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Remote Claims Representative Jobs in Edison, NJ (NOW HIRING)

Allcat Claims Service

Claims Examiner

New York, NY · On-site +1

Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...

Fetch Pet Insurance

Claims Adjuster

New York, NY · Remote

$20.67 - $26.44/hr

Process claims determinations to include assessment and payment for submitted claims * Verify ... Work independently in a remote capacity, while also fostering teamwork and collaborating with ...

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All JobsClaims Representative JobsRemote Claims Representative JobsRemote Claims Representative Jobs in Edison, NJ

Remote Claims Representative information

See Edison, NJ salary details

$11

$24

$43

How much do remote claims representative jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for remote claims representative in Edison, NJ is $24.98, according to ZipRecruiter salary data. Most workers in this role earn between $18.89 and $28.37 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 Edison, NJ?

The most popular types of Claims Representative jobs in Edison, NJ are:

What are popular job titles related to Remote Claims Representative jobs in Edison, NJ?

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

What job categories do people searching Remote Claims Representative jobs in Edison, NJ look for?

The top searched job categories for Remote Claims Representative jobs in Edison, NJ are:

What cities near Edison, NJ are hiring for Remote Claims Representative jobs?

Cities near Edison, NJ with the most Remote Claims Representative job openings:

Remote Claims Representative jobs near you
Infographic showing various Remote Claims Representative job openings in Edison, NJ as of August 2026, with employment types broken down into 88% Full Time, 6% Part Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $51,949 per year, or $25 per hour.

Claims Representative - Hybrid/Remote

Bing Recruitment

Union, NJ • On-site, Remote

$65K - $90K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 12 days ago

Job description

We are seeking a detail-oriented and customer-focused Claims Representative with experience in captive insurance programs.




Key Responsibilities


* Review, investigate, and manage claims within captive insurance programs from intake through closure

* Coordinate with TPAs, adjusters, brokers, legal counsel, and insureds to ensure timely and accurate claim handling

* Monitor claim reserves, settlement activity, and claim trends to ensure financial accuracy and program performance

* Analyze loss data and identify patterns, emerging risks, and opportunities for loss mitigation

* Assist captive members with claim-related questions, documentation, and reporting requirements

* Ensure compliance with applicable state regulations, captive program guidelines, and internal policies

* Prepare claims reports, summaries, and presentations for management, captive boards, and client meetings



Qualifications


* 3+ years of claims handling or claims administration experience, preferably within captive insurance, risk management, or self-insured programs

* Knowledge of workers’ compensation, liability, property, and/or commercial claims

* Understanding of captive insurance structures and alternative risk financing programs preferred

* Experience working with TPAs and insurance carriers


 Preferred Qualifications


* Claims-related licenses or certifications preferred*

* Experience with loss runs, reserve analysis, and claims trend reporting

* Familiarity with regulatory compliance and captive insurance operations

* Experience in healthcare, transportation, construction, manufacturing, or other captive-heavy industries is a plus


Compensation & Benefits


* Competitive salary based on experience

* Health, dental, and vision insurance

* 401(k) with company match

* Paid time off and holidays

* Hybrid or remote flexibility depending on location and business needs