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Remote Claims Representative Jobs in Texas (NOW HIRING)

Crawford and Company

Claims Specialist- Liab

Dallas, TX · Remote

Remote Claims Specialist - Remote Ready to level up your career from the comfort of your home? Join ... Competitive base pay - The Pay Range/Salary represents the anticipated low and high pay that may be ...

AppleOne

Remote FHA/VA Claims Analyst

Austin, TX · Remote

$52K/yr

Job Summary We are seeking a Remote Mortgage Claims QA Analyst to support quality assurance for FHA ... please contact your staffing representative who will reach out to our HR team. AppleOne ...

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.

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.

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Remote Claims Representative information

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 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 79% Full Time, 16% Part Time, and 5% Contract. Highlights an 100% Remote job distribution.

Pharmacy Claims Representative (remote)

StateServ Medical

Arlington, TX • Remote

$22/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

This position is working in a remote call center environment

Schedule: Monday - Friday, 2:30PM - 11:00PM EST & every 4th weekend rotation

Compensation: $22.00/HR + 12% shift differential applied to all hours worked after 6:00PM on weekdays and 5% shift differential applied to all weekend hours worked

Dragonfly Health - A great place to land 

Dragonfly Health is the leading care-at-home data, technology and service platform, and the industry’s first scale durable medical equipment (DME) and pharmacy solution. Built on a 20-year history, Dragonfly Health uses advanced technology and robust analytics to manage DME and pharmaceutical services as part of a single, efficient solution for caregivers, patients, and their families. We serve over 145,000 patients every day in all 50 states.

Here, you are an integral part of a team that is transforming the future of hospice and post-acute healthcare. This is where innovation, collaboration and compassion thrive, allowing us to carry out our work at the highest level to serve our patients at a time in their life when they need us most.

We offer a dynamic and inclusive workplace where you'll have the unique opportunity to shape the future of healthcare alongside a passionate and talented team. We believe in empowering our employees to grow both personally and professionally, providing ample opportunities for career advancement, continuous learning, and skill development.

Dragonfly Health is our name for a reason.

The dragonfly is symbolic of the transformational impact we’re making on the industry, our people, and the lives we touch. We are a guiding force for what’s ahead, delivering more than equipment and medications, but also comfort and peace of mind. We are agile and adaptable, able to quickly and easily pivot from one point to the next, ready for whatever situation or patient need that arises. 

Whatever it takes. Wherever it takes us. What we offer
  • Competitive Pay starting at $22.00 per hour + shift differentials applied during evenings (after 6:00PM and all weekend hours)
  • Comprehensive Benefits Package (Health, Dental, Vision, PTO, Sick Time, 401k w/match, etc.) 
  • Growth Opportunity and Career Advancement
  • Agile and Adaptable team culture
  • Innovative and revolutionary technology solutions
  • A higher calling to provide quality patient care

See how Dragonfly Health is transforming the world of hospice and post-acute care.

What you will do
  • In a remote call center environment, you will review, analyze, and process pharmacy claims with accuracy, timeliness, and adherence to company and regulatory standards.
  • Identify discrepancies, investigate claim issues, and determine appropriate resolutions.
  • Communicate effectively with pharmacies, providers, and internal teams to clarify information and resolve errors.
  • Support audits and quality reviews by maintaining detailed, accurate claim documentation.
  • Identify trends and share insights that can improve claim accuracy and efficiency.
  • Uphold confidentiality and compliance with HIPAA and corporate policy standards.
What we look for
  • 1–2 years of pharmacy claims or healthcare operations experience.
  • Working knowledge of pharmacy billing procedures, insurance verification, and third-party payer systems.
  • Strong analytical, organizational, and data-entry skills.
  • Proficiency in claims processing platforms and Microsoft Office tools.
  •  Ability to communicate professionally with providers and team members.
  • High attention to detail and a commitment to getting it right the first time.
Why Pharmacy Claims Representatives are important

Each claim you touch impacts a patient’s access to care. By ensuring claims are processed correctly and efficiently, you help protect both patient satisfaction and business integrity. Your accuracy and dedication directly support our mission to deliver exceptional patient care and strengthen trust with every transaction.

Let's soar together 

Apply