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

Deloitte

Epic Denials Management Operator

Rochester, NY · Remote

$17.75 - $23.75/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 ...

Paychex

Client Service Representative

West Henrietta, NY · Remote

$20 - $22/hr

Uses prescribed guidelines to ensure good customer relations are maintained and customer claims and complaints are resolved fairly, effectively, and in accordance with Paychex policies and procedures.

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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 Rochester, NY?

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

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

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

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

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

Remote Claims Trainee jobs near you
Infographic showing various Remote Claims Trainee job openings in Rochester, NY as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Clm Resltion Rep III, Hosp/Prv

University of Rochester

Rochester, NY • Remote

$20.30 - $27.41/hr

Full-time

Re-posted 10 days ago

University Of Rochester rating

8.3

Company rating: 8.3 out of 10

Based on 186 frontline employees who took The Breakroom Quiz

126th of 618 rated colleges and universities

Job description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

Remote Work - New York, Albany, New York, United States of America, 12224

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

910402 United Business Office

Work Shift:

UR - Day (United States of America)

Range:

UR URCA 205 H

Compensation Range:

$20.30 - $27.41

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities:

The Claims Resolution Representative III is responsible for working across the professional fee organization, handling follow-up activities designed to bring all open accounts receivable to successful closure. Responsible for effective claims follow-up on complex, multi-faceted accounts to obtain maximum revenue collection and closure. Responsibilities include, but are not limited to, independent research, claim correction and resubmission, handling payer specific appeal process taking timely and routine action to resolve unpaid claims. The Claims Resolution Representative III reports to Accounts Receivable Management.

ESSENTIAL FUNCTIONS

With general direction of the Manager/Supervisor/Lead:

  • Follows department policies and procedures and maintains and exercises comprehensive knowledge of insurance company billing requirements and regulations to research and resolve unpaid accounts receivable, making any corrections in the professional billing system necessary to ensure balance resolution for all assigned URMFG physician services.
  • Follows up on multi-faceted denials through review of remittances (EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. Research claims, identify problems, and takes appropriate action to assure claim resolution.
  • Responds to all billing-related inquiries from colleagues, departments, patients, and payors in a timely and professional manner. Communicates any missing/incomplete information to providers and department administrative support staff to ensure accurate billing. Communicates with insurance representatives through telephone calls, payer website, and written communication to ensure accurate processing of claims. Collaborate with appropriate departments to generate a detailed rational for appeals and grievances to the insurance companies.
  • Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution.
  • Collaborates with Claim Edit Specialists and Patient Medical Billing Specialists assigned to pre claim WQ's to identify opportunities for improvement in clean claims rate.
  • May perform other duties as assigned.


MINIMUM EDUCATION & EXPERIENCE

  • Associate's degree and 2 years of relevant experience required
  • Or equivalent combination of education and experience


KNOWLEDGE, SKILLS AND ABILITIES

  • Excellent problem-solving skills preferred
  • Excellent communication skills preferred
  • Excellent customer service skills preferred
  • Strong working knowledge of the professional billing software applications preferred
  • Ability to type 25 wpm preferred.

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status,or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

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