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Remote Claims Reviewer Jobs (NOW HIRING)

Capstone Search Group

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Senior Workers Compensation Claims Adjuster - Remote (10221)

Las Vegas, NV · Remote

$90K - $100K/yr

About the Role 100% remote role that requires PST working hours for a Senior Workers Compensation ... Adjust workers compensation claims; includes claims review, working directly with clients ...

ImageNetLLC

Claims Examiner - Remote

Tampa, FL · Remote

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ... Remote work offered * Equipment provided * Paid trainingto set you up for success * Comprehensive ...

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ... Remote work offered * Equipment provided * Paid trainingto set you up for success * Comprehensive ...

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

ImagenetLLC

Claims Examiner - Remote

Tampa, FL · Remote

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

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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 Jul 23, 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, 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 July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $64,609 per year, or $31.1 per hour.
Senior Workers Compensation Claims Adjuster - Remote (10221)

Senior Workers Compensation Claims Adjuster - Remote (10221)

Capstone Search Group

Las Vegas, NV • Remote

$90K - $100K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

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Job description

About the Role

100% remote role that requires PST working hours for a Senior Workers Compensation Claims Adjuster.


Responsibilities: Adjust workers compensation claims; includes claims review, working directly with clients, documenting claims activity, and making determinations on claims exposure and proper course of action.


Experience: Requires a minimum of three (3) years of work comp claims adjusting experience; this includes a firm requirement of California work comp claims handling. Applicants must be up-to-date on continuing education hours and hold an active CA designation.

Company Description

Capstone Search Group is an insurance recruiting firm that offers creative, unique staffing solutions for the insurance industry! Our clients include insurance companies, agencies, brokers and intermediaries. Our goal as insurance recruiters is to help insurance organizations identify, attract and retain experienced talent that impacts immediate openings and promotes future growth. We offer Direct Hire (Contingency Search, Engaged/Retained and Recruitment Process Outsourcing [RPO]) and Contract Solutions (long-term contract, 1099 and temp-to-perm). We work nationally with expertise that spans top executives, middle management and technical level positions. We are committed to providing recruiting services of the highest degree of confidentiality, professionalism and integrity.