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Remote Claims Representative Jobs (NOW HIRING)

UnitedHealth Group

Claims Representative

Dallas, TX · Remote

$18 - $32/hr

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within ... The Claims Representative / Insight Analyst Assistant primary duties may include but are not ...

United Fire Group

Claims Rep-Inside

Cedar Rapids, IA · On-site +1

United Fire Group is seeking an inside claims representative for the central plains region in our Cedar Rapids office. This position will investigate, evaluate, negotiate and settle commercial and ...

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$11

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$42

How much do remote claims representative jobs pay per hour?

As of Jun 27, 2026, the average hourly pay for remote claims representative in the United States is $24.12, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $27.40 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Remote Claims Representative position, and why are they important?

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 job?

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.

More about Remote Claims Representative jobs
What cities are hiring for Remote Claims Representative jobs? Cities with the most Remote Claims Representative job openings:
What are the most commonly searched types of Claims Representative jobs? The most popular types of Claims Representative jobs are:
What states have the most Remote Claims Representative jobs? States with the most job openings for Remote Claims Representative jobs include:
What job categories do people searching Remote Claims Representative jobs look for? The top searched job categories for Remote Claims Representative jobs are:
Remote Claims Representative jobs near you
Infographic showing various Remote Claims Representative job openings in the United States as of June 2026, with employment types broken down into 90% Full Time, and 10% Part Time. Highlights an 100% Remote job distribution, with an average salary of $50,180 per year, or $24.1 per hour.
Unpaid Claims Representative

Unpaid Claims Representative

Nystrom & Associates Ltd

New Brighton, MN • On-site, Remote

$20 - $22/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Nystrom & Associates rating

7.4

Company rating: 7.4 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Job description

Location:1200 County Road E., Arden Hills, MN 55112, United States

Working Model: Remote - Minnesota

Employee Type: 1.0

Schedule: Monday through Friday 7:00 AM -3:30 PM

AtSagentBehavioral Health, we believe profound change is possible. As one of the largest behavioral health organizations in the Midwest-with 2,000+ team members across 80+ locations in five states-we offer the stability and resources to help you thrive.
Backed by more than 100 years of combined behavioral health experience,Sagentbrings together the trusted legacies of Ellie Mental Health, LifeWorks, Nystrom & Associates, Psychiatric Associates, Sandhill Counseling & Consultation, and Vantage Point.
Here,you'llfind a supportive, inclusive culture where you can hone your skills, collaborate with a fantastic team, and build a rewarding career focused on what matters most: helping others find hope. Guided by our HOPE values-Humility, Optimism, People-Centered, and Ethical Practice-we provide manageable caseloads, flexible schedules, and compensation options that work for you-from salary to production-based models.

As a Unpaid Claims Representative at Sagent Behavioral Health, you will play a critical role in supporting the timely and accurate processing of insurance claims within our Business Office. You will ensure outstanding claims are followed up on, resolved, and billed appropriately, helping maintain smooth revenue cycle operations for our mental health services. This position requires strong attention to detail, effective communication, and a commitment to resolving claim issues efficiently.

Full Time Benefits:

  • Medical, Dental, Vision

  • 401k, Long Term Disability, Short Term Disability and Life Insurance

  • PTO and Time Off

Responsibilities:

    • Follow up on unpaid insurance claims for assigned payers to ensure timely resolution.
    • Investigate each denied or rejected claim thoroughly and determine the necessary corrective actions.
    • Resubmit or appeal claims as needed to secure proper reimbursement.
    • Communicate directly with insurance companies to gather information, clarify denials, and resolve issues.
    • Respond promptly to inquiries from Providers, Patient Financial Services, and the Insurance Team.
    • Maintain a strong understanding of insurance guidelines, billing rules, and interpretation of EOBs.
    • Identify recurring issues or trends with specific insurance companies and escalate as appropriate.
    • Perform additional duties as assigned by management to support departmental operations.

Requirements:

      • At least 6+ months of experience in the Sagent Behavioral Health's Business Office or comparable claims/AR experience.
      • Familiarity with insurance company guidelines, billing procedures, and claim adjudication processes.
      • Strong attention to detail, problem-solving skills, and a positive, team-oriented mindset.
      • Proficiency with Microsoft Windows, Excel, Word, and Outlook.
      • High school diploma or equivalent, with strong organizational and multitasking abilities.

Compensation: $20.00-$22.00/hr

*Actual compensation may bedeterminedbyvarious factorssuch as education, experience, skillset, internal equity,scheduleand/or location.

* Employees in these positions are W2.

SagentBehavioral Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

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