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Remote Claims Jobs in Kentucky (NOW HIRING)

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

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 ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

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 ...

BrightSpring

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

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 ...

PharMerica

Claims Processing Supervisor

Louisville, KY · On-site +1

The Claims Supervisor manages associates' assignments and work queues on a daily and weekly basis ... This is a remote opportunity . Applicants can live anywhere within the Continental USA. Night Shift ...

PharMerica

Claims Processing Supervisor

Louisville, KY · Remote

The Claims Supervisor manages associates' assignments and work queues on a daily and weekly basis ... This is a remote opportunity . Applicants can live anywhere within the Continental USA. Night Shift ...

PharMerica

Claims Specialist Team Lead

Louisville, KY · On-site +1

Shift: Nights and Weekends Remote position Benefits and perks for You! * Medical, Dental, Vision ... claims are billed to accurate financial plans timely * Completes billing transactions for non ...

PharMerica

Claims Specialist Team Lead

Louisville, KY · On-site +1

Multiple Shifts Available Remote position Benefits and perks for You! * Medical, Dental, Vision ... claims are billed to accurate financial plans timely * Completes billing transactions for non ...

Sutherland

Health Claims Specialists

Louisville, KY · On-site +1

$13.50/hr

A claims adjudicator determines how much money will be paid after an insurance claim has been examined. This is not a customer service or customer facing position. This is a data entry position where ...

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Remote Claims information

See Kentucky salary details

$26.5K

$56.1K

$78.2K

How much do remote claims jobs pay per year?

As of Aug 9, 2026, the average yearly pay for remote claims in Kentucky is $56,115.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,300.00 and $65,600.00 per year, depending on experience, location, and employer.

What are common challenges faced by remote claims professionals, and how can they be managed?

Remote claims professionals often encounter challenges such as maintaining effective communication with team members and clients, managing time independently, and ensuring data security while handling sensitive information from home. To address these, it’s important to utilize collaboration tools, set structured work hours, and follow strict company protocols for cybersecurity. Regular virtual meetings and clear documentation can help maintain workflow efficiency and keep everyone aligned.

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

To thrive as a Remote Claims Specialist, you need a solid background in insurance processes, claims assessment, and a relevant educational qualification such as a degree in business or insurance. Familiarity with claims management software, CRM systems, and sometimes industry certifications like AIC (Associate in Claims) are commonly required. Strong attention to detail, effective communication, and self-motivation are crucial soft skills for managing cases independently and supporting clients remotely. These abilities ensure accurate, timely processing of claims and high levels of customer satisfaction in a virtual work environment.

What is a remote claims job?

Remote claims jobs involve evaluating, processing, and managing insurance claims from a remote location, typically from home. Professionals in these roles review claims submitted by clients, investigate the details, and determine the coverage or payment amounts according to company policies and regulations. These positions require strong analytical, communication, and organizational skills, along with a good understanding of insurance processes. Many insurance companies now offer remote claims roles, providing flexibility and work-from-home opportunities.

What is the difference between Remote Claims vs Remote Claims Adjuster?

AspectRemote ClaimsRemote Claims Adjuster
Required CredentialsVaries by role, often includes insurance knowledgeLicenses often required, such as state-specific adjuster licenses
Work EnvironmentRemote, office, or hybridPrimarily remote, with some fieldwork possible
Industry UsageInsurance companies, third-party administratorsInsurance companies, claims management firms
Common Search IntentGeneral claims roles, customer service, claims processingClaims evaluation, damage assessment, settlement

Remote Claims roles encompass a broad range of insurance-related positions, including claims processing and customer service, often without requiring specific licenses. Remote Claims Adjusters focus on evaluating claims, assessing damages, and may need state licenses. Both roles are remote-friendly and serve the insurance industry, but adjusters typically have more specialized credentials and responsibilities.

What are the most commonly searched types of Claims jobs in Kentucky? The most popular types of Claims jobs in Kentucky are:
What are popular job titles related to Remote Claims jobs in Kentucky? For Remote Claims jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Remote Claims jobs in Kentucky look for? The top searched job categories for Remote Claims jobs in Kentucky are:
What cities in Kentucky are hiring for Remote Claims jobs? Cities in Kentucky with the most Remote Claims job openings:
Remote Claims jobs near you
Infographic showing various Remote Claims job openings in Kentucky as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $56,115 per year, or $27 per hour.

Pharmacy Claims Processor / Remote

BrightSpring Health Services

Louisville, KY • Remote

$20 - $23/hr

Full-time

Re-posted 23 days ago

BrightSpring Health Services rating

4.8

Company rating: 4.8 out of 10

Based on 62 frontline employees who took The Breakroom Quiz

220th of 239 rated social care providers

Job description

Overview

Step Into a Rewarding Role as an LTC Pharmacy 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. Overnight & Weekend shifts required.

Must have pharmacy claims or adjudication background.

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

What BrightSpring Health Services employees say

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Benefits

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