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Remote Claims Jobs in Remote, OR (NOW HIRING)

Primus Software Corporation

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Claims QA/BA (Healthcare- Contract to hire)

OR · Remote

$45 - $68/hr

Remote Description: Responsible for claims testing for health care projects. Drive the test strategy and process, domain knowledge, perform analysis of business requirements, designs and develops ...

New

Sapiens

Sales Executive, L&A

OR · On-site +1

Remote This Sales Executive is responsible for generating new insurance software sales and services ... Claims and our data and digital software solutions targeting the Tier-1 to 4 carriers (including ...

Bekaert

Application Engineer Crane&Industrial

OR · Remote

You bring application expertise directly to the field, resolving quality claims, conducting ... Remote WHAT YOU'LL DELIVER * Faster quality claim resolution (85% within 30 days) * Min. 20 field ...

Project Sapiens

Sales Executive, L&A

OR · Remote

Remote This Sales Executive is responsible for generating new insurance software sales and services ... Claims and our data and digital software solutions targeting the Tier-1 to 4 carriers (including ...

Sapiens

Pre-Sales Engineer, Workers' Comp

OR · On-site +1

Remote (US) Sapiens is on the lookout for a Pre-Sales Engineer, WC to become a key player in our ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...

Sapiens

Vice President of Sales, North America Life

OR · On-site +1

Remote The Vice President of Sales, North America (Life) will report directly to the Chief Revenue ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...

Sapiens

Strategic Account Director

OR · On-site +1

Remote The Strategic Account Director is a senior, quota-carrying sales role responsible for ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...

Sapiens

Senior Project Manager

OR · On-site +1

Remote Sapiens is on the lookout for a Sr. Project Manager (SNAP) to become a key player in our ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...

Sapiens

Renewal Operations Manager

OR · On-site +1

Remote - North America Position Summary: Sapiens is building a dedicated renewal function - and you ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...

Sapiens

Sales Development Representative

OR · On-site +1

Remote Insurance is changing fast. The conversations that start pipeline happen earlier, smarter ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...

AM Pierce and Associates

Subcontracts Manager

OR · On-site +1

$115K - $165K/yr

Remote (US Only) The Description: The Subcontracts Manager is responsible for the management ... Administer subcontract modifications, amendments, claims, disputes, and other subcontract actions ...

Project Sapiens

Account Executive

OR · Remote

Remote The Account Executive is responsible for growing software and services revenue within an ... Billing, Claims, Digital, Data & Analytics, and other insurance technology solutions. Working ...

Sapiens

Account Executive

OR · On-site +1

Remote The Account Executive is responsible for growing software and services revenue within an ... Billing, Claims, Digital, Data & Analytics, and other insurance technology solutions. Working ...

Applied Technologies Group, Inc.

Subcontracts Manager

OR · On-site +1

$115K - $165K/yr

Remote (US Only) The Description: The Subcontracts Manager is responsible for the management ... Administer subcontract modifications, amendments, claims, disputes, and other subcontract actions ...

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Remote Claims information

See Remote, OR salary details

$30.5K

$64.5K

$89.9K

How much do remote claims jobs pay per year?

As of Aug 16, 2026, the average yearly pay for remote claims in Remote, OR is $64,545.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,900.00 and $75,400.00 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 Remote, OR?

The most popular types of Claims jobs in Remote, OR are:

What are popular job titles related to Remote Claims jobs in Remote, OR?

For Remote Claims jobs in Remote, OR, the most frequently searched job titles are:

What job categories do people searching Remote Claims jobs in Remote, OR look for?

The top searched job categories for Remote Claims jobs in Remote, OR are:

What cities near Remote, OR are hiring for Remote Claims jobs?

Cities near Remote, OR with the most Remote Claims job openings:

Remote Claims jobs near you

Claims QA/BA (Healthcare- Contract to hire)

Primus Software Corporation

OR • Remote

$45 - $68/hr

Full-time

Posted 3 days ago

New

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Job description

Job description

Job Title: Healthcare Claims EDI BA/QA

Duration: 06 Months (Contract to Hire) – W2 Only

Location: Remote


Description:

Responsible for claims testing for health care projects. Drive the test strategy and process, domain knowledge, perform analysis of business requirements, designs and develops test plans, ensures quality process, coordinates with customers on delivery and deployments. Works in team environment and provides testing guidance throughout the entire life cycle. Responsible to meet customer expectations, troubleshoot problems in the application and assisting customers in implementation decisions.

1.            Candidate should have strong health care domain experience and should have good knowledge of Medicaid and Medicare.

2.            Candidate should have hands-on experience on claims processing and Adjudication processes.

3.            Must have good experience in Reference code/data sets required in Claims adjudication.

4.            Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems.

5.            Should be able to run queries and perform basic system analysis, RCA etc.,

6.            Should work closely with the client and development team during the stages of development, and conduct demos at completion of milestone, track and close feedback from such demos

7.            Must have excellent written and spoken communication skills. Should be able to multitask between internal team and clients based on priority tasks

8.            Work Closely with Dev, architecture and Design teams to define the GUI view and platform requirements, which is the foundation of the product.

9.            In depth understanding of Claims and Claims lifecycle     

10.         Claim Types

11.         Claim Formats:

-              EDI X12 formats like 837P/I/D

-              X12 formats 835, 834, 270/271, 276/277

12.         Claim System:

-              Familiarity with systems like CMdS, GHS, Facets and etc

Testing knowledge and E2E Testing

Company Description

Primus Software Corporation. Primus Software Corporation is a global staff augmentation firm providing a wide-range of talent on-demand and total workforce solutions. We have excellent domain expertise in all verticals. We provide long term solutions with quality as our main focus. To learn more about Primus Software Corporation, please visit our website www.primussoftcom. I recently came across your resume on job boards, and I wanted to reach out to you regarding an exciting job opportunity that I believe aligns perfectly with your skills and experience.