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Remote Cvs Claims Processing Jobs (NOW HIRING)

Spotter

Spotter AI is on the lookout for a dedicated and detail-oriented Claims Specialist to enhance our claims processing team. This remote position is vital in ensuring that our clients receive prompt and ...

Health Admins

Claims Processor

Austin, TX · Remote

$17.50 - $22/hr

Texas (Remote); Austin, TX (preferred) Job Type: Full-time, Non-Exempt About Us Health Admins is a ... As a key member of our organization, you will be responsible for processing medical claims ...

Karna, LLC

$20 - $25/hr

Claims Review and Processing: Analyze and process a variety of complex medical claims in accordance ... PM18 #remote

Health Admins

Claims Team Lead

Austin, TX · Remote

Texas (Remote); Austin, TX (preferred) Job Type: Full-time, Non-Exempt About Us Health Admins is a ... The Claims Team Lead for Claims Processing bridges Claims Processors and the Management team ...

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$25 - $29/hr

Arizona - Remote What you will be doing: * Conducts medical claims review using current claims processing guidelines and established clinical criteria e.g. CDST and policy keys, to evaluate medical ...

Conduent, Inc.

Claims Processor

KY · Remote

$18/hr

Claims Processor (Remote) Are you detail-oriented with claims experience and looking for a remote opportunity where your performance is rewarded? We're hiring Claims Processors to join our team! Pay ...

Imagenet

Claims Quality Analyst - Remote

Omaha, NE · On-site +1

Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

WPS Health Solutions

Appeals Claims Processor

Madison, WI · On-site +1

$19.60/hr

This is a 100% remote opportunity within any of our approved remote worker states. We are open to ... processing role. * Knowledge of TRICARE Policy Manuals and eligibility guidelines, claims ...

WPS

Appeals Claims Processor

Madison, WI · On-site +1

$19.60/hr

This is a 100% remote opportunity within any of our approved remote worker states. We are open to ... processing role. * Knowledge of TRICARE Policy Manuals and eligibility guidelines, claims ...

Imagenet

Claims Quality Analyst - Remote

Omaha, NE · Remote

Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

ImageNetLLC

Claims Quality Analyst - Remote

Omaha, NE · Remote

Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

Allied Tech

Claims Specialist

Austin, TX · Remote

$48K - $60K/yr

Claims Specialist We support clients by keeping their insurance claims processing organized ... Fully remote position * Competitive health, dental, and vision insurance * 401(k) with up to 6% ...

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$26.40 - $27.88/hr

Review and validate claims using established criteria and processing guidelines. * Prepare cases ... Eligible Locations The position is remote, but you can only reside in the following states: AK, AR ...

CareFirst

Claims Processor I (Remote)

Baltimore, MD · Remote

$17 - $21.25/hr

Examines and resolves non-adjudicated claims to identify key elements of processing requirements based on contracts, policies and procedures. Process product or system-specific claims to ensure ...

New

Conduent, Inc.

Remote Claims Processor

Chesapeake, VA · On-site +1

$15/hr

Remote Claims Processor Schedule: Flexible shifts between 6:00 AM - 10:30 PM (based on business ... Log into internal systems and begin processing claims * Accurately enter and review data in a high ...

Conduent, Inc.

Remote Claims Processor

VA · Remote

$15/hr

Remote Claims Processor Schedule: Flexible shifts between 6:00 AM - 10:30 PM (based on business ... Log into internal systems and begin processing claims * Accurately enter and review data in a high ...

Conduent, Inc.

Remote Claims Processor

Chesapeake, VA · On-site +1

$15/hr

Remote Claims Processor Schedule: Flexible shifts between 6:00 AM - 10:30 PM (based on business ... Log into internal systems and begin processing claims * Accurately enter and review data in a high ...

Conduent, Inc.

Remote Claims Processor

VA · Remote

$15/hr

Remote Claims Processor Schedule: Flexible shifts between 6:00 AM - 10:30 PM (based on business ... Log into internal systems and begin processing claims * Accurately enter and review data in a high ...

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Remote Cvs Claims Processing information

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How much do remote cvs claims processing jobs pay per hour?

As of Jun 7, 2026, the average hourly pay for remote cvs claims processing in the United States is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 per hour, depending on experience, location, and employer.

What are Remote CVS Claims Processing jobs?

Remote CVS Claims Processing jobs involve reviewing, validating, and managing insurance claims for CVS Health customers from a remote location, such as your home. Employees in these roles are responsible for ensuring claims are processed accurately, efficiently, and in accordance with company and regulatory guidelines. Duties may include data entry, verifying patient and provider information, communicating with healthcare providers or insurance companies, and resolving discrepancies. These positions typically require attention to detail, strong communication skills, and familiarity with health insurance procedures. Working remotely offers flexibility, but also requires self-motivation and reliable internet access.

