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Remote Claims Reviewer Jobs (NOW HIRING)

Lorven Technologies

Physician ED Claims Reviewer

Remote * Bachelor's degree in related field. * Physician with an active US licensed with experience in with medical coding (CPT/HCPCS) and managed care to conduct clinical review of claims and UM ...

New

NTT DATA

Medical Claims Processor, Remote

$17.50 - $22/hr

Remote Claims Processing Associate NTT DATA is seeking to hire a Remote Claims Processing Associate ... Reviewing the policies and benefits * Complying with company regulations regarding HIPAA ...

NTT DATA

Healthcare Claims Processor, Remote

$17.50 - $22/hr

Remote Claims Processing Associate NTT DATA is seeking to hire a Remote Claims Processing Associate ... Reviewing the policies and benefits * Complying with company regulations regarding HIPAA ...

NTT DATA

Medical Claims Processor - Remote

$18/hr

Remote Claims Processing Associate NTT DATA is seeking to hire a Remote Claims Processing Associate ... Reviewing the policies and benefits * Complying with company regulations regarding HIPAA ...

NTT DATA Services

Claims Examiner Remote

Plano, TX · On-site +1

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and ... Reviewing the policies and benefits • Comply with company regulations regarding HIPAA ...

Bosun

Full-Service Restoration Reviewer

Jacksonville, FL · Remote

$67K - $70K/yr

... join their remote Claims Force team. As a Full-Service Reviewer, you will be responsible for reviewing estimates across a broad range of restoration service types -including mitigation ...

NTT DATA Services

Claims Examiner Remote

Plano, TX · On-site +1

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and ... Reviewing the policies and benefits • Comply with company regulations regarding HIPAA ...

NTT DATA Services

Claims Examiner Remote

Plano, TX · On-site +1

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and ... Processing of Professional claim forms files by provider Reviewing the policies and benefits Comply ...

Broadway Ventures

Medical Claims Reviewer (RN)

OR · Remote

Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... Review medically complex claims , pre-authorization requests, appeals, and fraud/abuse referrals.

CAPITOL BRIDGE, LLC

Claims Review Physician (57795)

$250/wk

Claims Review Physician Fully Remote Overview Position Type: Contractor Job Shift: Any Description Capitol Bridge is currently seeking Board Certified Physicians, licensed in any state, for remote ...

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Remote Claims Reviewer information

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$30.5K

$64.6K

$90K

How much do remote claims reviewer jobs pay per year?

As of Aug 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.

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?

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 August 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $64,609 per year, or $31.1 per hour.

Physician ED Claims Reviewer

Lorven Technologies

Remote

Full-time

Posted 3 days ago

New

Job description

Hi,
Our client is looking for an Physician ED Claims Reviewer Role for Remote below is the detailed requirement.
Job Title: Physician ED Claims Reviewer
Location: Remote
Job Description:
  • Bachelor's degree in related field.
  • Physician with an active US licensed with experience in with medical coding (CPT/HCPCS) and managed care to conduct clinical review of claims and UM authorization requests for clinical necessity.
  • Minimum of recent (last 2-3 years) 3-5 clinical experience in emergency dept medicine, experience in internal medicine will be considered.
  • Experience in managed care, clinical UM case reviews.
  • Knowledge of claims and medical coding (CPT/HCPCS codes).
  • Proficient working in various systems and applications.

Desired skills:
  • Experience/knowledge in utilization management is a plus.
  • Ability to work independently in a fast paced environment.
  • Strong Agile experience: user story development, requirements gathering, and portfolio management
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About Lorven technologies

Sourced by ZipRecruiter

Lorven Technologies, headquartered in Plainsboro, New Jersey, United States, is a reputable company in the technology industry, specializing in providing effective IT solutions and consulting services. The company's official website, lorventech.com, offers comprehensive insights into its offerings which include but are not limited to software development, IT consulting, project management, and business analysis. Since its inception, Lorven Technologies has been committed to ensuring efficiency and reliability in delivering IT services to its global clientele, establishing itself as a trusted name in the industry.

Industry

It services

Company size

51 - 200 Employees

Headquarters location

Plainsboro, NJ, US

Year founded

2001

Social media

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