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Remote Claims Reviewer Jobs in Rochester, NY (NOW HIRING)

CBCS

New York PIP Claims Adjuster

Rochester, NY · On-site +1

Review medical documentation, treatment plans, wage loss claims, and related expenses. * Evaluate ... Ability to work independently in a remote environment while collaborating with a team. * Strong ...

Deloitte

Accounts Receivable Analyst

Rochester, NY · Remote

$23.75 - $30/hr

... remote client service delivery. Recruiting for this role ends on 08/01/2026 Work you'll do As an ... Review AR aging reports and work queues to identify unpaid and delayed claims. * Follow up with ...

Deloitte

Hospital Billing Coordinator

Rochester, NY · Remote

$50K - $60K/yr

As an Epic Hospital Billing Coordinator, you will help review and submit hospital claims, resolve billing issues, and work across teams to reduce avoidable denials. This is a primarily remote role ...

Deloitte

Hospital Billing Operator

Rochester, NY · Remote

$18 - $23.25/hr

As an Epic Hospital Billing Analyst, you will help review and submit hospital claims, resolve billing issues, and work across teams to reduce avoidable denials. This is a primarily remote role ...

centralins

Middle Market Underwriter

Syracuse, NY · Remote

Remote Position type: Full time - salary We're a team of employees passionate about delivering best ... Lead reviews on larger accounts exceeding letter of authority * Keep current on state/territory ...

All JobsClaims Reviewer JobsRemote Claims Reviewer JobsRemote Claims Reviewer Jobs in Rochester, NY

Remote Claims Reviewer information

See Rochester, NY salary details

$30.1K

$63.7K

$88.8K

How much do remote claims reviewer jobs pay per year?

As of Jul 30, 2026, the average yearly pay for remote claims reviewer in Rochester, NY is $63,748.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,300.00 and $74,500.00 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, 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.

What are popular job titles related to Remote Claims Reviewer jobs in Rochester, NY? For Remote Claims Reviewer jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Remote Claims Reviewer jobs in Rochester, NY look for? The top searched job categories for Remote Claims Reviewer jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Remote Claims Reviewer jobs? Cities near Rochester, NY with the most Remote Claims Reviewer job openings:
Remote Claims Reviewer jobs near you

New York PIP Claims Adjuster

CBCS

Rochester, NY • On-site, Remote

Full-time

Posted 7 days ago

Job description

Who says you can't have it all?

Cottingham & Butler Claims Services (CBCS) is offering the opportunity to work in a fast-paced and rewarding claims position with NO commute! That's right—you can do what you love from the comfort of your home while handling meaningful and challenging claims.

We are currently seeking an experienced New York Personal Injury Protection (PIP) Claims Adjuster to join our growing team. This role is responsible for the investigation, evaluation, and management of New York No-Fault/PIP claims while ensuring compliance with New York state regulations and claim handling requirements.

What You'll Do
  • Investigate and manage New York PIP/No-Fault claims from inception through closure.
  • Review medical documentation, treatment plans, wage loss claims, and related expenses.
  • Evaluate claim exposure and establish appropriate reserves.
  • Coordinate with medical providers, attorneys, insureds, claimants, and vendors.
  • Identify and address potential fraud indicators.
  • Ensure compliance with New York No-Fault regulations, statutory timelines, and reporting requirements.
  • Maintain accurate and timely claim documentation.
  • Deliver exceptional customer service while effectively managing claim outcomes.
Qualifications
  • Minimum of 2 years of New York PIP/No-Fault claims handling experience.
  • Strong understanding of New York No-Fault laws, regulations, and fee schedules.
  • Active adjuster's license preferred, if applicable.
  • Experience reviewing medical bills, treatment records, and wage loss claims.
  • Excellent investigation, negotiation, and decision-making skills.
  • Strong analytical and problem-solving abilities.
  • Exceptional written and verbal communication skills.
  • Ability to work independently in a remote environment while collaborating with a team.
  • Strong organizational and time-management skills.
  • Proficiency with Microsoft Office and claims management software.
Why CBCS?

If you're looking for an opportunity to continue growing your claims career while enjoying the flexibility of working from home, CBCS offers the support, resources, and culture to help you succeed. We provide office equipment, IT support, training, and ongoing professional development opportunities.

If this sounds like a good fit for your career and life goals, we'd love to talk!

Pay & Benefits

  • Salary – Flexible based on your experience level.
  • Most Benefits start Day 1
  • Medical, Dental, Vision Insurance
  • Flex Spending or HSA
  • 401(k) with company match
  • Profit-Sharing/ Defined Contribution (1-year waiting period)
  • PTO/ Paid Holidays
  • Company-paid ST and LT Disability
  • Maternity Leave/ Parental Leave
  • Company-paid Term Life/ Accidental Death Insurance

Cottingham & Butler Claims Services (CBCS)

At CBCS, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of "better every day" constantly pushing ourselves to be better than yesterday – that's who we are and what we believe in.

As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.

Want to learn more? Follow us on www.CBCSclaims.com | LinkedIn