claim forms files by provider
  • Reviewing the policies and benefits
  • Comply with company regulations regarding HIPAA, confidentiality, and PHI
  • Abide with the timelines to complete compliance training of NTT Data/Client
  • Work independently to research, review and act on the claims
  • Prioritize work and adjudicate claims as per turnaround time/SLAs
  • Ensure claims are adjudicated as per clients defined workflows, guidelines
  • Sustaining and meeting the client productivity/quality targets to avoid penalties
  • Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA.
  • Timely response and resolution of claims received via emails as priority work
  • Correctly calculate claims payable amount using applicable methodology/ fee schedule

Requirements:
  • 1-3 year(s) hands-on experience in Healthcare Claims Processing
  • 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools
  • High school diploma or GED.
  • Previously performing - in P&Q work environment; work from queue; remotely
  • Key board skills and computer familiarity -
    • Toggling back and forth between screens/can you navigate multiple systems.
    • Working knowledge of MS office products - Outlook, MS Word and MS-Excel.
  • Must be able to work 8 am - 4 pm EST online/remote (training is required on-camera).
  • Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities
  • Time management with the ability to cope in a complex, changing environment
  • Ability to communicate (oral/written) effectively in a professional office setting

Preferred Skills & Experiences:
  • Xcelys Preferred

About NTT DATA
NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long-term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. Visit us at us.nttdata.com
NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here . If you'd like more information on your EEO rights under the law, please click here . For Pay Transparency information, please click here .

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