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Remote Claims Representative Jobs in Arizona (NOW HIRING)

Tango Care

Manager, Claims (Remote)

Phoenix, AZ · On-site +1

Remote Responsibilities and Duties : Responsibilities include, but are not limited to the following: * Serve as technical lead for problem-solving claims issues; troubleshoot and resolve issues ...

Swift Transportation

Claims Examiner 4

Phoenix, AZ · On-site +1

This position can be remote, in select locations, based on business needs Who We Are: Swift ... representation, including investigation, evaluation, and settlement of assigned claims. This ...

Swift Transportation

Claims Examiner 4

Phoenix, AZ · On-site +1

$75K - $94K/yr

This position can be remote, in select locations, based on business needs Who We Are: Swift ... representation, including investigation, evaluation, and settlement of assigned claims. This ...

Swift Transportation

Claims Examiner 4

Phoenix, AZ · On-site +1

$75K - $94K/yr

This position can be remote, in select locations, based on business needs Who We Are: Swift ... representation, including investigation, evaluation, and settlement of assigned claims. This ...

USAA

Sr. Injury Claims Adjuster

Phoenix, AZ · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... represented third party injury claims. * 4 or more years auto liability/casualty adjusting ...

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All JobsClaims Representative JobsRemote Claims Representative JobsRemote Claims Representative Jobs in Arizona

Remote Claims Representative information

See Arizona salary details

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How much do remote claims representative jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for remote claims representative in Arizona is $22.48, according to ZipRecruiter salary data. Most workers in this role earn between $17.02 and $25.53 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a remote claims representative?

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?

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.

What are popular job titles related to Remote Claims Representative jobs in Arizona? For Remote Claims Representative jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Remote Claims Representative jobs in Arizona look for? The top searched job categories for Remote Claims Representative jobs in Arizona are:
What cities in Arizona are hiring for Remote Claims Representative jobs? Cities in Arizona with the most Remote Claims Representative job openings:
Remote Claims Representative jobs near you
Infographic showing various Remote Claims Representative job openings in Arizona as of August 2026, with employment types broken down into 92% Full Time, 6% Part Time, and 2% Temporary. Highlights an 19% In-person, and 81% Remote job distribution, with an average salary of $46,762 per year, or $22.5 per hour.

Manager, Claims (Remote)

Tango Care

Phoenix, AZ • On-site, Remote

Full-time

Re-posted 4 days ago

Job description

Description
tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.
We are currently looking for a Claims Manager to join our growing team!
The Claims Manager provides tactical, technical leadership for claims operations with a focus on issue resolution, process improvement, auditing, and cross-functional support. This role is specialized in technical troubleshooting, claims reconciliation, batch processing, and collaboration with internal partners to ensure the smooth operation of claims workflows.
Office Location:
  • 2415 E Camelback Road, Suite 700, Phoenix, AZ 85016
  • Remote

Responsibilities and Duties:
Responsibilities include, but are not limited to the following:
  • Serve as technical lead for problem-solving claims issues; troubleshoot and resolve issues during operational disruptions.
  • Oversee batch assignments, batch-closure operations, adjudication runs and claims reconciliation processes.
  • Execute audit and universe review protocols; ensure data integrity and accuracy across all claims transactions.
  • Oversees the 277CA process
  • Oversee performance of systemic tools (Symkey, AMP$, EDIWORKS, SDS or other applicable tools) to ensure transparency, capability alignment, and long-term sustainability, enabling the team to operate efficiently and effectively
  • Ensure SFTP process reliability for claims file transfers; monitor all inbound and outbound jobs and alert to transmission failures.
  • Manage and remediate clearinghouse rejections; coordinate correction cycles with vendors and internal teams.
  • Collaborate with QA and team members to identify, test, and implement new business rules to improve adjudication rates and minimize claim errors.
  • Partner with Provider Contracting, Networks, and Accounting teams to resolve fee schedule, network setup, and payment processing issues.
  • Collaborate with Eligibility and Authorization teams to resolve member-related issues impacting claims processing.
  • Maintain comprehensive documentation of all processes, issue resolutions, and system updates.
  • Recommend and implement process improvements based on operational analysis and performance metrics.

Qualifications:
  • Bachelor's degree or equivalent technical experience
  • 5+ years in healthcare claims operations, with expertise in workflow optimization and technical troubleshooting
  • Strong knowledge of claims adjudication, batch processing, EDI/clearinghouse operations, and accounting reconciliation
  • Advanced understanding of SFTP/file transfer protocols and claims system architecture
  • Proficiency with claims platforms, data analysis, and SQL or similar query tools preferred
  • Excellent analytical, organizational, and cross-functional communication skills
  • Ability to manage multiple complex issues and prioritize effectively in a fast-paced environment

Proven Personal Attributes:
  • Technical problem-solver with strong analytical and troubleshooting capabilities
  • Proactive and detail-oriented with commitment to accuracy and process integrity
  • Strong collaboration skills with ability to partner across departments and teams
  • Initiative-driven with focus on continuous improvement and operational efficiency
  • Reliable and accountable with strong work ethic and deadline commitment
  • Self-motivated learner with ability to stay current on system and regulatory changes
  • Composed and professional under pressure with strong decision-making abilities

tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.

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