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Remote Insurance Claims Jobs in Boca Raton, FL (NOW HIRING)

Patient Account Representative

Plantation, FL ยท On-site +1

$17.25 - $22.75/hr

Fully remote opportunity! Schedule: Monday - Friday 8am to 5pm EST PRIMARY FUNCTION Patient Account ... insurance. * Responsible for collection efforts and for taking the appropriate steps to have claims ...

Patient Account Representative

Plantation, FL ยท On-site +1

$17.25 - $22.75/hr

Fully remote opportunity! Schedule: Monday - Friday 8am to 5pm EST PRIMARY FUNCTION Patient Account ... insurance. * Responsible for collection efforts and for taking the appropriate steps to have claims ...

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Remote Insurance Claims information

See Boca Raton, FL salary details

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$22

$40

How much do remote insurance claims jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for remote insurance claims in Boca Raton, FL is $22.30, according to ZipRecruiter salary data. Most workers in this role earn between $16.63 and $24.42 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Remote Insurance Claims position, and why are they important?

To thrive in a Remote Insurance Claims role, you need a solid understanding of insurance policies, claims processing, and investigative techniques, often supported by experience in insurance or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes required certifications such as AIC (Associate in Claims) are important. Exceptional communication, active listening, time management, and problem-solving skills help professionals excel in remote, client-facing environments. These abilities ensure accuracy, efficiency, and positive customer experiences throughout the claims resolution process.

What is a Remote Insurance Claims job?

A Remote Insurance Claims job involves reviewing, processing, and managing insurance claims from a remote location. Professionals in this role assess documentation, communicate with policyholders, and determine claim validity based on policy terms. They may work for insurance companies, third-party administrators, or as independent adjusters. Strong analytical, communication, and customer service skills are essential for success in this position.

What are some common challenges faced in a Remote Insurance Claims role and how are they managed?

One common challenge in a Remote Insurance Claims role is maintaining effective communication with clients and team members while working outside a traditional office environment. Professionals overcome this by utilizing secure messaging, video conferencing, and robust claims management platforms to ensure consistent updates and collaboration. Staying organized and self-motivated is also key, as remote claims adjusters often manage a high volume of cases independently. Employers typically provide training and ongoing support to help remote employees navigate complex claims, maintain compliance, and deliver timely resolutions.

What are popular job titles related to Remote Insurance Claims jobs in Boca Raton, FL? For Remote Insurance Claims jobs in Boca Raton, FL, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Claims jobs in Boca Raton, FL look for? The top searched job categories for Remote Insurance Claims jobs in Boca Raton, FL are:
What cities near Boca Raton, FL are hiring for Remote Insurance Claims jobs? Cities near Boca Raton, FL with the most Remote Insurance Claims job openings:
Group Health Clinical QA Supervisor

Group Health Clinical QA Supervisor

Dane Street, LLC

Loxahatchee Groves, FL โ€ข Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago


Job description

The Clinical QA Supervisor is responsible for the oversight of the review of Physician reports and accompanying medical records to ensure that the report is complete, accurate, and consistent with medical evidence.

Oversight of QA staff

  • Ensure appropriate QA staff are assigned to each file to designate file handling responsibilities amongst the team.
  • Supervise the assigned staff and manage the File Review Board to ensure a timely and accurate process of each file.
  • Provide details of board reviews to managers to ensure efficiency and productivity of staff.
  • Assist in identifying & correcting staff performance including promotions, discipline, coaching and termination of staff.
  • Assist in hiring qualified candidates for QA open positions.

Ensure that all QA staff adhere to and meet their specific job duties including but not limited to:

    • Following up with Physicians for outstanding reports
    • Reviewing received reports for accuracy
    • Delivering completed reports back to all applicable parties
    • Following all client-specific instructions
  • Actively participate in issue resolution by working with the required QA, physicians, account managers, and/or other related parties.
  • Ensure referrals meet the client-directed Turn Around Time (TAT).
  • Act as the liaison between the reviewer, team member and client regarding the process or status of the file.
  • Other duties & special projects, as assigned and based on business needs.

Requirements

EDUCATION/CREDENTIALS:

An Associateโ€™s Degree or Bachelorโ€™s Degree is preferred.

RN licensure required

JOB RELEVANT EXPERIENCE:

Medical peer review or healthcare industry knowledge required.

Business experience in a healthcare and/or insurance setting is preferred.

JOB RELATED SKILLS/COMPETENCIES:

Present exceptional communication skills with a clear understanding of company business lines. The ability to apply critical thinking, manage time efficiently and meet specific deadlines. Computer literacy and typing skills are essential.

Benefits

Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace.

ABOUT DANE STREET:

A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workersโ€™ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.