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Remote Insurance Claims Specialist Jobs (NOW HIRING)

Claims Specialist

Charlotte, NC ยท Remote

$85K/mo

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...

Berkley Corporation , and all member insurance companies, are rated A+ (Superior) by A.M. Best ... Urbandale, IA * Lincoln, NE Alternatively, this position can be fully remote, but only for a ...

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Remote Insurance Claims Specialist information

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$12

$23

$43

How much do remote insurance claims specialist jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for remote insurance claims specialist in the United States is $23.50, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $25.72 per hour, depending on experience, location, and employer.

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

AspectRemote Insurance Claims SpecialistRemote Insurance Adjuster
Required CredentialsTypically requires insurance claims processing certification or relevant experienceOften requires state licensing and adjuster certification
Work EnvironmentPrimarily administrative, customer service, and claims processingField and desk work, assessing damages and inspecting claims
Employer & Industry UsageInsurance companies, third-party administrators, and claims centersInsurance carriers, independent adjusting firms, and claims agencies
Search & Comparison IntentPeople looking for remote claims processing rolesPeople comparing claims handling and damage assessment roles

The main difference is that Remote Insurance Claims Specialists focus on processing and managing claims remotely, often requiring claims certification, while Remote Insurance Adjusters assess damages and inspect claims, often needing licensing. Both roles are essential in the insurance industry but differ in responsibilities and certification requirements.

What are some common challenges faced by remote insurance claims specialists, and how can they be managed effectively?

Remote Insurance Claims Specialists often encounter challenges such as staying organized while managing multiple claims, maintaining clear communication with clients and team members, and ensuring compliance with regulations from a home office setting. To manage these effectively, specialists can utilize robust digital claim management systems, establish regular check-ins with supervisors and colleagues, and set up a dedicated, distraction-free workspace. Being proactive with time management and leveraging collaboration tools are key to maintaining productivity and delivering high-quality customer service in a remote environment.

What are the key skills and qualifications needed to thrive as a remote insurance claims specialist, and why are they important?

To thrive as a Remote Insurance Claims Specialist, you need a solid understanding of insurance policies, claims processing, and attention to detail, often supported by relevant experience or an associate degree. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes certification such as AIC (Associate in Claims) is typically required. Strong communication, problem-solving, and self-motivation are crucial soft skills for effectively handling client inquiries and resolving claims remotely. These skills ensure efficient claim resolution, customer satisfaction, and compliance with industry regulations in a remote work environment.

What does a remote insurance claims specialist do?

A Remote Insurance Claims Specialist is responsible for evaluating and processing insurance claims from customers, typically working from home or another remote location. Their main duties include reviewing claim forms, verifying information, investigating cases, and determining the validity and value of claims. They communicate with policyholders, medical providers, and other parties to gather necessary documentation and ensure claims are handled efficiently and accurately. Specialists must be detail-oriented, knowledgeable about insurance policies, and skilled in customer service. Working remotely, they rely heavily on technology to manage claims workflows and maintain confidentiality.
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What cities are hiring for Remote Insurance Claims Specialist jobs?

Cities with the most Remote Insurance Claims Specialist job openings:

What states have the most Remote Insurance Claims Specialist jobs?

States with the most job openings for Remote Insurance Claims Specialist jobs include:

Infographic showing various Remote Insurance Claims Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.

Annuity Claims Specialist -Remote

Synergistic Systems Inc

Charlotte, NC โ€ข Remote

$40 - $45/hr

Full-time

Posted 7 days ago


Job description

Our client, a major Life Insurance carrier is seeking an Annuity Claims Specialist for a long term (2 year minimum) contract position.  This job can be worked remotely.   
The Annuity Claims Specialist will review contestable death claims related to annuities and evaluate Medical Information Bureau (MIB) inquiries for an existing book of business.  
Annuity Claims Specialist responsibilities include the following:
- Contestable claims review will require an evaluation of the cause of death and validating that there was no material misrepresentation with the original health history that was used at the time of the policy issue, or that was provided during a reinstatement that required medical underwriting. 
- Policy reinstatement requests will include evaluating client responses to medical questions, medical examinations, lab work, or review of physician’s records to complete the underwriting risk evaluation to determine whether a lapsed policy should be placed back in force. Use of Swiss Re manual for risk assessment.  Run manual MIB for all reinstatement requests and report MIB codes
- MIB inquiries: Medical Information Bureau may request member firms to validate prior medical condition reports made on individual annuity applicants.
- Business Process: Claims and reinstatement inquiries are received at insurance carrier administrative offices and are routed to an underwriting queue for review and evaluation.  MIB inquiries will be sent via secure email for review and response.
Requirements:
- Ideally, candidates should have good product knowledge of annuities and life insurance.  
- Strong verbal and written communication skills, ability to multitask, and logic is preferred. 
- Claims and or underwriting background is preferred.
- Candidates should have an investigative mindset.  Determined to seek answers if something does not make sense.
- Will use multiple proprietary systems top process claims, so ability to learn new systems quickly is critical.
- Solid experience with MS Office products.
- At least 4 years of Annuity Claims experience.
- Candidates with strong Life Insurance Death Claims experience will be considered.
- Works well independently or with minimal supervision 
- Certified Annuity Specialist (CAS), Life and Annuity Certified Professional (LACP) or Certified Annuity Advisor (CAA) certifications, courses or designations are a big plus.  
- A bachelor’s degree or equivalent combination of education/experience.
- Nice to have : Experience with the Resonant underwriting platform.