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Remote Insurance Claims Manager Jobs in Ohio (NOW HIRING)

Claims Assistant

Seven Hills, OH · Remote

$18.25 - $23/hr

Must be proficient in Spanish - Must Be On Resume 100% Remote Must be US Citizen Primary Purpose ... Inputs and reviews notes/diaries in claims management system as instructed. Processes payments.

Remote Insurance Agent

Akron, OH · 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 ...

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 ...

Remote Insurance Agent

Columbus, OH · 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 ...

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 ...

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 ...

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 ...

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 ...

Remote Insurance Agent

Cincinnati, OH · 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 ...

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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 Ohio?

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

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

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

Insurance Claims Coordinator

Central Ohio Primary Care

Westerville, OH • Remote

Full-time

Posted 10 days ago


Central Ohio Primary Care rating

7.2

Company rating: 7.2 out of 10

Based on 34 frontline employees who took The Breakroom Quiz

345th of 891 rated healthcare providers


Job description

The Insurance Coordinator is responsible for working claims that have been denied by insurance carriers, including processing appeals and providing any additional information necessary to obtain reimbursement.  After 90 days of ON-SITE training this will be a fully remote position. Must reside in the State of Ohio and willing to travel to Westerville as needed. 

  • Full Time/Benefits Eligible
  • Monday-Friday 8am - 4:30pm 
  • Remote

Duties/Responsibilities:

  • Work listing of aged accounts and handle incoming correspondence from insurance payers and/or sites to resolve any billing issues that delay reimbursement.
  • Analyze patient accounts, identify billing issues, and determine solutions with insurance companies. Take appropriate actions as needed such as re-filing claims, requesting adjustments, refunds, etc.
  • Update patient demographic information and make any necessary system corrections to the patient account.
  • Act as a liaison between patient and payer when needed to provide patient and/or payer with clear and accurate billing information or other pertinent information to expedite payment.
  • Conduct research to provide patient and/or physician with clear and accurate account information.
  • Report trends or specific issues to management regarding insurance claims.
  • Recommend quality and/or process improvement initiatives in order to more effectively and efficiently perform the job functions of this position.
  • Adhere to the HIPAA guidelines regarding confidentiality relating to the release of financial and medical information.
  • Maintain the values and philosophy of the mission statement of the company.
  • Performs all other duties as assigned by management.

Requirements:

  • High School diploma or GED
  • 1 year experience in a health care setting preferred, not required
  • 1 year experience in customer service preferred, not required
  • 1 year proven experience in collections preferred, not required
  • Working knowledge of Microsoft Teams, Word, Excel and Outlook
  • Must reside in Ohio 

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