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Remote Health Claims Examiner Jobs (NOW HIRING)

Allcat Claims Service

Claims Examiner

Minto, AK · 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 ...

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 · 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 ...

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 ...

Gallagher

Claims Examiner

Oakland, CA · Remote

Overview This is a remote position located in California. Keenan is a leading insurance brokerage ... The Claims Examiner is responsible for liability claims and property damage claims to their ...

NTT DATA Services

Claims Examiner Remote

Plano, TX · On-site +1

We are currently seeking a Claims Examiner Remote to join our team in Plano, Texas (US-TX), United ... in Healthcare Claims Processing 2+ year(s) using a computer with Windows applications using a ...

Harris

Claims Examiner

New York, NY · Remote

Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim ... Remote work environment role with regular business hours (9:00am - 6:00pm Eastern). * Occasional ...

NTT DATA Services

Claims Examiner Remote

Plano, TX · On-site +1

We are currently seeking a Claims Examiner Remote to join our team in Plano, Texas (US-TX), United ... experience in Healthcare Claims Processing • 2+ year(s) using a computer with Windows ...

NTT DATA Services

Claims Examiner Remote

Plano, TX · On-site +1

We are currently seeking a Claims Examiner Remote to join our team in Plano, Texas (US-TX), United ... experience in Healthcare Claims Processing • 2+ year(s) using a computer with Windows ...

Harris

Claims Examiner

New York, NY · Remote

Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim ... Remote work environment role with regular business hours (9:00am - 6:00pm Eastern). * Occasional ...

Berkley

AVP, Sr. Claims Examiner

Manhattan, NY · Remote

$132K - $189K/yr

... remote Key functions include but are not limited to: * Adjusting all aspects of claims and loss ... Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit ...

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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 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.
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What states have the most Remote Health Claims Examiner jobs?

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Remote Health Claims Examiner jobs near you
Infographic showing various Remote Health Claims Examiner job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 76% Full Time, 16% Part Time, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

Claims Examiner

Allcat Claims Service

Minto, AK • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 8 days ago

Allcat Claims Service rating

5.6

Company rating: 5.6 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

295th of 309 rated insurance

Job description

This position is for our subsidiary:

Allcat Claims Service, LLC

To know more, visit us at http://www.allcatclaims.com

Position Summary
This is an intermediary level examiner position within Allcat's Flood program. This is a predominantly Flood QA review position with desk adjusting possibilities. In this position you will be required to review flood claims and provide feedback to field adjusters based on your prior claims adjusting experience. All claim will be reviewed and approved in line within current Standard Flood Insurance Policy guidelines.
We Have Immediate Openings - Start Right Away!

ABOUT ALLCAT CLAIMS SERVICE

Established over 26 years ago, Allcat Claims Service is a trusted third-party claims adjusting organization known for its commitment to customer service, quality, and innovation. We emphasize learning, development, and performance excellence while supporting employees in improving their skills and reaching their full potential. At Allcat, we pride ourselves on handling claims professionally and ethically while leveraging emerging technology to better serve our clients and policyholders. Our experienced team and strong work ethic have helped build lasting relationships throughout the industry.

Allcat Claims Service is proud to support our military community and values the unique skills, leadership, and dedication that service members and veterans bring to the workforce. We strongly encourage active-duty military personnel, veterans, reservists, and military spouses to apply and join our team as we continue to raise the bar in the claims industry.

Position: Flood Claims Examiner
Location: Remote
Department: Flood - Quality Assurance
Primary Duties
  • Reviews incoming moderate to complex residential and commercial property estimates for accuracy and compliance with carrier-specific guidelines.
  • Provides feedback to and collaborates with independent adjusters to correct estimates as necessary.
  • Contributes to business goals, performance metrics, and effectively uses tools & technology.
  • Supports workload surges and/or catastrophe operations as needed to include working significant overtime during designated catastrophe events.
  • Acquires and applies knowledge of dwelling construction terminology and techniques, estimating best practices and Xactimate estimates.
MINIMUM REQUIREMENTS
  • High School Diploma or GED.
  • Requires an All Lines Insurance Adjuster's license.
  • Prior experience reviewing NFIP SFIP Dwelling, General Property and RCBAP Claims
  • 8+ years of residential or commercial property claims experience OR 4+ years of flood experience
  • Enjoys working in a fast-paced environment and easily acclimates to changes in process/systems for overall improvement of the organization.
  • High attention to detail and accuracy in reviewing residential estimates to carrier specific standards.
  • Working knowledge of Microsoft Office applications, such as Outlook, Excel, and Word.
PREFERRED
  • NFIP Certification
  • College degree.
  • 2+ years of customer service experience.
  • Experience using XactAnalysis and Xactimate.
  • Prior military experience.
WORK SCHEDULE
  • Monday - Friday 8am - 5pm.
  • Schedules may vary based upon business needs.

BENEFITS:

Eligibility to participate in the Comprehensive Benefits Package: Medical, Dental, Vision, Paid Time Off and Paid Holidays, 401(K), in accordance with Company policy.

Allcat Claims is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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