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Remote Claims Representative Jobs (NOW HIRING)

JGS Insurance

Claims Representative

Holmdel, NJ · Remote

JGS is growing rapidly and as a result has an opportunity for a new Claims Representative in the PPP Department. Our new office in Bell Works truly reflects an innovative and exciting environment ...

UnitedHealth Group

Claims Representative

Dallas, TX · Remote

$18 - $32/hr

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within ... Authorizes the appropriate payment or refers claims to investigators for further review. Conducts ...

Berkley

Claims Representative

Manassas, VA · Remote

Amazingly Easy." Responsibilities As a Claims Representative, you will be responsible for the investigation, evaluation, mitigation and resolution of medical only and lost time workers' compensation ...

SCM Insurance Services

$40K/yr

ClaimsPro LP - International Programs Group Claims Representative - Remote (anywhere in the US) - St Louis, MO IPG works in the contiguous 48 states, Hawaii, and Puerto Rico handling a variety of ...

Cira Health Solutions

$40K/yr

ClaimsPro LP - International Programs Group Claims Representative - Remote (anywhere in the US) - St Louis, MO IPG works in the contiguous 48 states, Hawaii, and Puerto Rico handling a variety of ...

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Remote Claims Representative information

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How much do remote claims representative jobs pay per hour?

As of Jun 27, 2026, the average hourly pay for remote claims representative in the United States is $24.12, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $27.40 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Remote Claims Representative position, and why are they important?

To thrive as a Remote Claims Representative, you need strong analytical abilities, attention to detail, and a solid understanding of insurance policies and claim processes, often supported by a relevant associate's or bachelor's degree. Familiarity with claims management software, CRM systems, and occasionally industry certifications like AIC (Associate in Claims) is highly beneficial. Excellent communication, problem-solving skills, and the ability to work independently are important soft skills for success in this remote role. These competencies ensure accurate evaluation and efficient resolution of claims while maintaining high customer satisfaction and adherence to regulatory standards.

What is a Remote Claims Representative job?

A Remote Claims Representative is responsible for reviewing, processing, and resolving insurance claims while working from a remote location. They assess claim details, verify coverage, and communicate with policyholders, medical providers, or other relevant parties to ensure accurate and timely claim settlements. Strong analytical skills, attention to detail, and knowledge of insurance policies are essential for this role. The job often involves using digital tools to document claims and provide customer support.

What are some common challenges faced by Remote Claims Representatives, and how can they be managed?

Remote Claims Representatives often encounter challenges such as managing high caseloads, communicating complex decisions effectively with clients, and staying organized without direct in-person supervision. Successfully navigating these challenges typically involves developing strong time management, self-motivation, and clear digital communication skills. Many companies provide robust training, digital collaboration tools, and regular virtual meetings to support remote staff and maintain team cohesion. Proactively seeking feedback and utilizing available resources can help you stay on track and excel in this dynamic remote environment.

More about Remote Claims Representative jobs
What cities are hiring for Remote Claims Representative jobs? Cities with the most Remote Claims Representative job openings:
What are the most commonly searched types of Claims Representative jobs? The most popular types of Claims Representative jobs are:
What states have the most Remote Claims Representative jobs? States with the most job openings for Remote Claims Representative jobs include:
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Remote Claims Representative jobs near you
Infographic showing various Remote Claims Representative job openings in the United States as of June 2026, with employment types broken down into 90% Full Time, and 10% Part Time. Highlights an 100% Remote job distribution, with an average salary of $50,180 per year, or $24.1 per hour.

Claims Representative - Hybrid/Remote

Bing Recruitment

Union, NJ • On-site, Remote

$65K - $90K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago

Job description

We are seeking a detail-oriented and customer-focused Claims Representative with experience in captive insurance programs.




Key Responsibilities


* Review, investigate, and manage claims within captive insurance programs from intake through closure

* Coordinate with TPAs, adjusters, brokers, legal counsel, and insureds to ensure timely and accurate claim handling

* Monitor claim reserves, settlement activity, and claim trends to ensure financial accuracy and program performance

* Analyze loss data and identify patterns, emerging risks, and opportunities for loss mitigation

* Assist captive members with claim-related questions, documentation, and reporting requirements

* Ensure compliance with applicable state regulations, captive program guidelines, and internal policies

* Prepare claims reports, summaries, and presentations for management, captive boards, and client meetings



Qualifications


* 3+ years of claims handling or claims administration experience, preferably within captive insurance, risk management, or self-insured programs

* Knowledge of workers’ compensation, liability, property, and/or commercial claims

* Understanding of captive insurance structures and alternative risk financing programs preferred

* Experience working with TPAs and insurance carriers


 Preferred Qualifications


* Claims-related licenses or certifications preferred*

* Experience with loss runs, reserve analysis, and claims trend reporting

* Familiarity with regulatory compliance and captive insurance operations

* Experience in healthcare, transportation, construction, manufacturing, or other captive-heavy industries is a plus


Compensation & Benefits


* Competitive salary based on experience

* Health, dental, and vision insurance

* 401(k) with company match

* Paid time off and holidays

* Hybrid or remote flexibility depending on location and business needs