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Remote Health Claims Examiner Jobs (NOW HIRING)

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 ...

TEEMA Group

$85K - $95K/yr

Commercial Auto & General Liability Claims Examiner II Role Summary Empower your professional ... Remote Proficiency: Ability to work productively and independently in a fast-paced, 100% remote ...

Firstsource

Claims Examiner

$17 - $20/hr

Claims & Appeals & Grievances (A&G) Specialist Department: Healthcare Operations Location ... United States (Remote) Employment Type: Full-Time Experience Required: Minimum 2 years in US Health ...

Firstsource

Claims Examiner

$17 - $20/hr

Claims & Appeals & Grievances (A&G) Specialist Department: Healthcare Operations Location ... United States (Remote) Employment Type: Full-Time Experience Required: Minimum 2 years in US Health ...

TEEMA Group

$85K - $95K/yr

Commercial Auto & General Liability Claims Examiner II Role Summary Empower your professional ... Remote Proficiency: Ability to work productively and independently in a fast-paced, 100% remote ...

Markel International

Claims Examiner

Chicago, IL · On-site +1

$64K - $107K/yr

Investigate and analyze coverage under primary and excess healthcare professional liability ... The national average salary range for the Claims Examiner is $64,400 - $107,300 with a 12 ...

Markel International

Claims Examiner

Richmond, VA · On-site +1

$62K - $85K/yr

The national average salary range for the Claims Examiner positionis $62,000 - $85,800 with 12 ... All full-time employees have the option to select from multiple health, dental and vision insurance ...

Markel International

Claims Examiner

Omaha, NE · On-site +1

$62K - $85K/yr

The national average salary range for the Claims Examiner positionis $62,000 - $85,800 with 12 ... All full-time employees have the option to select from multiple health, dental and vision insurance ...

Markel International

Claims Examiner

Milwaukee, WI · On-site +1

$62K - $85K/yr

The national average salary range for the Claims Examiner positionis $62,000 - $85,800 with 12 ... All full-time employees have the option to select from multiple health, dental and vision insurance ...

Markel International

Claims Examiner

Plano, TX · On-site +1

$62K - $85K/yr

The national average salary range for the Claims Examiner positionis $62,000 - $85,800 with 12 ... All full-time employees have the option to select from multiple health, dental and vision insurance ...

Markel International

Claims Examiner

Tampa, FL · On-site +1

$62K - $85K/yr

The national average salary range for the Claims Examiner positionis $62,000 - $85,800 with 12 ... All full-time employees have the option to select from multiple health, dental and vision insurance ...

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Remote Health Claims Examiner information

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$15

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$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.

AVP, Sr. Claims Examiner

Berkley

Manhattan, NY • Remote

$132K - $189K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Job description

Company Details

At Berkley Alliance Managers, we offer innovative coverage and risk management solutions for our brokers and policyholders. We have a passion for offering fresh ideas and relevant insurance products and services. Our business consists of four target markets - Design Professionals, Construction Professionals, Accounting Professionals and Miscellaneous Service Professionals. Our focus allows us to tailor coverage and create comprehensive risk management programs that enhance profitability and reduce susceptibility to loss.

Company URL:      https://www.berkleyalliance.com      

Responsibilities

The AVP, Senior Claims Examiner handles all aspects of claims notices and files related to professional liability and accompanying coverages, including but not limited to claims and coverage analysis, liability and damages analysis, reserve setting, reporting, reinsurance analysis and reporting, and travel. The role manages outside defense and coverage counsel that are assigned on claim or pre-claim files, including cost containment and litigation management. Additionally, the AVP, Senior Claims Examiner supports and assists with marketing and loss prevention education, including development of educational materials, for assigned product lines, as requested or needed. They also support and assist various functional departments, including marketing, risk management, finance and actuarial, including any related travel, as needed or requested. The AVP, Senior Claims Examiner actively engages in and embraces the company's continued learning and innovation culture, including participation in innovation groups to identify solutions for enhancement and change. #remote

Key functions include but are not limited to:

  • Adjusting all aspects of claims and loss notices, including but not limited to claims and coverage analysis, liability and damages analysis, reserve setting, reporting, reinsurance analysis and reporting and coverage litigation.
  • Attend mediations, settlement conferences, trials and other claims-related travel as needed or required.
  • Support the marketing, risk management, finance and actuarial departments, including any related travel, as needed or requested.
  • Assist with or conduct large loss and reinsurance reporting.
  • Maintain adjuster's licenses in all states requiring licenses, or as requested.
  • Possible product line oversight.
  • Business-related travel as require or needed.
  • Assist with marketing and development of risk management materials, as needed
  • Active engagement in the company's innovation culture and group
  • Continued and self-driven learning
Qualifications
  • BA or BS required
  • JD preferred, but not required
  • Adjuster's licenses in all states requiring a license, plus California
  • 8 to 10-years claims-related, adjusting experience
  • Experience handling professional liability claims for architects/engineers, miscellaneous PL or construction professional; preferred but not required
  • 3 to 5-years legal, law firm experience; preferred but not required
  • Computer skills including, but not limited to, Word, Excel and PowerPoint
Additional Company DetailsThe company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: Base Salary Range: $132,000 - $189,000 Eligible to participate in annual discretionary bonus. Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. We do not accept unsolicited resumes from third party recruiting agencies or firms.Sponsorship DetailsSponsorship not Offered for this RoleEmployment Type: OTHER

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