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 ...
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 ...
Remote Claims Reviewer information
See Rochester, NY salary details
$30.1K - $35.4K
1% of jobs
$35.4K - $40.8K
3% of jobs
$40.8K - $46.1K
5% of jobs
$50.9K is the 25th percentile. Wages below this are outliers.
$46.1K - $51.4K
17% of jobs
$51.4K - $56.8K
11% of jobs
The median wage is $61.5K / yr.
$56.8K - $62.1K
14% of jobs
$62.1K - $67.5K
13% of jobs
$72.7K is the 75th percentile. Wages above this are outliers.
$67.5K - $72.8K
11% of jobs
$72.8K - $78.1K
10% of jobs
$78.1K - $83.5K
9% of jobs
$83.5K - $88.8K
6% of jobs
$30.1K
$63.7K
$88.8K
How much do remote claims reviewer jobs pay per year?
As of Sep 7, 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.
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.
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 the difference between Remote Claims Reviewer vs Remote Claims Processor?
| Aspect | Remote Claims Reviewer | Remote Claims Processor |
|---|---|---|
| Required Credentials | High school diploma or equivalent; insurance knowledge often preferred | High school diploma or equivalent; basic insurance knowledge beneficial |
| Work Environment | Home-based, independent review setting | Home-based, processing claims as assigned |
| Employer & Industry Usage | Insurance companies, third-party administrators | Insurance companies, healthcare providers |
| Common Search & Comparison | Yes | Yes |
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:
Full-time
Medical, Retirement
Re-posted 7 days ago
Job description
Location: Western NY; Syracuse, NY; Rochester, NY
Work Model: Remote
Position type: Full time - salary
We’re a team of employees passionate about delivering best-in-class customer service and innovation in the industry. We prioritize integrity, relationships, and excellence in all aspects of our work.
Our employees fully utilize their talents and bring their best selves to work. We believe who you are is just as important as what you do!
As a Middle Market Underwriter, you’ll help Central fulfill its promise to its customers by effectively managing your assigned territory, building strong relationships with agents, writing a profitable book of business, and providing top-notch service.
Key Responsibilities of the Role
- Manage and underwrite assigned book of middle market business to achieve profitability and meet financial objectives
- Select profitable new business through analysis of the risks presented, coverage requested, and losses incurred
- Classify and price risks appropriately using underwriting judgement and analytical tools and resources
- Handle complex or larger accounts that may require reinsurance placement
- Monitor premium growth for assigned middle market territory, conducting profit and growth analysis by territory and agency
- Identify opportunities for book improvement and work with Distribution on implementing necessary changes
- Lead reviews on larger accounts exceeding letter of authority
- Keep current on state/territory issues and regulations
- Develop and maintain strong relationships with agents, traveling as needed for agency visits
- Communicate effectively, providing prompt and professional service
- Develop and maintain strong internal relationships within the Underwriting Team and with other business units such as loss control, customer service, claims, and marketing
- Provide input and data to help drive and implement strategic underwriting initiatives
- Maintain appropriate underwriting file documentation
- Demonstrate a commitment to continuing education and development
Required Qualifications
- Bachelor’s degree in relevant field and 2 years of experience in Commercial Lines Underwriting
- Or 4 years of experience in Commercial Lines Underwriting
Preferred Qualifications
- Experience in underwriting Middle Market accounts
Knowledge, Skills, and Abilities
- Strong knowledge of underwriting principles and guidelines to evaluate and manage highly complex accounts effectively
- Solid time, organizational, and desk management skills
- Ability to apply advanced underwriting concepts including risk selection, exposure and hazard identification and control, coverage implications, and loss analysis
- Ability to think analytically about business problems, make recommendations and propose solutions
- Effective verbal and written communication skills, including negotiation, presentation, and influence to achieve favorable outcomes
- Knowledge of commercial lines coverages and policies in assigned states
- Ability to professionally interact with our customers
- Ability to investigate, gather facts and information, and analyze coverage
- Understand the importance of capturing data
- An innovative and continuous improvement mindset
- A positive, professional, cooperative, and quality-conscious service attitude
- Ability to work under pressure, deal with interpersonal conflict, and handle a heavy workload
- Possess analytical and problem-solving skills
- Verbal and written communication skills, including negotiation, presentation, and influence skills
- Ability to understand Central Insurance’s policies and processes
- Ability to travel to assigned agents including occasional overnight
Total Rewards
Central establishes base pay based on several factors including labor market data and an evaluation of candidate qualifications relative to role requirements. Base pay is one component of a comprehensive total rewards package designed to support employees’ financial, health, career, and retirement objectives. Central provides extensive health and wellness benefits to promote flexibility, work-life balance, and long-term financial security. For more information, see Central Insurance Benefits