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Remote Claims Reviewer Jobs (NOW HIRING)

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$25 - $29/hr

Arizona - Remote What you will be doing: * Conducts medical claims review using current claims processing guidelines and established clinical criteria e.g. CDST and policy keys, to evaluate medical ...

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$26.40 - $27.88/hr

Claims Reviewer Opportunity Join a dynamic team where your expertise in claims review can make a ... Eligible Locations The position is remote, but you can only reside in the following states: AK, AR ...

Conduent, Inc.

Remote Claims Processor

VA · Remote

$15/hr

Remote Claims Processor Schedule: Flexible shifts between 6:00 AM - 10:30 PM (based on business ... Review emails and Microsoft Teams messages at the start of each shift * Log into internal systems ...

Conduent, Inc.

Remote Claims Processor

Chesapeake, VA · On-site +1

$15/hr

Remote Claims Processor Schedule: Flexible shifts between 6:00 AM - 10:30 PM (based on business ... Review emails and Microsoft Teams messages at the start of each shift * Log into internal systems ...

Conduent, Inc.

Remote Claims Processor

Chesapeake, VA · On-site +1

$15/hr

Remote Claims Processor Schedule: Flexible shifts between 6:00 AM - 10:30 PM (based on business ... Review emails and Microsoft Teams messages at the start of each shift * Log into internal systems ...

Conduent, Inc.

Remote Claims Processor

VA · Remote

$15/hr

Remote Claims Processor Schedule: Flexible shifts between 6:00 AM - 10:30 PM (based on business ... Review emails and Microsoft Teams messages at the start of each shift * Log into internal systems ...

Conduent, Inc.

Remote Claims Processor

VA · Remote

$15/hr

Remote Claims Processor Schedule: Flexible shifts between 6:00 AM - 10:30 PM (based on business ... Review emails and Microsoft Teams messages at the start of each shift * Log into internal systems ...

Conduent, Inc.

Remote Claims Processor

VA · Remote

$15/hr

Remote Claims Processor Schedule: Flexible shifts between 6:00 AM - 10:30 PM (based on business ... Review emails and Microsoft Teams messages at the start of each shift * Log into internal systems ...

Conduent, Inc.

Remote Claims Processor

Chesapeake, VA · On-site +1

$15/hr

Remote Claims Processor Schedule: Flexible shifts between 6:00 AM - 10:30 PM (based on business ... Review emails and Microsoft Teams messages at the start of each shift * Log into internal systems ...

Conduent, Inc.

Remote Claims Processor

Chesapeake, VA · On-site +1

$15/hr

Remote Claims Processor Schedule: Flexible shifts between 6:00 AM - 10:30 PM (based on business ... Review emails and Microsoft Teams messages at the start of each shift * Log into internal systems ...

Conduent, Inc.

Remote Claims Processor

VA · Remote

$15/hr

Remote Claims Processor Schedule: Flexible shifts between 6:00 AM - 10:30 PM (based on business ... Review emails and Microsoft Teams messages at the start of each shift * Log into internal systems ...

Conduent, Inc.

Remote Claims Processing Clerk

KY · Remote

$15/hr

Remote Claims Processing Clerk Schedule: Monday- Friday 8:00 AM - clean desk (based on business ... Review emails and Microsoft Teams messages at the start of each shift * Log into internal systems ...

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Remote Claims Reviewer information

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$30.5K

$64.6K

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How much do remote claims reviewer jobs pay per year?

As of Jun 9, 2026, the average yearly pay for remote claims reviewer in the United States is $64,609.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,000.00 and $75,500.00 per year, depending on experience, location, and employer.

What jobs make 3000 a month without a degree?

Remote claims reviewers can earn around $3,000 or more per month, especially with experience and strong attention to detail. Many such roles require basic knowledge of insurance policies, claims processing software, and good communication skills, often without requiring a college degree. Compensation varies based on workload, employer, and individual performance.

How do Remote Claims Reviewers effectively collaborate with other team members while working from home?

Remote Claims Reviewers typically use a combination of secure communication platforms, such as email, video conferencing, and specialized claims management systems, to stay connected with their colleagues and supervisors. Regular virtual meetings, chat channels, and collaborative document tools help facilitate discussions about complex claims, share updates, and clarify procedures. While working remotely requires proactive communication, most companies provide structured workflows and support resources to ensure claims reviewers can easily reach out for guidance or escalate issues as needed.

What is a Remote Claims Reviewer?

