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Remote Health Claims Examiner Jobs (NOW HIRING)

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

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

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 ...

Gravie

Medical Claims Examiner II

Minneapolis, MN · On-site +1

Our mission is to create health benefits that actually benefit small and midsize businesses and ... As Gravie looks to continue its member-centric approach to healthcare, the Medical Claims Examiner ...

Tmhcc

Senior Claims Examiner, Cyber

New York, NY · On-site +1

... Remote if the selected candidate does not reside near an office listed locations Job Summary ... As a Senior Claims Examiner, provides guidance and first-level claims examination and processing ...

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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 Sep 12, 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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Remote Health Claims Examiner jobs near you
Infographic showing various Remote Health Claims Examiner job openings in the United States as of September 2026, with employment types broken down into 2% As Needed, 75% Full Time, 17% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

Commercial Auto & General Liability Claims Examiner II

TX • Remote

TEEMA Group
Recruiting and Staffing Services • 51 - 200 employees
Learn more about TEEMA Groupexternal

$85K - $95K/yr

Full-time

Medical, Dental, Vision, PTO

Re-posted 22 days ago

Job description

Commercial Auto & General Liability Claims Examiner IIRole Summary

Empower your professional journey in a role that values intellectual curiosity and file ownership over high-volume "churn." As a Claims Examiner II, you will manage and resolve complex Commercial Auto, No-Fault/PIP, and General Liability claims from initial intake through final disposition. This position is perfect for a strategic thinker who excels at evaluating exposure, guiding investigative strategy, and collaborating with legal counsel to achieve fair and efficient resolutions. You will join a stable, rapidly growing organization that prides itself on autonomy, high-quality claims administration, and a professional work environment.

Key Duties:

  • Technical Policy Analysis: Review and interpret complex insurance policies to accurately determine liability and coverage exposure.

  • Comprehensive Claims Management: Independently investigate and evaluate Commercial Auto, PIP, and General Liability claims to ensure high-quality outcomes.

  • Litigation Oversight: Direct and coordinate efforts with outside investigators, legal counsel, and various vendors to drive claim strategy.

  • Financial Management: Evaluate total claims exposure to establish and maintain appropriate financial reserves.

  • Negotiation & Settlement: Develop and execute sophisticated settlement strategies and communicate recommendations to key stakeholders.

  • Strategic Reporting: Prepare detailed loss reports that synthesize liability, damages, and coverage issues.

  • Recovery Initiatives: Identify and pursue subrogation and risk transfer opportunities to protect client interests.

  • Professional Communication: Provide elite-level service and maintain transparent communication with both internal and external stakeholders.

Required Qualifications

  • Experience: 2+ years of dedicated experience handling Commercial Auto and General Liability claims.

  • Technical Mastery: Strong understanding of claims handling practices, coverage analysis, and litigation management.

  • Communication: Exceptional written and verbal communication skills.

  • Decision Making: Proven ability to evaluate complex data, make independent decisions, and negotiate effectively.

  • Organizational Skills: Superior time management skills and proficiency with claims management software and standard computer applications.

Desired Qualifications

  • Specialized Expertise: Direct experience managing No-Fault/PIP claims.

  • Education: Bachelor’s degree or equivalent professional experience.

  • Jurisdictional Knowledge: Familiarity with multi-jurisdictional claims handling requirements.

  • Remote Proficiency: Ability to work productively and independently in a fast-paced, 100% remote environment.

Location and Work Type

  • Location: 100% Fully Remote

  • Work Type: Full-Time | Direct Hire

  • Schedule: Standard Business Hours

  • Benefits: Full suite of premium benefits, including medical, dental, vision, and Paid Time Off (PTO).