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Remote Claims Jobs in Riverside, NJ (NOW HIRING)

LIO Insurance

Claims Examiner (Casualty)

Conshohocken, PA · On-site +1

$68K - $123K/yr

The Claims Examiner - Casualty is accountable for managing a portfolio of moderate complexity general liability claims across admitted and E amp;S products, including exposure to construction-related ...

Berkley

Sr. Claims Specialist

Philadelphia, PA · On-site +1

$110K - $160K/yr

Responsibilities We are currently seeking a Senior Claims Specialist. This individual would be responsible for reviewing, processing, investigating, evaluating, negotiating and the settling of ...

North American Risk Services, Inc. (NARS)

Be Seen First

Sr. General Liability Claims Adjuster - NY Adjuster's License Needed

Philadelphia, PA · Remote

$85K - $95K/yr

Sr. General Liability Claims Adjuster - NY Adjuster's License Needed What You'll Do: · Maintain claim metrics; must be kept current. · Handle a case load commensurate with the complexity level of ...

North American Risk Services, Inc. (NARS)

Be Seen First

Sr. General Liability Claims Adjuster - NY Adjuster's License Needed

Philadelphia, PA · Remote

$85K - $95K/yr

Sr. General Liability Claims Adjuster - NY Adjuster's License Needed What You'll Do: · Maintain claim metrics; must be kept current. · Handle a case load commensurate with the complexity level of ...

Deloitte

Epic Denials Management Operator

Philadelphia, PA · Remote

$18.25 - $24.25/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 ...

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All JobsClaims JobsRemote Claims JobsRemote Claims Jobs in Riverside, NJ

Remote Claims information

See Riverside, NJ salary details

$30.8K

$65.3K

$90.9K

How much do remote claims jobs pay per year?

As of Aug 13, 2026, the average yearly pay for remote claims in Riverside, NJ is $65,254.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,500.00 and $76,300.00 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 Riverside, NJ? The most popular types of Claims jobs in Riverside, NJ are:
What are popular job titles related to Remote Claims jobs in Riverside, NJ? For Remote Claims jobs in Riverside, NJ, the most frequently searched job titles are:
What cities near Riverside, NJ are hiring for Remote Claims jobs? Cities near Riverside, NJ with the most Remote Claims job openings:
Remote Claims jobs near you
Infographic showing various Remote Claims job openings in Riverside, NJ as of August 2026, with employment types broken down into 1% Internship, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $65,254 per year, or $31.4 per hour.

Dedicated Account Workers' Compensation Adjuster (NY Claims)

CCMSI

Mount Laurel, NJ • On-site, Remote

$65K - $84K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Job description

OverviewWorkers' Compensation Claim Adjuster (New York)

Location: RemoteSchedule: 8:00 am-4:30 pm ETSalary Range: $70,000-$90,000+ depending on experience

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.

We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.

Why Experienced New York Adjusters Choose CCMSI

This is not a high-volume, multi-jurisdiction desk.

This role offers the opportunity to focus exclusively on New York Workers' Compensation claims within a dedicated client account supported by a highly collaborative team. You'll work alongside experienced professionals who value partnership, problem-solving, and quality claim handling over production quotas.

If you're looking for an environment where you can leverage your expertise, build client relationships, and manage claims strategically without constantly switching between jurisdictions, this may be the opportunity you're seeking.

What You Can Expect
  • 100% focus on New York Workers' Compensation claims
  • Dedicated client account
  • Remote work flexibility
  • Collaborative team environment with experienced claim professionals
  • Opportunity to manage claims proactively and strategically
  • Strong client relationships and partnership approach
  • Employee-owned culture where your contributions matter
  • Career growth opportunities within one of the nation's leading TPAs
Job Summary

We are seeking an experienced Workers' Compensation Claim Consultant with a strong New York claims background to manage a complex caseload from inception through resolution.

The ideal candidate brings at least five years of Workers' Compensation claims experience, possesses strong knowledge of New York Workers' Compensation laws and regulations, and thrives in a client-focused environment where quality claim outcomes, communication, and sound judgment are highly valued.

This position handles complex lost-time claims, develops claim strategies, collaborates with clients and vendors, and drives timely, cost-effective claim resolution while supporting injured workers throughout the claim lifecycle.

Responsibilities

When we hire Workers' Compensation Adjusters at CCMSI, we look for detaildriven problemsolvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust.

 
  • Investigate, evaluate, and adjust Workers' Compensation claims in accordance with New York Workers' Compensation laws, regulations, and CCMSI claim handling standards.
  • Develop and execute strategic action plans for complex claims.
  • Establish and manage reserves within established authority levels.
  • Authorize and approve payments in accordance with claim handling procedures and authority guidelines.
  • Evaluate medical, legal, vocational, and miscellaneous expenses for appropriateness and claim relevance.
  • Coordinate and oversee defense counsel, nurse case management, IMEs, surveillance, and other vendors as appropriate.
  • Negotiate settlements in accordance with client instructions, corporate standards, and applicable state regulations.
  • Identify and pursue subrogation and recovery opportunities.
  • Maintain proactive diary management and timely claim documentation.
  • Prepare claim status reports, reserve analyses, and client communications.
  • Compute disability benefits in accordance with New York Workers' Compensation requirements.
  • Communicate effectively with clients, injured workers, employers, medical providers, attorneys, and other claim stakeholders.
  • Participate in hearings, mediations, settlement conferences, and other claim-related proceedings as appropriate.
  • Deliver exceptional client service while maintaining compliance with corporate claim handling standards and client-specific requirements.
Qualifications

Required Qualifications

 
  • Minimum of five years of Workers' Compensation claims adjusting experience.
  • Active New York Workers' Compensation Adjuster's License.
  • Demonstrated experience handling New York lost-time and complex Workers' Compensation claims.
  • Strong working knowledge of New York Workers' Compensation statutes, regulations, and claim procedures.
  • Excellent investigation, negotiation, and analytical skills.
  • Ability to independently manage a full claim caseload and drive claims to resolution.
  • Proficiency with Microsoft Office products, including Word, Excel, and Outlook. 
Preferred Qualifications
  • Prior TPA experience.
  • Experience handling litigated New York Workers' Compensation claims.
  • Bilingual (Spanish) proficiency-highly valued for communicating with claimants, employers, providers, and vendors but this is NOT required 

Why You'll Love Working Here

  • 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
  • Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
  • Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
  • Career growth: Internal training and advancement opportunities
  • Culture: A supportive, team-based work environment

 

How We Measure Success 

 At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:  

  • Quality claim handling - thorough investigations, strong documentation, well-supported decisions
  • Compliance & audit performance - adherence to jurisdictional and client standards
  • Timeliness & accuracy - purposeful file movement and dependable execution
  • Client partnership - proactive communication and strong follow-through
  • Professional judgment - owning outcomes and solving problems with integrity
  • Cultural alignment - believing every claim represents a real person and acting accordingly

This is where we shine, and we hire adjusters who want to shine with us.

Compensation & Compliance

The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

Our Core Values

At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who:

  • Lead with transparency We build trust by being open and listening intently in every interaction.
  • Perform with integrity We choose the right path, even when it is hard.
  • Chase excellence We set the bar high and measure our success. What gets measured gets done.
  • Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
  • Win together Our greatest victories come when our clients succeed.  

We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you.

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Employment Type: OTHER

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