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Remote Claims Representative Jobs (NOW HIRING)

Missouri Employers Mutual

MEM Insurance is seeking a Claims Representative to join our collaborative and mission-driven Claims team. In this role, you'll manage a caseload of moderately complex workers' compensation claims ...

Ryder

Claims Representative II - REMOTE

Englewood, CO · Remote

$76K/yr

Experience with Commercial Auto claims is a plus. SUMMARY The Liability Claim Representative II handles low to mid-range bodily injury claims and property damage claims. ESSENTIAL FUNCTIONS

CorVel

Remote Claims Associate - Workers' Comp

Charlotte, NC · Remote

$17.25 - $23.50/hr

A national risk management firm is seeking a Claims Specialist to manage non-complex workers ... This position offers a remote work opportunity and a comprehensive benefits package. #J-18808 ...

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 ...

CorVel

Remote Claims Associate - Workers' Comp

Charlotte, NC · Remote

$17.25 - $23.50/hr

A national risk management firm is seeking a Claims Specialist to manage non-complex workers ... This position offers a remote work opportunity and a comprehensive benefits package. #J-18808 ...

Arsenault

Remote Claims Data Entry Specialist

San Jose, CA · Remote

$20 - $26.75/hr

A customer service company is seeking a Remote Customer Service/Data Entry Representative to provide administrative support for the claims coordination team. This role entails data entry of claims ...

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How much do remote claims representative jobs pay per hour?

As of Jun 5, 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.

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Remote Claims Representative jobs near you
Pharmacy Claims Representative 2 - Remote

Pharmacy Claims Representative 2 - Remote

StateServ Medical

Mesa, AZ • Remote

$22/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 14 days ago

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