A Remote Claims Reviewer is a professional who evaluates and processes insurance claims from a remote location, rather than working onsite at an insurance company or healthcare provider. Their primary responsibilities include reviewing submitted claims for accuracy, completeness, and compliance with policy and regulatory guidelines. They may work with various types of claims, such as health, auto, or property insurance, and often use specialized software to assess documentation and make determinations. Remote Claims Reviewers communicate with claimants, providers, and other stakeholders to gather information and resolve issues. This role requires strong attention to detail, analytical skills, and a good understanding of insurance policies and procedures.

What are the key skills and qualifications needed to thrive as a Remote Claims Reviewer, and why are they important?

To thrive as a Remote Claims Reviewer, you need a solid understanding of insurance policies, claims adjudication processes, and attention to detail, typically supported by experience in claims processing or a related field. Familiarity with claims management systems, electronic documentation, and industry certifications such as AIC (Associate in Claims) are commonly required. Excellent analytical skills, strong communication, and self-motivation are critical soft skills for effective remote work and accurate claim evaluations. These skills ensure claims are processed efficiently, accurately, and in compliance with regulations, maintaining trust and minimizing financial risk.

What is the difference between Remote Claims Reviewer vs Remote Claims Processor?

AspectRemote Claims ReviewerRemote Claims Processor
Required CredentialsHigh school diploma or equivalent; insurance knowledge often preferredHigh school diploma or equivalent; basic insurance knowledge beneficial
Work EnvironmentHome-based, independent review settingHome-based, processing claims as assigned
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, healthcare providers
Common Search & ComparisonYesYes

The main difference is that Remote Claims Reviewers evaluate and verify claims for accuracy and compliance, often requiring insurance knowledge, while Remote Claims Processors handle the submission and initial processing of claims. Both roles are remote, industry-specific, and involve insurance-related tasks, but their focus and responsibilities differ.

More about Remote Claims Reviewer jobs
What cities are hiring for Remote Claims Reviewer jobs? Cities with the most Remote Claims Reviewer job openings:
What are the most commonly searched types of Claims Reviewer jobs? The most popular types of Claims Reviewer jobs are:
What states have the most Remote Claims Reviewer jobs? States with the most job openings for Remote Claims Reviewer jobs include:
What job categories do people searching Remote Claims Reviewer jobs look for? The top searched job categories for Remote Claims Reviewer jobs are:
Remote Claims Reviewer jobs near you
Infographic showing various Remote Claims Reviewer job openings in the United States as of May 2026, with employment types broken down into 88% Full Time, 8% Part Time, and 4% Contract. Highlights an 100% Remote job distribution, with an average salary of $64,609 per year, or $31.1 per hour.
Claims Reviewer

Claims Reviewer

TEEMA

Phoenix, AZ • Remote

$25 - $29/hr

Full-time

Posted 7 days ago

Job description


Job Tittle: Claims Reviewer
Job ID: 75861
Location: Arizona - Remote
What you will be doing:

  • Conducts medical claims review using current claims processing guidelines and established clinical criteria e.g. CDST and policy keys, to evaluate medical necessity, appropriateness of care and program benefits, exclusions and limitations.

  • Validates medical determinations through research of resources including regulatory manuals, computer files, and documentation.

  • Prepares cases program payment or medical director review as indicated.

  • Validates all appropriate data is supplied with program invoice.

  • Reviews claim data for process improvements related to all aspects of claims payment.

  • Ensures contract compliance for timelines regarding resolution of medical claims.

  • Communicates effectively with management and peers.

  • Consistently meets medical claims processing quotas.

  • Identifies and reports any potential quality or fraud issues to management, Quality Management, or Program Integrity as needed.

  • Provides support regarding clinical and coding questions.

  • Performs other duties as assigned.

  • Regular and reliable attendance is required.


What you must have:

  • High School Diploma or GED

  • 2+ years of claims review experience

  • Knowledge of all types of Medical claims review


Nice to have:

  • Claim coding experience

  • Knowledge of behavioral health claims review


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About Teema

Sourced by ZipRecruiter

TEEMA is an award-winning, industry-leading recruitment agency dedicated to building meaningful relationships across North America. We achieve this time after time by consistently sourcing, screening, managing and securing top talent tailored to employers’ specific needs. The team that makes this happen consists of hundreds of experienced professional recruiters backed by exceptional, tenured leadership and back-office support. No matter how unique or challenging your hiring needs may be or how misunderstood or undervalued your in-demand skills may be in your current role, we have you covered. Our primary objective is to provide an exceptional recruitment experience for our clients and candidates and an ecosystem that empowers our team to thrive.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Litchfield Park, AZ, US

Social media

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