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Remote Claims Jobs in Baton Rouge, LA (NOW HIRING)

USAA

Sr. Auto Appraiser - Field

Baton Rouge, LA · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Reviews claims/suppliers for fraud indicators and refers to Special Investigations Unit for ...

Amerihealth Caritas

Account Executive

Baton Rouge, LA · On-site +1

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... items such as claims, payment integrity, provider data, credentialing, appeals disputes etc.

Amerihealth Caritas

Account Executive

Baton Rouge, LA · On-site +1

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... items such as claims, payment integrity, provider data, credentialing, appeals disputes etc.

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All JobsClaims JobsRemote Claims JobsRemote Claims Jobs in Baton Rouge, LA

Remote Claims information

See Baton Rouge, LA salary details

$29.3K

$62K

$86.4K

How much do remote claims jobs pay per year?

As of Sep 8, 2026, the average yearly pay for remote claims in Baton Rouge, LA is $62,040.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,000.00 and $72,500.00 per year, depending on experience, location, and employer.

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 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 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 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 Baton Rouge, LA?

The most popular types of Claims jobs in Baton Rouge, LA are:

What are popular job titles related to Remote Claims jobs in Baton Rouge, LA?

For Remote Claims jobs in Baton Rouge, LA, the most frequently searched job titles are:

What job categories do people searching Remote Claims jobs in Baton Rouge, LA look for?

The top searched job categories for Remote Claims jobs in Baton Rouge, LA are:

What cities near Baton Rouge, LA are hiring for Remote Claims jobs?

Cities near Baton Rouge, LA with the most Remote Claims job openings:

Remote Claims jobs near you
Infographic showing various Remote Claims job openings in Baton Rouge, LA as of September 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $62,040 per year, or $29.8 per hour.

Claims Specialist

Baton Rouge, LA • Remote

Strategic Staffing Solutions
Professional, Scientific, and Technical Services • 201 - 500 employees
Learn more about Strategic Staffing Solutionsexternal

Full-time

Posted 18 days ago

Job description

Job Description STRATEGIC STAFFING SOLUTIONS HAS AN OPENING. This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C eligibility for this position.

Visa Sponsorship is Available. The details are below. "Beware of scams.

S3 never asks for money during its onboarding process." Job Title: Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist will support claims operations by accurately processing claims edits, determining primacy for Coordination of Benefits, adjusting previously paid claims, and initiating procedures to recover funds on overpaid claims. This position will analyze, investigate, and resolve problem cases, execute recovery processes, and complete special projects while complying with applicable laws and regulations. Required Qualifications High school diploma or equivalent At least 2 years of medical claims-processing experience Strong analytical ability, including logical, systemic, and investigative thinking Strong oral and written communication skills Strong human-relations skills Working knowledge of relevant PC software Ability to prioritize multiple streams of work effectively Preferred Qualifications Coordination of Benefits processing experience Hands-on experience determining which insurance plan pays first when a member has multiple sources of coverage Experience identifying primary and secondary coverage Experience reviewing and updating claims based on COB rules Experience applying COB primacy rules, including subscriber status, effective dates, plan type, and Medicare coordination Experience communicating with members, providers, and other insurers to verify coverage information Experience correcting overpayments, initiating refunds or reprocessing claims, and maintaining accurate claim records Experience working within claims systems and following regulatory and compliance requirements, including HIPAA Responsibilities Review, research, and update claims, including recalculating benefits on previously processed claims Process claims edits according to contractual benefits and provider-reimbursement rules Initiate refund requests when necessary Identify denial codes, edits, and processing codes associated with coordinated and non-coordinated claims Request medical records when required Communicate orally and in writing with internal and external contacts to establish accurate claims records Review quality audits for correction or routing within 48 hours of receipt Research and determine the correct order of benefits for payment by applicable plans Make necessary corrections to COB records Notify the appropriate departments when Medicare has determined primacy incorrectly Analyze, investigate, and resolve problem cases involving COB records, adjusted claims, and overpayments Review previously processed claims to ensure payment consistency and maximize overpayment recovery Execute procedures to recover funds from providers, subscribers, or beneficiaries when overpayments occur Support training, implementations, documentation, and special projects Assist with matters involving internal-audit findings, provider-status changes, and system errors Perform other job-related duties within the scope of the position

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