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Remote Claims Representative Jobs in Texas (NOW HIRING)

NTT DATA Services

Claims Examiner Remote

Plano, TX · On-site +1

We are currently seeking a Claims Examiner Remote to join our team in Plano, Texas (US-TX), United States (US). NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end ...

NTT DATA Services

Claims Examiner Remote

Plano, TX · On-site +1

We are currently seeking a Claims Examiner Remote to join our team in Plano, Texas (US-TX), United States (US). NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end ...

NTT DATA Services

Claims Examiner Remote

Plano, TX · On-site +1

We are currently seeking a Claims Examiner Remote to join our team in Plano, Texas (US-TX), United States (US). NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end ...

AMSURG

Director, Claims

Addison, TX · Remote

Director, Claims Remote Company Overview: AMSURG is an independent leader in ambulatory surgery ... The requirements listed below are representative of the knowledge, skills and/or abilities required.

Amsurg

Director, Claims

Addison, TX · Remote

Director, Claims Remote Company Overview: AMSURG is an independent leader in ambulatory surgery ... The requirements listed below are representative of the knowledge, skills and/or abilities required.

AmSurg LLC

Director, Claims

Addison, TX · Remote

Director, Claims Remote Company Overview: AMSURG is an independent leader in ambulatory surgery ... The requirements listed below are representative of the knowledge, skills and/or abilities required.

AmSurg LLC

Director, Claims

Addison, TX · Remote

Director, Claims Remote Company Overview: AMSURG is an independent leader in ambulatory surgery ... The requirements listed below are representative of the knowledge, skills and/or abilities required.

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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 Texas?

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

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

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

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

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

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

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

Remote Claims Representative jobs near you
Infographic showing various Remote Claims Representative job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 65% Physical, 1% Hybrid, and 34% Remote job distribution.

Claims Examiner Remote

NTT DATA Services

Plano, TX • On-site, Remote

Full-time

Re-posted 27 days ago

NTT Data rating

7.4

Company rating: 7.4 out of 10

Based on 92 frontline employees who took The Breakroom Quiz

117th of 224 rated it services

Job description

Req ID: 382914
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.
We are currently seeking a Claims Examiner Remote to join our team in Plano, Texas (US-TX), United States (US).
NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team.
In this Role the candidate will be responsible for:
• Processing of Professional claim forms files by provider
• Reviewing the policies and benefits
• Comply with company regulations regarding HIPAA, confidentiality, and PHI
• Abide with the timelines to complete compliance training of NTT Data/Client
• Work independently to research, review and act on the claims
• Prioritize work and adjudicate claims as per turnaround time/SLAs
• Ensure claims are adjudicated as per clients defined workflows, guidelines
• Sustaining and meeting the client productivity/quality targets to avoid penalties
• Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA.
• Timely response and resolution of claims received via emails as priority work
• Correctly calculate claims payable amount using applicable methodology/ fee schedule
Requirements:
• 3 year(s) hands-on experience in Healthcare Claims Processing
• 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools
• High school diploma or GED.
• Previously performing - in P&Q work environment; work from queue; remotely
• Key board skills and computer familiarity -
o Toggling back and forth between screens/can you navigate multiple systems.
o Working knowledge of MS office products - Outlook, MS Word and MS-Excel.
Preferred Skills & Experiences:
• Amisys
• Ability to communicate (oral/written) effectively in a professional office setting
• Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities
• Time management with the ability to cope in a complex, changing environment
About NTT DATA
NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D.
Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client's needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com, @nttdatafed.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, https://us.nttdata.com/en/contact-us.
NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.

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About NTT DATA

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NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Plano, TX, US

Year founded

1967

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