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Remote Claims Representative Jobs (NOW HIRING)

Medix

Remote Claims Representative

Dubuque, IA · On-site +1

$20 - $24/hr

Claims Representative (Remote) Location Requirements Candidates must reside in one of the following states: Florida, Iowa, Kansas, Kentucky, Maryland, Minnesota, Missouri, North Carolina, Ohio ...

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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 ...

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ESIS Senior Claims Representative, DBATampa, FL, United States ESIS Senior Claims Representative, DBA, Remote Are you ready to make a meaningful impact in the world of workers\' compensation? Join ...

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How much do remote claims representative jobs pay per hour?

As of Jun 5, 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 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 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 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.
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Remote Claims Representative jobs near you
Remote Claims Representative

Remote Claims Representative

Medix

Dubuque, IA • On-site, Remote

$20 - $24/hr

Full-time

Posted yesterday

Job description

Claims Representative (Remote)
Location Requirements

Candidates must reside in one of the following states:

Florida, Iowa, Kansas, Kentucky, Maryland, Minnesota, Missouri, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, or Wisconsin.


About the Role

We are seeking a Claims Representative to join a dynamic and fast-paced team. In this role, you will be responsible for managing claims throughout the entire lifecycle, ensuring timely resolution while providing exceptional service to clients and stakeholders. This position offers the opportunity to develop valuable analytical, negotiation, and problem-solving skills while making a meaningful impact every day.


Key Responsibilities

  • Analyze, investigate, and process claims accurately and efficiently

  • Communicate with claimants, medical providers, attorneys, clients, and other stakeholders nationwide

  • Evaluate claim details and identify potential fraud concerns when appropriate

  • Negotiate settlements and provide recommendations regarding claim resolution

  • Manage litigated claims and coordinate with legal partners as needed

  • Maintain thorough documentation and ensure compliance with applicable regulations and company standards

  • Deliver exceptional customer service while handling complex claim situations


Training & Schedule

  • Training: Monday-Friday, 8:00 AM-5:00 PM during the first 3 weeks

  • Schedule After Training: Flexible scheduling options available

  • Work Arrangement: Remote


Qualifications
Required

  • 3-5 years of professional work experience

  • Strong analytical and critical thinking skills

  • Excellent written and verbal communication abilities

  • Strong negotiation and problem-solving skills

  • Ability to thrive in a fast-paced, professional environment

  • Technical aptitude and comfort working with systems, data, and technology


Preferred

  • Bachelor's degree

  • Experience in claims, insurance, legal, customer service, or other professional office environments

  • Strong sense of ownership, accountability, and initiative

  • Competitive and results-driven mindset

A bachelor's degree is not required. Relevant experience, capability, and a strong work ethic are highly valued.


Compensation & Benefits

  • Competitive compensation based on experience

  • Comprehensive benefits package

  • Paid training

  • Career growth and advancement opportunities

  • Flexible work options following training

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

Company Description

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.
Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?
Medix Staffing Solutions logo

About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

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