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Remote Insurance Claims Manager Jobs in Kentucky

PharMerica

Claims Processing Supervisor

Louisville, KY · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This is a remote opportunity . Applicants can live anywhere within the Continental USA. Night Shift ... Management and insures compliance. Handles escalated calls from customers and payers to ensure ...

Amerita

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Company-Paid Disability Insurance * Tuition Assistance & Reimbursement * Employee Discount Program ... Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Company-Paid Disability Insurance * Tuition Assistance & Reimbursement * Employee Discount Program ... Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Company-Paid Disability Insurance * Tuition Assistance & Reimbursement * Employee Discount Program ... Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer ...

BrightSpring

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Company-Paid Disability Insurance * Tuition Assistance & Reimbursement * Employee Discount Program ... Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer ...

BrightSpring

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Company-Paid Disability Insurance * Tuition Assistance & Reimbursement * Employee Discount Program ... Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Company-Paid Disability Insurance * Tuition Assistance & Reimbursement * Employee Discount Program ... Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer ...

PharMerica

Claims Specialist Team Lead

Louisville, KY · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... management to healthcare organizations across the United States. The 3rd Party Claims Specialist ... Nights and Weekends Remote position Benefits and perks for You! * Medical, Dental, Vision insurance

PharMerica

Claims Specialist Team Lead

Louisville, KY · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... management to healthcare organizations across the United States. The 3rd Party Claims Specialist ... Remote position Benefits and perks for You! * Medical, Dental, Vision insurance * Health Savings ...

PharMerica

Claims Specialist Team Lead

Louisville, KY · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... management to healthcare organizations across the United States. The 3rd Party Claims Specialist ... Remote position Benefits and perks for You! * Medical, Dental, Vision insurance * Health Savings ...

PharMerica

Claims Specialist Team Lead

Louisville, KY · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... management to healthcare organizations across the United States. The 3rd Party Claims Specialist ... Nights and Weekends Remote position Benefits and perks for You! * Medical, Dental, Vision insurance

Sutherland

Health Claims Specialists

Louisville, KY · On-site +1

$13.50/hr

  • Medical

  • Dental

  • Vision

  • PTO

A claims adjudicator determines how much money will be paid after an insurance claim has been ... Data entry * Time management * Attention to detail * Analytical Required Qualifications * High ...

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All JobsInsurance Claims JobsRemote Insurance Claims Manager JobsRemote Insurance Claims Manager Jobs in Kentucky

Remote Insurance Claims Manager information

What does a remote insurance claims manager do?

A Remote Insurance Claims Manager oversees the process of evaluating, processing, and resolving insurance claims, all while working from a remote location. They manage a team of claims adjusters, review claims for accuracy and compliance, and ensure timely settlements for policyholders. This role often involves communicating with clients, liaising with other departments, and leveraging technology to streamline claims handling. The remote aspect allows managers to perform all duties using digital tools, making communication and documentation critical parts of the job.

What are the key skills and qualifications needed to thrive as a remote insurance claims manager?

To thrive as a Remote Insurance Claims Manager, you need in-depth knowledge of insurance policies, claims processes, and regulatory requirements, often supported by a bachelor's degree and relevant industry experience. Familiarity with claims management software, digital documentation tools, and, in some cases, certifications like AIC (Associate in Claims) are typically required. Excellent problem-solving, leadership, and communication skills help manage teams remotely and resolve complex claims efficiently. These skills ensure accurate claims processing, regulatory compliance, and effective team coordination in a virtual environment.

How does a remote insurance claims manager typically coordinate with on-site team members and external partners?

As a Remote Insurance Claims Manager, you will frequently collaborate with on-site adjusters, underwriters, and external partners such as legal advisors and service vendors. Most communication is conducted via video conferencing, email, and specialized claims management platforms. You’ll be responsible for ensuring seamless information flow, timely updates, and resolution of claims by coordinating virtual meetings and maintaining clear documentation. Developing strong remote communication and organizational skills is essential for success in this role.

What is the difference between Remote Insurance Claims Manager vs Remote Insurance Adjuster?

AspectRemote Insurance Claims ManagerRemote Insurance Adjuster
CredentialsTypically requires a claims management certification or industry experienceRequires licensing and certifications specific to insurance adjusting
Work EnvironmentOversees claims teams, manages processes remotelyEvaluates individual claims remotely, often in the field or from home
Employer & Industry UsageUsed by insurance companies for claims oversightUsed by insurance companies for claim evaluation and settlement
Search & Comparison IntentPeople compare managerial roles in claims processingPeople compare roles focused on claim assessment and settlement

The main difference is that a Remote Insurance Claims Manager oversees claims teams and manages claims processes remotely, requiring management experience and certifications. In contrast, a Remote Insurance Adjuster evaluates individual claims, often needing specific licensing and adjusting certifications. Both roles are integral to the insurance industry but differ in responsibilities and focus areas.

