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Operations Manager, Claims/Quality

Greenwich, CT · Remote

$85K - $100K/yr

Monitor, organize, and coach team on a day-to-day basis. • Ensure Service Levels are met. • Preparing a remote Claims for growth; Preparing and overseeing an offshore Claims Team for growth • ...

ImageNetLLC

Claims Examiner - Remote

Tampa, FL · Remote

Job Type: Full-time This is a fully remote position Responsibilities: * Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement ...

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

Job Type: Full-time This is a fully remote position Responsibilities: * Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement ...

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

Job Type: Full-time This is a fully remote position Responsibilities: * Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement ...

Imagenet

Claims Quality Auditor - Remote

Tampa, FL · On-site +1

Claims Quality Auditor| Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor Position Summary: The Claims Quality Auditor plays a key role in ensuring the accuracy, compliance ...

ImageNetLLC

Claims Quality Auditor - Remote

Tampa, FL · Remote

Claims Quality Auditor| Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor Position Summary: TheClaims Quality Auditor plays a key role in ensuring the accuracy, compliance ...

Imagenet

Claims Quality Auditor - Remote

Tampa, FL · Remote

Claims Quality Auditor| Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor Position Summary: TheClaims Quality Auditor plays a key role in ensuring the accuracy, compliance ...

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Remote Claims information

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$30.5K

$64.6K

$90K

How much do remote claims jobs pay per year?

As of Jul 3, 2026, the average yearly pay for remote claims in the United States is $64,609.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,000.00 and $75,500.00 per year, depending on experience, location, and employer.

What are some 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 are the key skills and qualifications needed to thrive as a Remote Claims Specialist, and why are they important?

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 remote claims jobs?

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.

More about Remote Claims jobs
What cities are hiring for Remote Claims jobs? Cities with the most Remote Claims job openings:
What are the most commonly searched types of Claims jobs? The most popular types of Claims jobs are:
What states have the most Remote Claims jobs? States with the most job openings for Remote Claims jobs include:
What job categories do people searching Remote Claims jobs look for? The top searched job categories for Remote Claims jobs are:
Remote Claims jobs near you
Infographic showing various Remote Claims job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 91% Full Time, 6% Part Time, and 2% Contract. Highlights an 37% Physical, 3% Hybrid, and 60% Remote job distribution, with an average salary of $64,609 per year, or $31.1 per hour.

Healthcare Claims Processor, Remote

The Nippon Telegraph and Telephone Corporation (NTT)

Remote

$17.50 - $22/hr

Other

This job post has expired today. Applications are no longer accepted.

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JobDiva # 26-01251
Issued: 06/16/26 3:45 PM Title: Optional Ref#: Contact: Company/Dep: Division: ddr 1: ddr 2: City State Country: Zip County: Bill Rate: - / Pay Rate: - / Start:
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APPLICANTS INTERESTED EMAIL/TEXT MERGED SUPPLIER SUBMITTALS AGENT SEARCH NOTES SUBMITTED DIVAMATCH
Job Description
At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring, the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.
NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this Role the candidate will be responsible for:

  • Processing of Professional claim forms files by provider
  • Reviewing the policies and benefits
  • Comply with company regulations regarding HIPAA, confidentiality, and PHI
  • Abide with the timelines to complete compliance training of NTT Data/Client
  • Work independently to research, review and act on the claims
  • Prioritize work and adjudicate claims as per turnaround time/SLAs
  • Ensure claims are adjudicated as per clients defined workflows, guidelines
  • Sustaining and meeting the client productivity/quality targets to avoid penalties
  • Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA.
  • Timely response and resolution of claims received via emails as priority work
  • Correctly calculate claims payable amount using applicable methodology/ fee schedule

Requirements:
  • 1-3 year(s) hands-on experience in Healthcare Claims Processing
  • 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools
  • High school diploma or GED.
  • Previously performing - in P&Q work environment; work from queue; remotely
  • Key board skills and computer familiarity -
    • Toggling back and forth between screens/can you navigate multiple systems.
    • Working knowledge of MS office products - Outlook, MS Word and MS-Excel.
  • Must be able to work 8 am - 4 pm EST online/remote (training is required on-camera).
  • Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities
  • Time management with the ability to cope in a complex, changing environment
  • Ability to communicate (oral/written) effectively in a professional office setting

Preferred Skills & Experiences:
  • Xcelys Preferred

About NTT DATA
NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long-term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. Visit us at us.nttdata.com
NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here . If you'd like more information on your EEO rights under the law, please click here . For Pay Transparency information, please click here .

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