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Remote Claims Representative Jobs in Romeoville, IL

InsClaim Solutions, LLC

Be Seen First

Senior Professional Liability Claims Specialist

Chicago, IL · Remote

$150K - $190K/yr

Senior Professional Liability Claims Specialist Remote | Boutique Professional Liability Claims Practice A boutique professional liability claims practice is seeking an experienced Senior ...

Urgent

Acrisure

Senior Transportation Claims Adjuster

Chicago, IL · On-site +1

$80K - $100K/yr

Job Summary Acrisure is seeking a Senior Transportation BI Claims Adjuster to manage litigated and ... Additional education or industry certifications beneficial #LI-Remote Pay Details: The base ...

Liberty Mutual

Environmental Claims Officer

Chicago, IL · On-site +1

We will also consider highly qualified remote candidates who do not reside near a hub location. What You'll Do As an Environmental Claims Officer, you will independently manage a portfolio of complex ...

Liberty Mutual

Environmental Claims Officer

Chicago, IL · On-site +1

$94K - $197K/yr

We will also consider highly qualified remote candidates who do not reside near a hub location. What You'll Do As an Environmental Claims Officer, you will independently manage a portfolio of complex ...

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Remote Claims Representative information

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$11

$24

$42

How much do remote claims representative jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for remote claims representative in Romeoville, IL is $24.60, according to ZipRecruiter salary data. Most workers in this role earn between $18.61 and $27.93 per hour, depending on experience, location, and employer.

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 job categories do people searching Remote Claims Representative jobs in Romeoville, IL look for? The top searched job categories for Remote Claims Representative jobs in Romeoville, IL are:
What cities near Romeoville, IL are hiring for Remote Claims Representative jobs? Cities near Romeoville, IL with the most Remote Claims Representative job openings:
Remote Claims Representative jobs near you

Claims Customer Service Representative II (Remote)

American Medical Association

Chicago, IL • On-site, Remote

$23.63 - $30.83/hr

Full-time

Medical, Life

Posted 28 days ago

Job description

Claims Customer Service Representative II (Remote)
Remote - FL, IL, IN and WI
AMA Insurance (AMAI) offers life, health and disability insurance at affordable and exclusive rates to help doctors achieve a healthy and secure financial future. AMAI is part of the American Medical Association (AMA), a nonprofit, and the nation's largest professional Association of physicians. We are a unifying voice and powerful ally for America's physicians, the patients they care for, and the promise of a healthier nation. To be part of the AMA is to be part of our Mission to promote the art and science of medicine and the betterment of public health.
At AMA, our mission to improve the health of the nation starts with our people. We foster an inclusive, people-first culture where every employee is empowered to perform at their best. Together, we advance meaningful change in health care and the communities we serve. We encourage and support professional development for our employees, and we are dedicated to social responsibility. We invite you to learn more about us and we look forward to getting to know you.
We have an opportunity for a remote Claims Customer Service Representative II our AMA Insurance team. This role will provide Claim Call Center services for all plans of coverage issues byAMA Insurance. Assist insured with claim problems by phone or writtencommunication. Interact and correspond with Carriers to ensure quality claimservice is delivered. Provide moderate sales service support, providinginformation on benefits, eligibility, plan provisions, and premium billing asneeded. Engages callers to build and maintain a strongreputation and forge a lasting relationship. Achieves exceptionalresults for our customers and colleagues.
RESPONSIBILITIES:
Claims Customer Support & Issue Resolution
  • Respond to all incoming phone calls related to claim status inquiry from insured and providers within established response time and quality standards.
  • Log brief description of calls on CAMS and CAPS systems.
  • Make outbound calls as needed to support returned checks and resolve claim inquiries.
  • Refer claims that were improperly handled to AMAI Claim Supervisor for immediate attention.
  • Fulfill claim form requests for plans not administered by AMA Insurance.
  • Communicate with insurance carriers or service providers as needed in order to provide feedback on claims administered by carriers.
  • Handle waiver of premium transactions, cancellations due to death and other claims related transactions.
  • Update Contact management and customer sending surveys.

Operations & Sales Support
  • Provide information regarding benefits, eligibility, plan provisions, premium billing, and certificate changes as needed.
  • Process changes to Administration System, including personal and coverage information, sending documents to callers when needed.
  • Support business operations through participation in special projects as assigned by the Customer Service Supervisor.
  • Contribute to process improvements and operational efficiencies.
  • Assist in documenting workflows and service processes to support consistency and quality.

May include other responsibilities as assigned
REQUIREMENTS:
  1. High school diploma or equivalent education required
  2. Minimum of 2+ years' experience in life, health, or Medicare insurance required.
  3. Health or Life insurance license preferred.
  4. Demonstrated experience working in a high-volume customer service call center.
  5. Excellent telephone skills including proper telephone technique, multitasking skills and ability to control the call.
  6. In depth understanding of claim adjudication and benefits required.
  7. Demonstrated experience handling customer issues, including technical and financial related issues.
  8. Strong knowledge of insurance products, benefits administration, or third-party administration services preferred. Health insurance knowledge preferred.
  9. Excellent verbal and written communication skills with a high level of professionalism.
  10. High level proficiency with call center systems, telephony platforms, and personal computers.
  11. Advanced proficiency in Microsoft Office Suite (Word, Excel, Access, PowerPoint) and database systems.
  12. Ability to provide technical support for online tools, systems, and customer-facing platforms.
  13. Strong business process skills, including the ability to document, monitor, and improve workflows.
  14. Excellent planning, organization, and time management skills with the ability to manage multiple priorities in a fast-paced environment.
  15. Ability to build and maintain positive relationships with internal and external stakeholders.

This role is a non-exempt position and the hourly range for this position is $23.63 - $30.83. This is the lowest to highest rate we believe we would pay for this role at the time of this posting. An employee's pay within the salary range will be determined by a variety of factors including but not limited to business consideration, geographical location, as well as candidate qualifications, such as skills, education, and experience. Employees are also eligible to participate in an incentive plan. To learn more about the American Medical Association's benefits offerings, please click here.
We are an equal opportunity employer, committed to diversity in our workforce. All qualified applicants will receive consideration for employment. As an EOE/AA employer, the American Medical Association will not discriminate in its employment practices due to an applicant's race, color, religion, sex, age, national origin, sexual orientation, gender identity and veteran or disability status.
THE AMA IS COMMITTED TO IMPROVING THE HEALTH OF THE NATION
American Medical Association logo

About American Medical Association

Sourced by ZipRecruiter

Founded in 1847, the American Medical Association (AMA) is the largest and only national association that convenes 190+ state and specialty medical societies and other critical stakeholders. Throughout history, the AMA has always followed its mission: to promote the art and science of medicine and the betterment of public health. As the physicians’ powerful ally in patient care, the AMA delivers on this mission by representing physicians with a unified voice in courts and legislative bodies across the nation, removing obstacles that interfere with patient care, leading the charge to prevent chronic disease and confront public health crises, and driving the future of medicine to tackle the biggest challenges in health care and training the leaders of tomorrow.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

Year founded

1847

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