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 ...
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 ...
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 ...
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 ...
Job Title : Claims Examiner I or II This position could be hybrid or possibly fully remote ... Examines death or health claims on life and annuity insurance certificates and cancer product.
Job Title : Claims Examiner I or II This position could be hybrid or possibly fully remote ... Examines death or health claims on life and annuity insurance certificates and cancer product.
Claims Examiner I or II
Omaha, NE · On-site +1
$17 - $25/hr
Job Title : Claims Examiner I or II This position could be hybrid or possibly fully remote ... Examines death or health claims on life and annuity insurance certificates and cancer product.
Claims Examiner I or II
Omaha, NE · On-site +1
$17 - $25/hr
Job Title : Claims Examiner I or II This position could be hybrid or possibly fully remote ... Examines death or health claims on life and annuity insurance certificates and cancer product.
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 ...
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 ...
Claims Examiner I
Fresno, CA · On-site +1
$52K/mo
If you're looking 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 ...
Claims Examiner I
Fresno, CA · On-site +1
$52K/mo
If you're looking 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 ...
Health Plan and Healthcare Services Reporting to: Team Lead/Supervisor - Operations Role Description: The Claims Examiner evaluates insurance claims to determine whether their validity and how much ...
Health Plan and Healthcare Services Reporting to: Team Lead/Supervisor - Operations Role Description: The Claims Examiner evaluates insurance claims to determine whether their validity and how much ...
Claims Examiner
$17/hr
Health Plan and Healthcare Services Reporting to: Team Lead/Supervisor - Operations Pay Rate: $17/hr Role Description: The Claims Examiner evaluates insurance claims to determine whether their ...
Claims Examiner
$17/hr
Health Plan and Healthcare Services Reporting to: Team Lead/Supervisor - Operations Pay Rate: $17/hr Role Description: The Claims Examiner evaluates insurance claims to determine whether their ...
Medical Claims Examiner
Los Angeles, CA · On-site +1
$24 - $30/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 ...
Medical Claims Examiner
Los Angeles, CA · On-site +1
$24 - $30/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 ...
Health Plan and Healthcare Services Reporting to: Team Lead/Supervisor - Operations Role Description: The Claims Examiner evaluates insurance claims to determine whether their validity and how much ...
Health Plan and Healthcare Services Reporting to: Team Lead/Supervisor - Operations Role Description: The Claims Examiner evaluates insurance claims to determine whether their validity and how much ...
Claims Examiner
$17/hr
Health Plan and Healthcare Services Reporting to: Team Lead/Supervisor - Operations Pay Rate: $17/hr Role Description: The Claims Examiner evaluates insurance claims to determine whether their ...
Claims Examiner
$17/hr
Health Plan and Healthcare Services Reporting to: Team Lead/Supervisor - Operations Pay Rate: $17/hr Role Description: The Claims Examiner evaluates insurance claims to determine whether their ...
Claims Examiner
Bartlesville, OK · Remote
$32/hr
Remote Work Shift: Monday-Friday 8 am - 4:30 pm Recruiter Contact: Sean Craft I sean@marykraft.com I 443-345-3305 Nature & Scope: Positional Overview We are seeking an experienced Claims Examiner ...
Quick apply
Claims Examiner
Bartlesville, OK · Remote
$32/hr
Remote Work Shift: Monday-Friday 8 am - 4:30 pm Recruiter Contact: Sean Craft I sean@marykraft.com I 443-345-3305 Nature & Scope: Positional Overview We are seeking an experienced Claims Examiner ...
Medical Claims Examiner
CA · Remote
$24 - $30/hr
Description & Requirements Medical Claims Examiner- Chatsworth Local Remote or In-Office Join a ... If you're passionate about improving healthcare, we'd love to meet you. Best-in-Class Benefits and ...
Medical Claims Examiner
CA · Remote
$24 - $30/hr
Description & Requirements Medical Claims Examiner- Chatsworth Local Remote or In-Office Join a ... If you're passionate about improving healthcare, we'd love to meet you. Best-in-Class Benefits and ...
Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...
Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...
Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...
Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...
Medical Claims Examiner
CA · On-site +1
$24 - $30/hr
Description & Requirements Medical Claims Examiner- Chatsworth Local Remote or In-Office Join a ... If you're passionate about improving healthcare, we'd love to meet you. Best-in-Class Benefits and ...
Quick apply
Medical Claims Examiner
CA · On-site +1
$24 - $30/hr
Description & Requirements Medical Claims Examiner- Chatsworth Local Remote or In-Office Join a ... If you're passionate about improving healthcare, we'd love to meet you. Best-in-Class Benefits and ...
Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...
Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...
Claims Examiner
OR · On-site +1
Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...
Claims Examiner
OR · On-site +1
Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...
Claims Examiner
New York, NY · On-site +1
Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...
Claims Examiner
New York, NY · On-site +1
Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...
Claims Examiner
Los Angeles, CA · On-site +1
Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...
Claims Examiner
Los Angeles, CA · On-site +1
Remote Department: Flood - Quality Assurance Primary Duties * Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific ...
Remote Health Claims Examiner information
See salary details
$15.38 - $18.16
8% of jobs
$18.16 - $20.94
11% of jobs
$22.09 is the 25th percentile. Wages below this are outliers.
$20.94 - $23.71
13% of jobs
$23.71 - $26.49
17% of jobs
The median wage is $26.83 / hr.
$26.49 - $29.26
8% of jobs
$29.26 - $32.04
9% of jobs
$34.50 is the 75th percentile. Wages above this are outliers.
$32.04 - $34.81
9% of jobs
$34.81 - $37.59
9% of jobs
$37.59 - $40.36
3% of jobs
$40.36 - $43.14
5% of jobs
$43.14 - $45.91
6% of jobs
$15
$29
$45
How much do remote health claims examiner jobs pay per hour?
As of Aug 18, 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 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 the key skills and qualifications needed to thrive as a remote health claims examiner?
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.
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 much do remote health claims examiners make in the US?
Remote health claims examiners in the US typically earn between $40,000 and $60,000 annually, with some positions offering higher pay based on experience and certifications. The role often requires strong attention to detail, knowledge of insurance policies, and proficiency with claims processing software.
How to become a remote health claims examiner?
To become a remote health claims examiner, candidates typically need a high school diploma or equivalent, with some roles requiring an associate's or bachelor's degree in health administration, insurance, or related fields. Relevant skills include attention to detail, knowledge of medical terminology, and proficiency with claims processing software; certifications such as the Certified Professional Coder (CPC) can enhance prospects. Employers often provide training, and the role usually involves working independently in a home office environment with a standard work schedule.
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:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 15 days ago
Job description
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?
We'd love to meet you! Click"Apply Now"and tell us why you'd 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.