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Remote Claims Resolution Specialist Jobs (NOW HIRING)

Currance

Account Resolution Specialist III

$21 - $23.50/hr

... remote position . Job Overview: As a healthcare revenue cycle business, we manage insurance claims ... resolution and payment processing for our clients. The Accounts Receivable Specialist III is a ...

Gallagher

Lead Resolution Specialist

Minneapolis, MN · Remote

... specialists. * Handle claims consistent with clients' and corporate policies, procedures in ... Experience in claims as well as the insurance legal and regulatory environment #LI-DR1 #LI-Remote ...

Onco360

$23/hr

This is a remote hybrid opportunity, after onsite training period. Shift time between 8am and 8pm ... Practices first call resolution to help health care providers and patients with their pharmacy ...

Weekday AI

Healthcare Administrative Specialist

$40 - $50/hr

This fully remote opportunity is ideal for individuals who understand the complete administrative ... Claims Resolution Specialist * Denials Management Specialist * Credentialing Specialist * Provider ...

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How much do remote claims resolution specialist jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for remote claims resolution specialist in the United States is $23.50, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $25.72 per hour, depending on experience, location, and employer.

What is a remote claims resolution specialist?

A Remote Claims Resolution Specialist is responsible for reviewing, analyzing, and resolving insurance claims from a remote location. They work with policyholders, providers, and internal teams to investigate claim issues, ensure accuracy, and facilitate timely payments or denials. This role requires strong attention to detail, problem-solving skills, and knowledge of insurance policies and regulations. Effective communication and the ability to work independently are essential for success in this position.

What are the typical daily responsibilities of a remote claims resolution specialist?

As a Remote Claims Resolution Specialist, your daily tasks typically include reviewing and processing insurance claims, analyzing documentation, communicating with policyholders and adjusters, and investigating discrepancies or additional information needs. You'll spend much of your time resolving issues via phone, email, or chat, ensuring claims are handled efficiently and in compliance with company policies. Collaboration with other team members and departments is common, especially when complex or escalated cases arise. Staying organized and proactive is key to managing multiple cases and meeting deadlines in a remote work environment.

What are the key skills and qualifications needed to thrive in the remote claims resolution specialist position, and why are they important?

To succeed as a Remote Claims Resolution Specialist, you should have strong analytical and problem-solving abilities, knowledge of insurance policies, and relevant experience in claims processing or customer service. Familiarity with claims management software, CRM systems, and proficiency in digital communication tools are typically required, and some employers may prefer certification such as AIC (Associate in Claims). Excellent written communication, attention to detail, and the ability to manage time effectively set outstanding candidates apart. These skills are essential to ensure accurate, timely resolutions, maintain customer satisfaction, and uphold the integrity of the claims process in a remote setting.

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What are the most commonly searched types of Claims Resolution Specialist jobs?

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Remote Claims Resolution Specialist jobs near you
Infographic showing various Remote Claims Resolution Specialist job openings in the United States as of August 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.

Remote- Claims Specialist Needed | $19/hr | Fort Worth, TX Area

RemX

Phoenix, AZ • On-site, Remote

$19/hr

Full-time

Posted 14 days ago

Job description

Remote Medical Claims
Specialist
Work From Home | Weekly Pay | Paid Training | Equipment Provided
Are you an experienced healthcare professional with a passion for helping patients navigate their care journey? Join our growing team as a Remote Claims Specialist and make a meaningful impact while working from the comfort of your home.
We're seeking motivated, compassionate, and detail-oriented individuals with healthcare insurance or case management experience who thrive in a fast-paced environment and are committed to delivering exceptional patient support.
?? Why You'll Love This Opportunity
  • $19.00 per hour
  • Weekly Pay
  • Paid Training
  • Comprehensive Benefits Package
  • 100% Remote Position
  • Company Equipment Shipped Directly to You

?? Schedule
Monday through Friday
Hours of Operation: 8:00 AM - 9:00 PM EST
Candidates must be available to work any assigned 8-hour shift within the hours of operation.
Projected Start Date: TBA
?? What You'll Do
As a Claims Specialist, you will play a critical role in supporting patients and ensuring they receive timely assistance throughout the healthcare process.
Key Responsibilities
  • Manage and coordinate patient cases from intake through resolution
  • Assist patients with healthcare-related questions, coverage information, and program support
  • Serve as a liaison between patients, providers, and insurance carriers
  • Conduct outbound outreach and handle inbound inquiries as needed
  • Review documentation to ensure accuracy and completeness
  • Investigate issues, identify solutions, and facilitate timely resolution
  • Maintain detailed and accurate case notes within internal systems
  • Deliver exceptional customer service while maintaining compliance and confidentiality standards
  • Navigate multiple systems and resources efficiently to support patient needs

? Qualifications
Must be able to pick up equipment in Irving, TX
Required
  • At least 1 year of recent, verifiable experience in healthcare insurance, medical claims, case management, or a related healthcare field
  • No exceptions
  • Ability to complete the hiring process quickly
  • Commitment to excellent attendance and performance

Preferred
  • Previous call center experience
  • Experience supporting patients, providers, or healthcare programs
  • Familiarity with medical terminology and healthcare processes
  • Experience working with healthcare insurance plans and reimbursement programs

Essential Skills
  • Strong communication and interpersonal abilities
  • Excellent problem-solving and critical-thinking skills
  • High attention to detail and organizational skills
  • Ability to multitask and navigate multiple systems simultaneously
  • Proficiency with Microsoft Office and computer applications
  • Positive attitude and genuine desire to help others

?? Important Information
Must be able to pick up equipment in Irving, TX
  • No time off permitted during the first 90 days of employment
  • Equipment will be provided and shipped directly to employees
  • Reliable high-speed internet and a dedicated workspace are required

?? Ready to Take the Next Step?
If you're looking for a rewarding remote healthcare opportunity where you can make a difference every day, we want to hear from you!
Apply today and start building your future as a Remote Healthcare Claims Specialist.
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About RemX

Sourced by ZipRecruiter

RemX is a proven leader in the Contract to Hire job industry. We help place the right people in the right jobs. Let us help you today!

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Atlanta, GA, US

Social media

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