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Remote Claims Representative Jobs in Portland, OR

Corvel

Claims Specialist

Portland, OR · Remote

$52K - $85K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation claims, confirms policy coverage and acknowledgment of the claim * Determines validity and ...

Corvel

Liability Claims Assistant

Portland, OR · Remote

$13.38 - $23.42/hr

This is a remote role. This role is part-time with the potential for full-time employment. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Sets up new claims * Process incoming faxes * Input notes/diary ...

Moda Health

RN Hospital Claims Auditor

Portland, OR · On-site +1

$78K - $98K/yr

Collaborate with other Moda areas to provide clinical policy representation at meetings to ensure ... A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work.

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Moda Health

Supervisor, Medical Claims

Milwaukie, OR · Remote

$59K - $74K/yr

Provides supervision, coaching and support to Claims Processors. Organizes staff, sets goals ... A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work.

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Remote Claims Representative information

See Portland, OR salary details

$12

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$44

How much do remote claims representative jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for remote claims representative in Portland, OR is $25.58, according to ZipRecruiter salary data. Most workers in this role earn between $19.38 and $29.04 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 Portland, OR?

The most popular types of Claims Representative jobs in Portland, OR are:

What are popular job titles related to Remote Claims Representative jobs in Portland, OR?

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

What job categories do people searching Remote Claims Representative jobs in Portland, OR look for?

The top searched job categories for Remote Claims Representative jobs in Portland, OR are:

What cities near Portland, OR are hiring for Remote Claims Representative jobs?

Cities near Portland, OR with the most Remote Claims Representative job openings:

Remote Claims Representative jobs near you
Infographic showing various Remote Claims Representative job openings in Portland, OR as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 71% Physical, 1% Hybrid, and 28% Remote job distribution, with an average salary of $53,216 per year, or $25.6 per hour.

Claims Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA - Hybrid

Portland, OR • Remote

York Risk Services
See more jobs at York Risk Servicesexternal

Full-time

Medical, Dental, Vision, Retirement

Re-posted 7 days ago

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 Representative - Workers Compensation | Jurisdiction: WA | Licensing: WA - Hybrid

Are you lookingfor 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 yourClaims Representative, WC knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.

  • Enjoy flexibility and autonomy in your daily work, your location, and your career path.

  • Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

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.

WORK LOCATIONS: Hybrid work schedule, 2 days in office 3 days working from home.

PRIMARY PURPOSE OF THE ROLEToanalyze low level workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

  • Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.

  • Negotiating settlement of claims within designated authority.

  • Communicating claim activity and processing with the claimant and the client.

  • Reporting claims to the excess carrier and responding to requestsofdirections in a professional and timely manner.

QUALIFICATIONS

Education & Licensing:High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.Professional certification as applicable to line of business preferred.

Experience:2years of claims management experience or equivalent combination of education and experience required.

Licensing / Jurisdiction Knowledge: WA

TAKING CARE OF YOU

  • Flexible work schedule.

  • Referral incentive program.

  • Opportunity to work in an agile environment.

  • Career development and promotional growth opportunities.

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

WORK ENVIRONMENT REQUIREMENTSINCLUDE
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

#claimsexaminer#claims #hybrid#LI-REMOTE#Sedgwick #Hotjobs #portland #oregon

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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