What are some common challenges faced by remote CVS claims processors, and how can they be managed effectively?

Remote CVS claims processors often encounter challenges such as staying organized while handling high volumes of claims, maintaining consistent communication with team members, and ensuring data security when working offsite. To manage these effectively, it's important to establish a clear daily workflow, utilize secure and company-approved communication platforms, and participate in regular team check-ins to stay aligned on procedures and updates. Additionally, proactively seeking feedback and leveraging available training resources can help improve accuracy and efficiency in a remote environment.

What is the difference between Remote Cvs Claims Processing vs Remote Insurance Claims Adjuster?

AspectRemote Cvs Claims ProcessingRemote Insurance Claims Adjuster
Required CredentialsHigh school diploma or equivalent; basic insurance knowledgeLicensing or certification often required; insurance adjuster license
Work EnvironmentPrimarily administrative, data entry, and customer serviceInvestigating claims, assessing damages, negotiating settlements
Employer & Industry UsageUsed mainly by CVS Health and insurance companies for claims processingUsed by insurance carriers across various sectors for claim assessment

Remote Cvs Claims Processing roles focus on administrative tasks related to insurance claims within CVS or similar companies, while Remote Insurance Claims Adjusters actively investigate and evaluate claims. Both roles require insurance knowledge, but adjusters typically need licensing and have more investigative responsibilities.

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

To thrive as a Remote CVS Claims Processor, you need strong attention to detail, knowledge of insurance policies, and experience with claims processing, typically supported by a high school diploma or equivalent. Familiarity with claims management systems, pharmacy benefit management software, and Microsoft Office Suite is essential. Excellent organizational skills, clear communication, and the ability to work independently are important soft skills in this role. These competencies ensure accurate claims handling, regulatory compliance, and efficient remote collaboration, which are crucial for timely and error-free claims processing.
Claims Specialist -- Trucking

Claims Specialist -- Trucking

Spotter

On-site, Remote

Full-time

Posted 22 days ago

Job description

Spotter AI is on the lookout for a dedicated and detail-oriented Claims Specialist to enhance our claims processing team. This remote position is vital in ensuring that our clients receive prompt and fair assessments of their trucking claims. As a Trucking Claims Specialist, you will leverage your knowledge of trucking operations, maintenance costs, and claims management to deliver exceptional service.
Key Responsibilities:
  • Claims Assessment: Review and evaluate trucking claims submitted by clients to determine their validity, coverage, and potential payouts. Conduct thorough investigations to collect relevant information from various parties involved, including drivers, trucking companies, and insurance adjusters.
  • Cost Analysis: Utilize your expertise to analyze maintenance records, repair invoices, and other documentation to accurately calculate truck and trailer maintenance costs. This analysis is crucial for determining the appropriate claim amount and ensuring the claims process is efficient.
  • Documentation and Reporting: Maintain accurate and comprehensive records of all claims, communications, and decisions made throughout the claims process. Prepare detailed reports as necessary to summarize findings and support claims decisions.
  • Customer Communication: Serve as the primary point of contact for clients during the claims process. Communicate clearly and effectively, addressing any questions or concerns they may have while providing updates on claim status.
  • Regulatory Compliance: Stay informed about industry regulations, company policies, and best practices related to claims processing. Ensure that all claims are handled in compliance with applicable laws and regulations to mitigate risk for both clients and the company.
  • Continuous Improvement: Collaborate with team members to identify opportunities for improving claims processing efficiency and accuracy. Share insights and best practices to enhance overall team performance.

Qualifications:
  • Industry Knowledge: Strong understanding of trucking operations, including familiarity with truck and trailer maintenance practices and costs. Previous experience in the trucking industry is a significant advantage.
  • Claims Experience: Experience in claims processing, insurance, or a related field is preferred. Understanding of claims management software is a plus.
  • Analytical Skills: Excellent analytical and problem-solving abilities. You should be capable of interpreting complex data and drawing accurate conclusions to support claims assessments.
  • Communication Skills: Strong verbal and written communication skills are essential. You must be able to articulate findings clearly and work effectively with clients and colleagues.
  • Attention to Detail: Detail-oriented with strong organizational skills. Ability to manage multiple claims simultaneously while ensuring accuracy and timeliness.
  • Technical Proficiency: Proficiency in relevant software and tools for claims management and documentation. Comfortable using digital communication tools for remote work.

Why Join Spotter?
  • Flexible Work Environment: Benefit from a fully remote work setup, allowing you to maintain a healthy work-life balance.
  • Growth Opportunities: Be part of a forward-thinking company in the trucking industry, with opportunities for professional development and career advancement.
  • Collaborative Culture: Join a supportive team that values collaboration, innovation, and continuous improvement.

Department Safety Role Claims Agent Locations Lemont Remote status Fully Remote

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