What are the most commonly searched types of Remote Insurance Claims jobs in Kentucky?

The most popular types of Remote Insurance Claims jobs in Kentucky are:

What are popular job titles related to Remote Insurance Claims Manager jobs in Kentucky?

For Remote Insurance Claims Manager jobs in Kentucky, the most frequently searched job titles are:

What job categories do people searching Remote Insurance Claims Manager jobs in Kentucky look for?

The top searched job categories for Remote Insurance Claims Manager jobs in Kentucky are:

What cities in Kentucky are hiring for Remote Insurance Claims Manager jobs?

Cities in Kentucky with the most Remote Insurance Claims Manager job openings:

Remote Insurance Claims Manager jobs near you
Infographic showing various Remote Insurance Claims Manager job openings in Kentucky as of July 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% Remote job distribution.

Claims Processing Supervisor

PharMerica

Louisville, KY • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 13 days ago

PharMerica rating

6.6

Company rating: 6.6 out of 10

Based on 103 frontline employees who took The Breakroom Quiz

66th of 112 rated pharmacies

Job description

Our Company

PharMerica

OverviewPharMerica, a part of Brightspring Health Services, is a longterm care pharmacy services provider that supplies medications, clinical support, and pharmacy management to healthcare organizations across the United States. The Claims Supervisor manages associates' assignments and work queues on a daily and weekly basis, ensuring the timely resolution of claims, accurate billing, and the effective distribution of work to support operational efficiency. This is a remote opportunity. Applicants can live anywhere within the Continental USA.Night Shift Schedule: 10:00pm to 6:30am eastern. Must be able to work eastern time zone hours. The ideal candidate will have 3+ years direct supervisory experience along with 3rd party billing/collections experience. REQUIRED: Long-Term Care adjudication experience 

Benefits and perks for You! 

  • Medical, Dental, Vision insurance
  • Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)
  • Tuition discounts & reimbursement
  • 401(k) 
  • Company Paid Time Off*
  • Shift Differential 
  • DailyPay
  • Pet Insurance
  • Employee wellness and discount programs 
Responsibilities

Works in conjunction with the 3rd Party Claims Manager to establish specific associate goals, department wide goals, performance tracking and quality assessment audits. Establish and maintain professional and effective relationship with staff, peers, payers and other stakeholders. Provides associates assignments and work queues on a daily and/or weekly basis. Including resolution, billing, and appropriate distribution of work. Monitors quality of work performed by all associates, including interaction and compliance. Holds regularly scheduled meetings with staff to discuss performance metrics and ensure employees are on track to meet their goals. Report to Manager any trends occurring with payers and/or processes Updates staff with communications and process changes as directed by 3rd Party Claims Manager, Director or Senior Management and insures compliance. Handles escalated calls from customers and payers to ensure proper resolution. Mentor and provide oversight of Team Leads and Associate II staff to insure they are adequately communicating staff training needs, shadowing staff when assigned, performing monthly quality assessment reviews, and taking a lead role in any special projects that may be assigned by Supervisor or Manager. Manages staff attendance and time sheets for payroll (Kronos) system. Assures staff is meeting attendance policies and reports any variations to Manager. In conjunction with feedback provided by Team Lead and/or Associate, monitor work performance including quality Ensure assignments are fair and balanced based on Team Lead/Associate level skills sets. Works to update, create and/or maintain Standard Operations Procedures for the department. Ensures Sarbanes Oxley (SOX) compliance on all variance, write-off and convert exception reports inclusive of adequate signatures are obtained. Proper storage of completed documents per Compliance policies. Performs other tasks as assigned. Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards. Works to update, create and/or maintain Standard Operations Procedures for the department.

Qualifications

Education/Learning Experience Required: Associates degree, 4 year college , technical degree or 4+ years equivalent experienceWork Experience Required: 3+ years direct supervisory experience Desired: 3rd Party Billing or collections/billing experience in the healthcare industry, AS400 computer systems experience or Pharmacy Technician.Skills/Knowledge Required: Proficiency in MS Office Products (Excel, Word) and Basic computer knowledge Required: Ability to maintain confidentiality Desired: AS400 Computer Systems ExperienceBehavior Competencies Required: Excellent communication skills, both written and oral Required: Problem solving and detail oriented Required: Strong time management, organizational skills and self-starter Required: Strong attendance and leadership

About our Line of BusinessPharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.Employment Type: FULL_TIME

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