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Remote Claims Reviewer Jobs (NOW HIRING)

Mass General Brigham

Third Party Reviewer

Somerville, MA · On-site +1

$19.81 - $28.30/hr

Job Summary Third Party Claims Reviewer MGB Revenue Cycle Operations, supporting Aetna, Cigna ... Remote Work requires secure, stable, quiet, compliant work area and free of dependent care * M-F ...

Massgeneralbrigham

Third Party Reviewer

Somerville, MA · Remote

$19.81 - $28.30/hr

Job Summary Third Party Claims Reviewer MGB Revenue Cycle Operations, supporting Aetna, Cigna ... Remote Work requires secure, stable, quiet, compliant work area and free of dependent care * M-F ...

Allied Benefit Systems

Be Seen First

Remote Medical Claims Specialist

Chicago, IL · Remote

$48K - $50K/yr

POSITION SUMMARY The Claims Specialist reviews, analyzes, and make determinations regarding payment ... Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly ...

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Remote Claims Reviewer information

See salary details

$30.5K

$64.6K

$90K

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.
Full-Service Restoration Reviewer

Full-Service Restoration Reviewer

Bosun

Jacksonville, FL • Remote

Full-time

Medical, Dental, Vision, PTO

Posted 7 days ago

Job description

Full-Service Reviewer (QA Analyst)

On behalf of a leading national restoration company with over 300 franchise locations across North America, we are seeking a highly skilled and analytical Full-Service Reviewer to 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, reconstruction, contents, and more - ensuring accuracy, compliance, and alignment with carrier and company standards. This position is ideal for experienced reviewers or estimators ready to step into a critical quality control role.

Key Responsibilities - Full-Service Reviewer

  • Conduct comprehensive estimate reviews for services including water mitigation, mold remediation, reconstruction, contents, board-up, abatement, biohazard, and fire damage.

  • Evaluate estimate documentation in Xactimate, XactAnalysis, Claims Connect, Validate, CMS, and related systems.

  • Ensure compliance with carrier requirements, internal standards, and industry best practices.

  • Provide professional and constructive feedback to franchise teams to improve estimating consistency and accuracy.

  • Communicate with both franchise locations and carrier representatives through various digital platforms.

  • Monitor trends and performance indicators to help identify training opportunities or process improvements.

  • Support surge needs during catastrophe events or times of increased volume.

Competencies - Knowledge, Skills & Abilities

  • Advanced knowledge of Xactimate and insurance estimating software (XactAnalysis, Claims Connect, etc.)

  • Proven ability to handle complex estimate reviews across multiple service lines

  • Detail-oriented and analytical mindset

  • Excellent written and verbal communication skills

  • Confident in providing direct feedback and coaching to field teams

  • Strong organizational and time management skills

  • Comfortable with technology tools including Microsoft Outlook, Teams, SharePoint, Excel, and OneDrive

  • Demonstrated ability to adapt to evolving standards and priorities

Required Qualifications

  • High School Diploma or GED

  • Three or more years of experience in restoration estimating or estimate review (mitigation, reconstruction, and contents experience required)

  • Bachelor's degree or equivalent experience preferred

  • Ability to pass a background check and maintain confidentiality

Job Details

  • Schedule: Tuesday-Saturday | Start time between 7:00 AM - 9:00 AM

  • Benefits: Internet reimbursement, PTO, sick days, medical, dental, vision

Why Join as a Full-Service Reviewer?

You'll join a strong, collaborative remote team that values detail, growth, and professionalism. This is not a contract or temporary role - it's a full-time position with long-term growth potential and the opportunity to play a pivotal role in quality assurance for a trusted industry leader. Whether you've worked as a mitigation estimator, reconstruction PM, or contents specialist, your deep expertise will be fully utilized here.

Posting Statement:

All qualified applicants will receive consideration for employment without regard to race, color, religion, religious creed, sex, national origin, ancestry, age, physical or mental disability, medical condition, genetic information, military and veteran status, marital status, pregnancy, gender, gender expression, gender identity, sexual orientation, or any other characteristic protected by local law, regulation, or ordinance.

Employment Type: FULL_TIME

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