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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 ...

LoanCare

Borrower Resolution Specialist- Remote

$22.45 - $37.69/hr

Overview The Borrower Resolution Specialist is responsible for reviewing borrower concerns, conducting detailed research, and providing proactive outreach with clear, empathetic communication. By ...

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 ...

NTT DATA Services

Claims Examiner Remote

Plano, TX · On-site +1

... and resolution of claims received via emails as priority work • Correctly calculate claims ... While many positions offer remote or hybrid work options, these arrangements are subject to change ...

Lloyds Banking Group

Claims Field Consultant

Remote. Please note: We have sites in Halifax, Leeds and South Wales - frequent travel to these ... resolution through your involvement * Complete building scoping as part of first-visit activity ...

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

As of Aug 10, 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 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.

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.

More about Remote Claims Resolution Specialist jobs
What cities are hiring for Remote Claims Resolution Specialist jobs? Cities with the most Remote Claims Resolution Specialist job openings:
What are the most commonly searched types of Claims Resolution Specialist jobs? The most popular types of Claims Resolution Specialist jobs are:
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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 93% Full Time, 5% Part Time, and 2% Contract. Highlights an 100% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.

Provider Research & Resolution Specialist - Remote

The Nippon Telegraph and Telephone Corporation (NTT)

Remote

$16.75/hr

Other

Dental, Vision, Life, Retirement

Re-posted 18 days ago

Job description

NTT DATA, Inc. is currently seeking a Remote - Provider Research & Resolution Specialist with 2+ years of experience in medical claims, provider credentialing, or medical billing/coding. This role supports a leading U.S. health plan.
Location: Fully Remote
Pay Rate: $16.75/hour
Key Responsibilities

  • Analyze and process provider-related transactions in accordance with plan guidelines
  • Research and resolve pended claims by identifying missing or incorrect information
  • Apply critical thinking and problem-solving to ensure accurate claims processing
  • Maintain compliance with PHI and HIPAA standards
  • Follow established policies and procedures while identifying improvement opportunities
  • Handle non-routine, research-based tasks requiring independent judgment
Required Qualifications
  • 2+ years of experience in medical claims, provider credentialing, or medical billing/coding
  • 2+ years of experience in a role requiring analysis, critical thinking, independent research, with the ability to investigate issues and resolve discrepancies in complex information (Strong attention to detail and accuracy)
  • 3+ years of computer experience, including Microsoft Office (Outlook, Excel, Word)
Preferred Experience
  • Experience with provider data management or credentialing
  • Facets experience is a plus
  • Typing speed of 40+ WPM
Education
  • High School Diploma or equivalent

NTT DATA provides a reasonable range of compensation for specific roles. The hourly rate for this remote role is $16.75/hourly. This rate reflects the target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.
This position may also be eligible for incentive compensation based on individual and/or company performance.
This position is eligible for company benefits including participation in medical, dental, and vision insurance, flexible spending or health savings account, and AD&D insurance, employee assistance, participation in a 401K program, and additional voluntary or legally required benefits.
About NTT DATA
NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize, and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit us at us.nttdata.com.
NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.
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