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Remote Health Claims Examiner Jobs (NOW HIRING)

ImageNetLLC

Claims Examiner - Remote

Tampa, FL · Remote

Salary: Claims Examiner - Remote Job Type: Full-time Work Setup: This is a fully remote position ... Understanding of health claims processing/adjudication * Ability to perform basic to intermediate ...

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

Claims Examiner - Remote Job Type: Full-time Work Setup: This is a fully remote position Work Hours ... Understanding of health claims processing/adjudication * Ability to perform basic to intermediate ...

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 ... Understanding of health claims processing/adjudication * Ability to perform basic to intermediate ...

ImagenetLLC

Claims Examiner - Remote

Tampa, FL · Remote

Claims Examiner - Remote Job Type : Full-time Work Setup: This is a fully remote position Work ... Understanding of health claims processing/adjudication * Ability to perform basic to intermediate ...

Western Growers

Claims Examiner I

Fresno, CA · On-site +1

$40K - $52K/yr

Ifyou'relooking for a career that provides affordable health benefit solutions to the people who ... Claims Examiner I is responsible for reviewing and processing medical, dental, vision, and ...

Insperity

Medical Claims Examiner

Los Angeles, CA · On-site +1

$20 - $25/hr

... Remote) Published date 07-Jul-2026 State California Country United States Zip Code 91311 ... If you're passionate about improving healthcare, we'd love to meet you. Best-in-Class Benefits and ...

Insperity

Medical Claims Examiner

CA · On-site +1

$20 - $25/hr

Description & Requirements Medical Claims Examiner Local Remote or In-Office Join a team where your ... If you're passionate about improving healthcare, we'd love to meet you. Best-in-Class Benefits and ...

Allcat Claims Service

Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...

Allcat Claims Service

Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...

Allcat Claims Service

Claims Examiner

New York, NY · Remote

Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...

Allcat Claims Service

Claims Examiner

Los Angeles, CA · Remote

Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...

Allcat Claims Service

Claims Examiner

OR · Remote

Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...

Allcat Claims Service

Claims Examiner

Florida, NY · Remote

Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...

Allcat Claims Service

Claims Examiner

North East, PA · Remote

Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...

Allcat Claims Service

Claims Examiner

Minto, AK · Remote

Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...

Trident

Medical Claims Examiner

$30/hr

We are seeking a highly skilled and independent Claims Examiner to join our team on a 100% remote ... health insurance claims. Because this is a fully remote, independent contractor position, we are ...

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Remote Health Claims Examiner information

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$15

$29

$45

How much do remote health claims examiner jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for remote health claims examiner in the United States is $29.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $35.10 per hour, depending on experience, location, and employer.

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

To thrive as a Remote Health Claims Examiner, you need strong analytical skills, attention to detail, and a solid understanding of healthcare billing and insurance claims processes, often supported by a relevant associate degree or experience in medical coding. Familiarity with claims management software, ICD-10 and CPT coding, and possibly certification like Certified Professional Coder (CPC) is typically required. Excellent written communication, time management, and problem-solving abilities are crucial soft skills for success in a remote environment. These competencies ensure accurate claims processing, compliance with regulations, and efficient resolution of claims, which are vital for organizational effectiveness and customer satisfaction.

How can I make 2000 a week working from home?

A Remote Health Claims Examiner can potentially earn $2,000 weekly by working full-time hours, often requiring strong attention to detail, knowledge of healthcare policies, and proficiency with claims processing software. Increasing earnings may involve taking on additional cases, gaining specialized certifications, or working for employers that offer higher pay rates for experienced examiners.

How much do claims examiners make in the US?

Claims examiners in the US typically earn a median annual salary of around $45,000 to $65,000, depending on experience, location, and employer. Remote health claims examiners may have similar pay ranges but can sometimes earn slightly less or more based on company policies and regional cost of living.

What companies hire remote claims adjusters?

Remote health claims examiners are often hired by insurance companies, third-party administrators, and healthcare organizations that handle claims processing remotely. These companies typically require knowledge of insurance policies, claims procedures, and sometimes certifications like the Certified Claims Professional (CCP). Many of these employers offer flexible schedules and remote work options for qualified candidates.

What does a Remote Health Claims Examiner do?

A Remote Health Claims Examiner reviews and processes insurance claims for healthcare services from a remote location, typically working from home. They analyze medical records, verify patient information, ensure that claims comply with policy requirements, and determine the appropriate amount to be paid. Their job also involves identifying fraudulent claims, communicating with healthcare providers, and ensuring accurate and timely claim resolution. Strong attention to detail, knowledge of medical terminology, and familiarity with insurance regulations are essential skills for this role.

What are some common challenges faced by Remote Health Claims Examiners, and how can they be effectively managed?

Remote Health Claims Examiners often encounter challenges such as interpreting complex medical documentation, staying updated on ever-changing insurance policies, and maintaining productivity while working independently. Effective time management, strong organizational skills, and clear communication with team members and providers are key to overcoming these hurdles. Utilizing training resources and actively participating in virtual meetings can also help remote examiners stay connected and informed about industry updates.

How to become a medical claims examiner?

To become a medical claims examiner, candidates typically need a high school diploma or equivalent, with some roles requiring postsecondary education or certification in health insurance or medical billing. Relevant skills include attention to detail, knowledge of medical terminology, and familiarity with claims processing software; obtaining certifications such as the Certified Professional Coder (CPC) or Certified Claims Examiner (CCE) can enhance job prospects.
More about Remote Health Claims Examiner jobs
What cities are hiring for Remote Health Claims Examiner jobs? Cities with the most Remote Health Claims Examiner job openings:
What states have the most Remote Health Claims Examiner jobs? States with the most job openings for Remote Health Claims Examiner jobs include:
What job categories do people searching Remote Health Claims Examiner jobs look for? The top searched job categories for Remote Health Claims Examiner jobs are:
Remote Health Claims Examiner jobs near you
Infographic showing various Remote Health Claims Examiner job openings in the United States as of July 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.
Claims Examiner - Remote

Claims Examiner - Remote

ImageNetLLC

Tampa, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 24 days ago

Job description

Salary:

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?

Wed love to meet you! ClickApply Nowand tell us why youd 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.