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Remote Claims Representative Jobs in Michigan (NOW HIRING)

Sedgwick

Claims Associate - Workers Compensation

Negaunee, MI · On-site +1

$17.75 - $24/hr

Deliver innovative customer-facing solutions to clients who represent virtually every industry and ... To analyze reported lower-level medical only claims to determine benefits due; and to ensure ...

New

Summit

$69K - $92K/yr

Manages an inventory of claims to evaluate compensability/liability. * Plans and conducts claim ... Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee. #LI-Remote Job ...

Great American Insurance Group

$69K - $92K/yr

Manages an inventory of claims to evaluate compensability/liability. * Plans and conducts claim ... Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee. #LI-Remote Job ...

Tmhcc

Property Claims Adjuster

Troy, MI · On-site +1

Property Claims Adjuster Location ... Remote / Hybrid (dependent upon on proximity of office location) Reports To: Katie Toman Employment ...

Great American Insurance Group

$20 - $27/hr

This is a remote, work-from-home position for candidates located within the Mountain or Central ... Experience in claims operations, claims processing, claims support, or a related insurance ...

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Remote Claims Representative information

See Michigan salary details

$10

$21

$36

How much do remote claims representative jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for remote claims representative in Michigan is $21.03, according to ZipRecruiter salary data. Most workers in this role earn between $15.91 and $23.89 per hour, depending on experience, location, and employer.

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 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 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.

Do you need a license to be a remote claims representative?

In most cases, remote claims representatives do not need a specific license to perform their duties, but licensing requirements can vary depending on the industry and state regulations. Some roles may require a general insurance license or certification, especially if handling sensitive claims or working directly with insurance policies. It is important to check the specific employer's requirements and local regulations for the role.

What are the most commonly searched types of Claims Representative jobs in Michigan?

The most popular types of Claims Representative jobs in Michigan are:

What are popular job titles related to Remote Claims Representative jobs in Michigan?

For Remote Claims Representative jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Remote Claims Representative jobs in Michigan look for?

The top searched job categories for Remote Claims Representative jobs in Michigan are:

What cities in Michigan are hiring for Remote Claims Representative jobs?

Cities in Michigan with the most Remote Claims Representative job openings:

Remote Claims Representative jobs near you
Infographic showing various Remote Claims Representative job openings in Michigan as of September 2026, with employment types broken down into 85% Full Time, 9% Part Time, and 6% Contract. Highlights an 62% Physical, 1% Hybrid, and 37% Remote job distribution, with an average salary of $43,736 per year, or $21 per hour.

Claims Associate - Workers Compensation

Negaunee, MI • On-site, Remote

Sedgwick
See more jobs at Sedgwickexternal

$17.75 - $24/hr

Full-time

Medical, Dental, Vision, Retirement

Posted 3 days ago

New

Sedgwick rating

7.6

Company rating: 7.6 out of 10

Based on 329 frontline employees who took The Breakroom Quiz

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

Claims Associate - Workers Compensation

Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

  • Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.

  • Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.

  • Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.

ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

OFFICE LOCATION: 205 Iron Street Negaunee, MI 49866

PRIMARY PURPOSE: To analyze reported lower-level medical only claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

  • Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision.

  • Supports other claims representatives, examiners and leads with larger or more complex claims as necessary.

  • Processes workers compensation claims determining compensability and benefits due; monitors reserve accuracy, and files necessary documentation with state agency.

  • Communicates claim action/processing with claimant, client and appropriate medical contact.

  • Ensures claim files are properly documented and claims coding is correct.

  • May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims.

  • Maintains professional client relationships.

QUALIFICATIONS

Education & Licensing: High school diploma or GED required. Licenses as required.

Experience: One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred.

TAKING CARE OF YOU

  • Flexible work schedule.

  • Referral incentive program.

  • Career development and promotional growth opportunities.

  • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental:Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical:Computer keyboarding, travel as required

Auditory/Visual:Hearing, vision and talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description.They are not intended to constitute a comprehensive list of functions, duties, or local variances.Management retains the discretion to add or to change the duties of the position at any time.

Sedgwickis an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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