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Remote Fmla Claims Specialist Jobs (NOW HIRING)

TRILLIUM HEALTH RESOURCES

Claims Specialist III

NC · Remote

$56K - $69K/yr

Claims Specialist III FLSA Status: Exempt Posting Salary Range: $56,270 - $69,898 Office Location ... Remote within North Carolina POSTING DETAILS: Make an Impact Trillium Health Resources is a ...

Spotter

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 ...

TRILLIUM HEALTH RESOURCES

Claims Specialist II

NC · Remote

$42K - $61K/yr

Claims Specialist II FLSA Status: Non-Exempt Posting Salary Range: $42,765 - $61,546 Office ... Remote within North Carolina POSTING DETAILS: Make an Impact Trillium Health Resources is a ...

SynergisticIT

Annuity Claims Specialist -Remote

$40 - $45/hr

The Annuity Claims Specialist will review contestable death claims related to annuities and ... This is a remote position. Compensation: $40.00 - $45.00 per hour Our History Years ago ...

Amerita

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

Join our PharMerica team as a Claims Specialist, where you'll play a key role in ensuring our ... Remote Flexibility : This position is 100% remote, giving you the freedom to work from anywhere! ...

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How much do remote fmla claims specialist jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for remote fmla claims specialist in the United States is $23.50, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $25.72 per hour, depending on experience, location, and employer.

What is a remote FMLA claims specialist?

Remote FMLA Claims Specialists are professionals who process and manage claims related to the Family and Medical Leave Act (FMLA) while working from a remote location. They review employee eligibility, ensure compliance with FMLA regulations, communicate with employees and employers, and maintain accurate documentation throughout the leave process. Their role is crucial in supporting both employees and organizations in navigating the complexities of FMLA leave, all while performing their duties from home or another remote setting.

What skills and qualifications are needed to thrive as a remote FMLA claims specialist?

To thrive as a Remote FMLA Claims Specialist, you need a strong understanding of FMLA regulations, claims processing, and attention to detail, often supported by experience in human resources or benefits administration. Proficiency with claims management systems, HRIS platforms, and secure communication tools is typically required. Exceptional organizational skills, empathy, and clear written and verbal communication set top performers apart. These skills ensure accurate and compliant claims handling, protect both employees and employers, and maintain trust in remote work environments.

What are the main challenges remote FMLA claims specialists face when managing claims, and how can they overcome them?

Remote FMLA Claims Specialists often encounter challenges such as handling high volumes of sensitive cases, staying current with changing federal and state regulations, and effectively communicating with both employees and employers. Since the role is remote, it also demands strong self-organization and the ability to work independently while maintaining compliance and confidentiality. To overcome these hurdles, specialists should utilize robust case management software, participate in ongoing training, and foster open communication channels with their team and clients for timely issue resolution.

What is the difference between Remote Fmla Claims Specialist vs Remote Disability Claims Analyst?

AspectRemote Fmla Claims Specialist

The Remote Fmla Claims Specialist primarily handles Family and Medical Leave Act (FMLA) claims, focusing on employee leave eligibility, documentation, and compliance. The Remote Disability Claims Analyst manages broader disability claims, including short-term and long-term disability, often requiring knowledge of insurance policies and medical assessments. Both roles require similar certifications, such as claims processing training, and work in remote environments within healthcare or insurance industries. While they share overlapping skills, the FMLA specialist concentrates on leave laws, whereas the disability analyst deals with disability benefit management.

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Remote Fmla Claims Specialist jobs near you
Infographic showing various Remote Fmla Claims Specialist job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.

Claims Specialist with FineOS - Remote

Northern Base

Cincinnati, OH • Remote

Full-time

PTO

Re-posted 5 hours ago

Job description

Claims Specialist with FineOS
Remote
Fulltime

Responsibilities:
To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments.
Review and analyze the claim nuances, eligibility review, and type of claims (intermittent or continuous)
Review and analyze medical information (i.e. attending physician reports, medical records such as diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined.
Approval or denial on FMLA claims as per Insurance carrier, and employer’s guidelines
Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to US paid family law regulations.
Review claims for Not in good order cases, and work on securing missing documentations including employee, physician, or employer outreach.
Communicates clearly with the claimants and clients to set expectations on all aspects of claims process either by phone and/or written correspondence.
Reviews client critical deliverables, manages the overall workload, and second-level process escalation.
Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Refers cases as appropriate to team lead and clinical case management
Responsible for managing the day-to-day workload and first-level process escalation, and reviews processes for accuracy and timeliness where applicable in case of peer reviews.
Provide ideas to management on continuous improvement and service level management
Performs other duties or participates in special projects as assigned

Requirements:
1+ year of Disability/FMLA/PFL claims or insurance claims experience
Experience working with FINEOS
Working knowledge of medical terminology and documents, including APS, Diagnostic Tests, Imaging Tests reports
Knowledge of disability insurance claims, benefits administration, offsets and deductions, disability duration and medical management practices mandatory
Excellent oral and written communication, including presentation skills
Strong Analytical, decision making, problem solving, and people management skills
Computer experience with keyboarding skills and proficiency in using software applications and packages including MS Office (Excel, Word, PPT)
Willingness to embrace change in a fast paced work environment
A strong desire to continuously learn and improve
Identify escalated cases and work with Team Leader to develop a plan to address key issues.