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Remote Dental Claim Reviewer Jobs in Rio Rancho, NM

Onco360

Pharmacy Claims Adjudication Specialist

Albuquerque, NM · Remote

$22/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote/hybrid opportunity, Shift times start at 10am Mountain Time Zone until 8pm ... The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for ...

Onco360

Pharmacy Benefits Verification Specialist

Albuquerque, NM · On-site +1

$23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote/hybrid opportunity, Shift times start at 10am Mountain Time Zone until 8pm ... claim response and determine optimal reimbursement, then document outcome of benefits review in CPR ...

Onco360

Pharmacy Prior Authorization Specialist

Albuquerque, NM · Remote

$19.75 - $25.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote work if licensed in State of New Mexico. Why Join Us? * A career with purpose: Help patients ... Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Tuition ...

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All JobsDental Claim Reviewer JobsRemote Dental Claim Reviewer JobsRemote Dental Claim Reviewer Jobs in Rio Rancho, NM

Remote Dental Claim Reviewer information

See Rio Rancho, NM salary details

$32.9K

$82.6K

$130.7K

How much do remote dental claim reviewer jobs pay per year?

As of Aug 14, 2026, the average yearly pay for remote dental claim reviewer in Rio Rancho, NM is $82,643.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,000.00 and $98,800.00 per year, depending on experience, location, and employer.

What does a remote dental claim reviewer do?

A typical workday for a Remote Dental Claim Reviewer involves reviewing dental insurance claims, verifying the accuracy of submitted information, and ensuring compliance with policy guidelines. You’ll spend much of your time analyzing patient records, coordinating with dental offices to resolve discrepancies, and documenting claim decisions in specialized software. Collaboration with other reviewers and quality assurance teams is common to ensure consistency and accuracy. While the work is largely independent, you may participate in regular virtual meetings and training sessions to stay current with policy updates and industry standards.

What is a remote dental claim reviewer?

A Remote Dental Claim Reviewer evaluates dental insurance claims to determine coverage eligibility and ensure accuracy based on policy guidelines. They review documentation, such as X-rays and treatment notes, to verify procedures and identify potential fraud or coding errors. This role requires knowledge of dental terminology, coding (such as CDT codes), and insurance policies. Typically, the job is performed from home using secure access to claim processing systems.

What are the key skills and qualifications needed to thrive as a remote dental claim reviewer?

To thrive as a Remote Dental Claim Reviewer, you need a solid understanding of dental terminology, insurance policies, and claim processing, often supported by experience in dental billing or dental assisting. Familiarity with dental claims management software such as Dentrix, Eaglesoft, or payer-specific online portals is typically required, and certification such as Certified Dental Coder (CDC) can be a plus. Strong attention to detail, analytical thinking, and effective written communication skills help set candidates apart when evaluating complex claims and corresponding with providers. These capabilities are crucial for ensuring accurate claim adjudication, minimizing errors, and maintaining a high standard of service for both patients and insurance carriers.

What are popular job titles related to Remote Dental Claim Reviewer jobs in Rio Rancho, NM?

For Remote Dental Claim Reviewer jobs in Rio Rancho, NM, the most frequently searched job titles are:

What job categories do people searching Remote Dental Claim Reviewer jobs in Rio Rancho, NM look for?

The top searched job categories for Remote Dental Claim Reviewer jobs in Rio Rancho, NM are:

Remote Dental Claim Reviewer jobs near you

Commercial Auto, Bodily Injury, GL CE III (Remote)

TEEMA

Albuquerque, NM • Remote

Full-time

Posted 13 days ago

Job description

Join a respected claims and risk-management organization as a senior-level Casualty Claims Adjuster. This fully remote opportunity is ideal for an experienced professional who enjoys independently managing complex commercial auto, bodily injury, and general liability claims from initial review through resolution, including litigated files.

You will own an assigned inventory of claims across multiple jurisdictions, applying sound coverage analysis, investigation, reserve-setting, negotiation, and settlement strategies. This is a highly visible role with direct interaction with clients, defense counsel, claimants, attorneys, and investigative partners.

Responsibilities include:

  • Handle commercial auto, bodily injury, and general liability claims, including litigated and non-litigated matters

  • Analyze coverage, liability, damages, and potential exposure

  • Set and maintain accurate reserves; develop well-supported settlement recommendations

  • Direct outside investigators and coordinate with counsel and client stakeholders

  • Prepare detailed loss reports and maintain complete, timely claim documentation

  • Identify subrogation and risk-transfer opportunities

  • Maintain an organized claim diary and provide responsive, high-quality client service

Requirements:

  • Active New York State and California Adjuster Licenses—required

  • 3+ years of auto and general liability claims handling experience

  • Strong knowledge of coverage, litigation management, claim investigation, and negotiation

  • Excellent analytical, written, verbal, organizational, and decision-making skills

  • Ability to manage a file inventory independently in a fast-paced remote environment

  • High school diploma or GED required; bachelor’s degree and additional state licenses preferred

This is an excellent opportunity to take ownership of meaningful casualty claims work while working remotely.

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About Teema

Sourced by ZipRecruiter

TEEMA is an award-winning, industry-leading recruitment agency dedicated to building meaningful relationships across North America. We achieve this time after time by consistently sourcing, screening, managing and securing top talent tailored to employers’ specific needs. The team that makes this happen consists of hundreds of experienced professional recruiters backed by exceptional, tenured leadership and back-office support. No matter how unique or challenging your hiring needs may be or how misunderstood or undervalued your in-demand skills may be in your current role, we have you covered. Our primary objective is to provide an exceptional recruitment experience for our clients and candidates and an ecosystem that empowers our team to thrive.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Litchfield Park, AZ, US

Social media

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