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Remote Claims Processor Jobs (NOW HIRING)

Practice Builders

Vision Claim Processor

$17.50 - $22/hr

This includes reviewing and filing claims in a timely and accurate manner through to resolution ... Claim Processing: o Review and file vision care claims in accordance with company policies and ...

Spotter

Spotter AI is on the lookout for a dedicated and detail-oriented Claims Specialist to enhance our claims processing team. This remote position is vital in ensuring that our clients receive prompt and ...

Health Admins

Claims Team Lead

Austin, TX · Remote

Texas (Remote); Austin, TX (preferred) Job Type: Full-time, Non-Exempt About Us Health Admins is a ... The Claims Team Lead for Claims Processing bridges Claims Processors and the Management team ...

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$25 - $29/hr

Arizona - Remote What you will be doing: * Conducts medical claims review using current claims processing guidelines and established clinical criteria e.g. CDST and policy keys, to evaluate medical ...

Imagenet

Claims Quality Analyst - Remote

Omaha, NE · On-site +1

Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

Imagenet

Claims Quality Analyst - Remote

Omaha, NE · Remote

Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

ImageNetLLC

Claims Quality Analyst - Remote

Omaha, NE · Remote

Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$26.40 - $27.88/hr

Review and validate claims using established criteria and processing guidelines. * Prepare cases ... Eligible Locations The position is remote, but you can only reside in the following states: AK, AR ...

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How much do remote claims processor jobs pay per hour?

As of Jun 9, 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 May 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.

Vision Claim Processor

Practice Builders

Remote

$17.50 - $22/hr

Other

Posted 13 days ago

Job description

Job Summary: The Vision Claim Processor is responsible for the accurate and efficient filing of vision care claims. This includes reviewing and filing claims in a timely and accurate manner through to resolution (payment/contractual adjustment), resolves standard and complex claims, and providing support to customers and healthcare providers regarding claim statuses and insurance benefits. Key Roles and Responsibilities: Claim Processing: o Review and file vision care claims in accordance with company policies and procedures.o Verify the accuracy of claim submissions, including patient information, service dates, and procedure codes.o Assess claims to determine coverage based on the patients vision care insurance plan.o Ensure claims are processed correctly and in a timely manner

Documentation and Record-Keeping: o Maintain accurate and up-to-date records of processed claims.o Document any discrepancies, issues, or observations during the claim processing phase.o Ensure compliance with federal and state regulations regarding privacy and record-keeping.o Customer Service: Provide exceptional customer service to both healthcare providers and policyholders.o Respond to inquiries and resolve issues related to claims, benefits, and policy coverage.o Guide policyholders and providers through the claims process, clarifying insurance benefits and procedures as needed. Coordination and Collaboration: o Collaborate with other departments, such as customer service and policy management, to ensure a seamless experience for policyholders.o Work closely with healthcare providers to obtain necessary documentation or clarification on claims.o Participate in team meetings and training sessions to stay updated on policy changes and procedural updates. Quality Assurance: o Perform quality checks on processed claims to ensure accuracy and compliance.o Identify patterns of discrepancies or common issues and report them to management for process improvement.o Participate in audits and reviews as required.

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