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Remote Claims Trainee Jobs in Rensselaer, NY (NOW HIRING)

FACETS Claims Processor

Albany, NY · Remote

$17 - $21.25/hr

Remote Reply at: Jobs@sourcedge.com FACETS SENIOR CLAIMS PROCESSOR * 5 Years Facets Claims Adjudication Experience * The Claims Examiner must maintain production and inventory standards compliant ...

... a trainee level. The role involves a hybrid work arrangement, combining remote responsibilities ... Ability to work closely with Claims and Underwriting. * Position requires regular travel. About Us ...

New

... a trainee level. The role involves a hybrid work arrangement, combining remote responsibilities ... Ability to work closely with Claims and Underwriting. * Position requires regular travel. About Us ...

New

Remote Claims Trainee information

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 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.

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 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 Rensselaer, NY?

For Remote Claims Trainee jobs in Rensselaer, NY, the most frequently searched job titles are:

What job categories do people searching Remote Claims Trainee jobs in Rensselaer, NY look for?

The top searched job categories for Remote Claims Trainee jobs in Rensselaer, NY are:

What cities near Rensselaer, NY are hiring for Remote Claims Trainee jobs?

Cities near Rensselaer, NY with the most Remote Claims Trainee job openings:

Infographic showing various Remote Claims Trainee job openings in Rensselaer, NY as of August 2026, with employment types broken down into 87% Full Time, 10% Part Time, and 3% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution.

FACETS Claims Processor

Sourcedge Solutions

Albany, NY • Remote

$17 - $21.25/hr

Contractor

Re-posted 4 days ago


Job description

Location: Remote 
Reply at: Jobs@sourcedge.com
FACETS SENIOR CLAIMS PROCESSOR 
Job Description:
 
  • 5 Years Facets Claims Adjudication Experience
 
  • The Claims Examiner must maintain production and inventory standards compliant with Claims Administration requirements
 
  • High school diploma or equivalent required
 
  • Must have 5+ years of relevant claim processing experience in healthcare industry (managed care or TPA Company) to support our clients
 
  • Possess high productivity and quality standards within a claims processing automation environment
 
  • Knowledge of CPT, HCPC, ICD-10 codes
 
  • Knowledge of HMO, PPO, Medicare and Medicaid plans
 
  • Knowledge of Medical terminology
 
  • Computer with 2 Monitors
 
  • High Speed Internet Connection
 
  • Ability to work remote 8 hour day, Mon-Fri.

Responsibilities:
 
  • The claims examiner is responsible for accurate and timely adjudication of claims for the Health Plans lines of business
 
  • Primary duties include analysis and resolution of claims, including reviewing pended claims and manually resolving based on client specified direction and criteria, including  third-party liability claims
 
  • The claims examiner must be able to work independently, effectively prioritizing work in a production environment that frequently changes to meet production standards and contractual requirements
 
  • Success in this position will be based on the individual's ability to effectively prioritize work, identify, and resolve complex concerns in a professional manner, and work in a team environment to achieve and maintain production and audit standards
 
  • Timely and accurate processing and adjudication of all types of claims from assigned workflow queues
 
  • Compliance with state, federal and contractual requirements to Claims Administration
 
  • Demonstrate a thorough knowledge of the Plan's claims processing procedures as provided in training materials and proficiency with the core and ancillary system applications
 
  • Demonstrates the ability to think analytically to resolve complicated claim issues and identify appropriately when to escalate issues for review
 
  • Ability to review and apply Plan directives and desktop procedures to claims, following step by step guidelines
 
  • Claim analysis of coding and billing compliance, potential third-party liability, accurate coordination of benefits (COB), benefit application including limitations and restrictions, pre-existing conditions, subrogation, medical necessity and other claim investigation as appropriate
 
  • Complete all mandatory claims training/refresher courses
 
  • Actively participates and supports department and organization-wide efforts to improve efficiencies while supporting departmental goals and objectives
 
  • Complete all mandatory compliance and corporate training
 
  • Must be able to adapt to a changing work priorities and requirements and perform other duties as directed to support the overall functions of Claims Administration and support of staff without boundaries within the Plan