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Remote Claims Jobs in Spring Hill, FL (NOW HIRING)

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

Claims Examiner - Remote Job Type: Full-time Work Setup: This is a fully remote position Work Hours:Pacific Time Zone We are looking for Experienced Claims Examiner to join our rapidly growing team.

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

Claims Examiner - Remote Job Type: Full-time Work Setup: This is a fully remote position Work Hours: Pacific Time Zone We are looking for Experienced Claims Examiner to join our rapidly growing team.

Crawford & Company - América Latina

Claims Clerk

Tampa, FL · Remote

$12.03 - $21.99/hr

Claims Clerk (Remote) Ready to kickstart your career in a fastmoving, supportive environment? Join us as a Claims Clerk and help keep our claims operations organized and running smoothly-right from ...

USAA

Manager, Claims Operations - Auto Claims Core

Tampa, FL · On-site +1

$103K - $197K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity As a dedicated Manager, Claims Operations, you ...

New

USAA

Manager, Claims Operations - Auto Claims Core

Tampa, FL · On-site +1

$103K - $197K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity As a dedicated Manager, Claims Operations, you ...

New

USAA

Manager, Claims Operations - Auto Claims Core

Tampa, FL · On-site +1

$103K - $197K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs. The Opportunity As a dedicated Manager, Claims Operations, you ...

New

USAA Careers

Sr. Injury Claims Adjuster

Tampa, FL · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Prioritizes and manages assigned claims workload to keep members and other involved parties ...

USAA

Sr. Injury Claims Adjuster

Tampa, FL · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Prioritizes and manages assigned claims workload to keep members and other involved parties ...

USAA

Sr. Injury Claims Adjuster

Tampa, FL · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Prioritizes and manages assigned claims workload to keep members and other involved parties ...

USAA

Inside Senior Property Claims Adjuster

Tampa, FL · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Proactively manage assigned claims caseload comprised of claims with moderate complexity damages ...

USAA

Inside Senior Property Claims Adjuster

Tampa, FL · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Proactively manage assigned claims caseload comprised of claims with moderate complexity damages ...

USAA

Inside Senior Property Claims Adjuster

Tampa, FL · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Proactively manage assigned claims caseload comprised of claims with moderate complexity damages ...

Markel International

Claims Examiner

Tampa, FL · On-site +1

$62K - $85K/yr

Confirms coverage of claims by reviewing policies and documents submitted in support of claims. Analyzes coverage and communicates coverage positions. * Drafts coverage position letters independently

Molina Healthcare

Examiner, Claims Location: FL

Tampa, FL · Remote

$14 - $26.42/hr

Job Summary Provides support for claims examination activities including evaluation of adjudication of claims to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments ...

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All JobsClaims JobsRemote Claims JobsRemote Claims Jobs in Spring Hill, FL

Remote Claims information

See Spring Hill, FL salary details

$25.9K

$54.8K

$76.4K

How much do remote claims jobs pay per year?

As of Aug 14, 2026, the average yearly pay for remote claims in Spring Hill, FL is $54,814.00, according to ZipRecruiter salary data. Most workers in this role earn between $43,300.00 and $64,100.00 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 Spring Hill, FL?

The most popular types of Claims jobs in Spring Hill, FL are:

What are popular job titles related to Remote Claims jobs in Spring Hill, FL?

For Remote Claims jobs in Spring Hill, FL, the most frequently searched job titles are:

What job categories do people searching Remote Claims jobs in Spring Hill, FL look for?

The top searched job categories for Remote Claims jobs in Spring Hill, FL are:

What cities near Spring Hill, FL are hiring for Remote Claims jobs?

Cities near Spring Hill, FL with the most Remote Claims job openings:

Remote Claims jobs near you
Infographic showing various Remote Claims job openings in Spring Hill, FL as of August 2026, with employment types broken down into 1% Internship, 79% Full Time, 18% Part Time, and 2% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $54,814 per year, or $26.4 per hour.

Claims Examiner - Remote

Imagenet

Tampa, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago

Job description

Claims Examiner - Remote


Job Type: Full-time

Work Setup: This is a fully remote position
Work Hours:Pacific Time Zone


We are looking forExperienced Claims Examiner to join our rapidly growing team.

Experience isrequiredfor this position.


Job Overview:

As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual agreements, regulatory requirements, and internal policies.


Responsibilities:

  • Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
  • Review and investigate provider dispute requests, appeals, and reconsiderations related to processed medical claims.
  • Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
  • Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
  • Participate in ongoing training and professional development activities.
  • Maintain accurate and detailed records of claims processing activities.
  • Review claim forms and supporting documents
  • Determine eligibility, verify data accuracy
  • Request additional information when needed
  • Process claims end-to-end
  • Identify and escalate complex or unusual claims for further review or investigation.
  • Participate in ongoing training and professional development activities.
  • Handle more complex claims with multiple services, providers


Experience:

  • At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment.
  • Experience processing Provider Dispute Resolution (PDR), appeals, reconsiderations, or claim adjustments is highly preferred.
  • Understanding of health claims processing/adjudication
  • Ability to perform basic to intermediate mathematical computation routines
  • Medical terminology strongly preferred
  • Understanding of ICD-9 & ICD-10
  • Basic MS office computer skills
  • Ability to work independently or within a team
  • Time management skills
  • Written and verbal communication skills
  • Attention to detail
  • Must be able to demonstrate sound decision-making skills


What We Offer

  • Remote work offered
  • Equipment provided
  • Paid trainingto set you up for success
  • Comprehensive benefits:Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth


Ready to Grow Your Career?

We'd love to meet you! Click"Apply Now"and tell us why you'd be a great addition to the Imagenet team.


About Imagenet, LLC

Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans' members and providers.


The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans' members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.


Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.

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