ZipRecruiter

Log In

2

Remote Claims Trainee Jobs (NOW HIRING)

PharMerica

Claims Specialist / Remote

Louisville, KY · Remote

Remote Flexibility : This position is 100% remote, giving you the freedom to work from anywhere! What You'll Do: As a dynamic Claims Specialist, you will: * Leverage your Pharmacy Claims Experience ...

next page

Showing results 1-20

All JobsClaims JobsRemote Claims Trainee Jobs

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 are the key skills and qualifications needed to thrive as a Remote Claims Trainee, and why are they important?

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 are Remote Claims Trainees?

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.

More about Remote Claims Trainee jobs
What cities are hiring for Remote Claims Trainee jobs? Cities with the most Remote Claims Trainee job openings:
What states have the most Remote Claims Trainee jobs? States with the most job openings for Remote Claims Trainee jobs include:
What job categories do people searching Remote Claims Trainee jobs look for? The top searched job categories for Remote Claims Trainee jobs are:
Remote Claims Trainee jobs near you
Infographic showing various Remote Claims Trainee job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution.
Claims Specialist / Remote

Claims Specialist / Remote

PharMerica

Louisville, KY • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

PharMerica rating

6.5

Company rating: 6.5 out of 10

Based on 102 frontline employees who took The Breakroom Quiz

59th of 104 rated pharmacies

Job description

Our Company

PharMerica

Overview

Step Into a Rewarding Role as a Claims Specialist with PharMerica!

Are you ready to make a real impact in a growing organization? Join our PharMerica team as a Claims Specialist, where you'll play a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support they need. We offer a non-retail, closed-door pharmacy environment, allowing you to focus on what truly matters-delivering exceptional care and service.

Why Join PharMerica?

  • Focused on Service Excellence: Our mission is to provide top-quality care and outstanding customer service to hospitals, rehabilitation centers, long-term acute care hospitals, and specialized care centers across the nation.
  • Career Growth: We're in high growth mode, offering plenty of opportunities for those looking to advance their careers.
  • Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!

What You'll Do: As a dynamic Claims Specialist, you will:

  • Leverage your Pharmacy Claims Experience to manage and resolve claims efficiently, ensuring our clients get the support they need.
  • Be a vital part of a team that's dedicated to enhancing patient care through meticulous claims management and customer service.

Shift: Varying shifts available from 4:30am-12:00am

What We Offer:

  • DailyPay
  • Flexible Schedules
  • Competitive Pay with Shift Differentials
  • Health, Dental, Vision, and Life Insurance
  • Company-Paid Disability Insurance
  • Tuition Assistance & Reimbursement
  • Employee Discount Program
  • 401k Plan
  • Paid Time Off
  • Non-Retail, Closed-Door Environment
Responsibilities

The Claims Specialist - 3rd Party:

  • Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks
  • Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines
  • Ensures approval of claims by performing appropriate edits and/or reversals to ensure maximum payer reimbursement
  • Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes
  • Works as a team to identify, document, communicate and resolve payer/billing trends and issues
  • Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans
  • Prepares and maintains reports and records for processing
  • Performs other tasks as assigned
Qualifications

Education/Learning Experience:

  • Required: High School Diploma or GED
  • Desired: Associate's or Bachelor's Degree

Work Experience:

  • Required: Customer Service
  • Desired: Up to one year of related experience. Pharmacy Technician experience

Skills/Knowledge:

  • Required: Ability to retain a large amount of information and apply that knowledge to related situations. Ability to work in a fast-paced environment. Basic math aptitude. Microsoft Office Suite
  • Desired: Knowledge of the insurance industry's trends, directions, major issues, regulatory considerations and trendsetters

Licenses/Certifications:

  • Desired: Pharmacy technician, but not required
About our Line of BusinessPharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.Additional Job Information

This is an excellent opportunity to move from a retail to office environment for those who are willing to learn claims, billing and insurance processing.

Pharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference.

Employment Type: FULL_TIME

What PharMerica employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply