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Remote Claims Representative Jobs in Oklahoma (NOW HIRING)

Montana

Temporary Claims Examiner II

Billings, OK · Remote

As a Temporary Claims Examiner, you help ensure fair, timely, and accurate access to Unemployment Insurance benefits while guiding individuals through complex and often stressful situations. This ...

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Remote Claims Representative information

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 Oklahoma?

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

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

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

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

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

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

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

Remote Claims Representative jobs near you
Infographic showing various Remote Claims Representative job openings in Oklahoma as of August 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Temporary. Highlights an 100% Remote job distribution.

Claims Examiner

Bartlesville, OK • Remote

Imagine Staffing Technology
Recruiting and Staffing Services • 11 - 50 employees
Learn more about Imagine Staffing Technologyexternal

$32/hr

Full-time

Re-posted 12 days ago

Job description

Job Profile 
Job Title: Claims Examiner
Location: Remote, 
Hire Type: Contingent 
Pay Range: $32/hr.
Work Model: Remote
Work Shift: Monday-Friday 8 am – 4:30 pm 
Recruiter Contact: Sean Craft I sean@marykraft.com I 443-345-3305  
 
Nature & Scope:
Positional Overview
 
We are seeking an experienced Claims Examiner – Workers’ Compensation to manage complex and high-exposure workers’ compensation claims. This role is responsible for analyzing technically difficult claims, determining benefits due, managing litigated cases, and ensuring proper adjudication in alignment with service expectations, industry best practices, and client-specific requirements.
The Claims Examiner will also identify subrogation opportunities, negotiate settlements within designated authority, and ensure cost-effective claim resolution while maintaining compliance with statutory guidelines.
 
Role & Responsibility:
Tasks That Will Lead to Your Success
 
  • Analyze and process complex or technically challenging workers’ compensation claims by conducting thorough investigations to determine claim exposure.
  • Develop and execute strategic action plans to drive timely and appropriate claim resolution.
  • Negotiate settlements within designated authority levels.
  • Establish and maintain accurate and timely claim reserves; ensure reserve adequacy throughout the life of the claim.
  • Calculate and approve benefit payments, adjustments, and settlements within authority guidelines.
  • Prepare and submit required state filings within statutory deadlines.
  • Manage the litigation process and coordinate with defense counsel to ensure cost-effective outcomes.
  • Coordinate vendor referrals for additional investigation, medical management, or litigation support.
  • Apply cost containment strategies, including use of strategic vendor partnerships.
  • Manage claim recoveries including subrogation, Second Injury Fund recoveries, and Social Security and Medicare offsets.
  • Report claims to excess carriers and respond promptly to requests for direction.
  • Communicate claim activity and updates with claimants and clients, maintaining strong professional relationships.
  • Ensure claim files are properly documented and coded accurately.
  • Escalate cases to supervisors or management as appropriate.
 
Skills & Experience
Qualifications That Will Help You Thrive
 
  • High School Diploma or GED required.
  • Bachelor’s degree preferred.
  • Professional certifications relevant to workers’ compensation claims handling preferred.
  • Minimum five (5) years of workers’ compensation claims management experience or equivalent combination of education and experience required.
  • Experience handling high-exposure and litigated claims strongly preferred.
  • Subject matter expertise in workers’ compensation insurance principles and applicable laws.
  • Knowledge of recoveries, offsets, deductions, disability duration, and cost containment practices.
  • Familiarity with medical management and Social Security/Medicare procedures related to workers’ compensation.
  • Strong analytical and interpretive skills.
  • Excellent verbal and written communication skills, including presentation ability.
  • Proficiency in Microsoft Office and claims management systems.
  • Strong organizational, interpersonal, and negotiation skills.
  • Ability to work effectively in a team environment.
  • Demonstrated ability to meet or exceed service expectations.