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Remote Insurance Claims Manager Jobs in Kentucky

BrightSpring

Claims Processing Supervisor

Louisville, KY · Remote

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 ...

PharMerica

Claims Processing Supervisor

Louisville, KY · Remote

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 ...

PharMerica

Claims Processing Supervisor

Louisville, KY · On-site +1

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 ...

Lifepoint Health

Claims Analyst- Remote

Louisville, KY · Remote

More about our team The Claims Analyst is responsible for managing billing and collections across ... Respond to inquiries from insurance carriers, patients, and family members regarding billing and ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

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

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

... 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 ...

Lone Star Careers

Remote Insurance Agent

Louisville, KY · Remote

$69K - $150K/yr

Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Promoted2

Remote Insurance Agent

Lexington, KY · Remote

$60K - $110K/yr

Remote Insurance Sales Agent | $60k-$110k+ First Year | No Cold Calling Earn strong first-year ... Manage client pipeline using our CRM system * Follow up to ensure satisfaction and policy retention

New

Erie Insurance

Liability Specialist

Lexington, KY · Remote

$63K - $100K/yr

Casualty Claims Division Department of Position: Home & Auto Liability Dept Work from: Home in ... At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a ...

HMG Careers

Remote Insurance Agent

Louisville, KY · Remote

$69K/yr

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

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Remote Insurance Claims Manager information

What are the key skills and qualifications needed to thrive as a Remote Insurance Claims Manager, and why are they important?

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.

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.

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:
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

BrightSpring Health Services

Louisville, KY • Remote

$67K - $75K/yr

Full-time

Posted 22 days ago

BrightSpring Health Services rating

4.8

Company rating: 4.8 out of 10

Based on 62 frontline employees who took The Breakroom Quiz

221st of 240 rated social care providers

Job description

Overview

PharMerica, a part of Brightspring Health Services, is a long‑term 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 experience
Work 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 Experience
Behavior 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

What BrightSpring Health Services employees say

Pay

Benefits

Hours and flexibility

Workplace

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