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Remote Claims Trainee Jobs in Independence, KY (NOW HIRING)

Epic Denials Management Operator

Cincinnati, OH · Remote

$17.25 - $23/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role supporting enterprise Epic support ...

Remote Claims Trainee information

What is a remote claims trainee?

Remote Claims Trainees are entry-level professionals who work from home or another remote location to learn how to evaluate and process insurance claims. They receive training on company policies, claims investigation, documentation, and customer service. During their training period, they work closely with experienced claims adjusters or supervisors to develop the skills needed to handle claims independently. This role is ideal for individuals seeking to start a career in insurance without needing to work in a traditional office setting.

What skills and qualifications are needed to thrive as a remote claims trainee?

To thrive as a Remote Claims Trainee, you need a basic understanding of insurance principles, strong analytical skills, and at least a high school diploma or relevant degree. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are beneficial. Excellent communication, organizational skills, and the ability to work independently are crucial soft skills for excelling remotely. These skills are important to ensure accurate claims processing, effective customer service, and smooth collaboration with team members from a distance.

How does a remote claims trainee typically collaborate with team members and supervisors while working from home?

As a Remote Claims Trainee, you'll often communicate with your team through video calls, chat platforms, and project management tools. You'll participate in regular virtual meetings for training, case discussions, and feedback sessions with supervisors. Collaboration is encouraged—trainees are usually paired with mentors or experienced adjusters who provide guidance and answer questions. While remote, you'll have access to digital resources and real-time support, ensuring you can learn processes and company standards efficiently. Staying proactive in communication helps foster a sense of teamwork and support, even when working independently.

What is the difference between Remote Claims Trainee vs Remote Claims Processor?

AspectRemote Claims TraineeRemote Claims Processor
Required CredentialsHigh school diploma or equivalent; some roles may prefer related courseworkHigh school diploma or equivalent; relevant certifications optional
Work EnvironmentTraining period, supervised, learning-focusedFull-time, independent, task-oriented
Employer & Industry UsageInsurance companies, healthcare providers, government agenciesInsurance companies, third-party administrators, healthcare insurers

The main difference is that a Remote Claims Trainee is in a learning phase, focusing on training and skill development, while a Remote Claims Processor handles claims independently after training. Trainees are supervised and gaining experience, whereas processors are responsible for processing claims efficiently and accurately.

What are popular job titles related to Remote Claims Trainee jobs in Independence, KY?

For Remote Claims Trainee jobs in Independence, KY, the most frequently searched job titles are:

What cities near Independence, KY are hiring for Remote Claims Trainee jobs?

Cities near Independence, KY with the most Remote Claims Trainee job openings:

Infographic showing various Remote Claims Trainee job openings in Independence, KY as of August 2026, with employment types broken down into 81% Full Time, 17% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution.

Claims Specialist with FineOS - Remote

Northern Base

Cincinnati, OH • Remote

Full-time

PTO

Re-posted 28 days ago


Job description

Claims Specialist with FineOS
Remote
Fulltime

Responsibilities:
To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments.
Review and analyze the claim nuances, eligibility review, and type of claims (intermittent or continuous)
Review and analyze medical information (i.e. attending physician reports, medical records such as diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined.
Approval or denial on FMLA claims as per Insurance carrier, and employer’s guidelines
Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to US paid family law regulations.
Review claims for Not in good order cases, and work on securing missing documentations including employee, physician, or employer outreach.
Communicates clearly with the claimants and clients to set expectations on all aspects of claims process either by phone and/or written correspondence.
Reviews client critical deliverables, manages the overall workload, and second-level process escalation.
Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Refers cases as appropriate to team lead and clinical case management
Responsible for managing the day-to-day workload and first-level process escalation, and reviews processes for accuracy and timeliness where applicable in case of peer reviews.
Provide ideas to management on continuous improvement and service level management
Performs other duties or participates in special projects as assigned

Requirements:
1+ year of Disability/FMLA/PFL claims or insurance claims experience
Experience working with FINEOS
Working knowledge of medical terminology and documents, including APS, Diagnostic Tests, Imaging Tests reports
Knowledge of disability insurance claims, benefits administration, offsets and deductions, disability duration and medical management practices mandatory
Excellent oral and written communication, including presentation skills
Strong Analytical, decision making, problem solving, and people management skills
Computer experience with keyboarding skills and proficiency in using software applications and packages including MS Office (Excel, Word, PPT)
Willingness to embrace change in a fast paced work environment
A strong desire to continuously learn and improve
Identify escalated cases and work with Team Leader to develop a plan to address key issues.