ZipRecruiter

Log In

2

Remote Insurance Claims Jobs in Hamilton, OH (NOW HIRING)

Deloitte

Epic Denials Management Operator

Cincinnati, OH · Remote

$17.25 - $23/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role supporting enterprise Epic support ...

Medix

Customer Service Specialist

Evendale, OH · Remote

$16 - $18.50/hr

Remote Position Summary We are seeking a Customer Service Specialist (Revenue Cycle) to serve as a ... Knowledge of healthcare insurance claims and EOBs. * Understanding of payment plans, copayments ...

next page

Showing results 1-20

All JobsInsurance Claims JobsRemote Insurance Claims JobsRemote Insurance Claims Jobs in Hamilton, OH

Remote Insurance Claims information

See Hamilton, OH salary details

$11

$21

$40

How much do remote insurance claims jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for remote insurance claims in Hamilton, OH is $21.89, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $23.94 per hour, depending on experience, location, and employer.

What is a remote insurance claims?

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 the key skills and qualifications needed to thrive in remote insurance claims?

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 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 the most commonly searched types of Insurance Claims jobs in Hamilton, OH?

The most popular types of Insurance Claims jobs in Hamilton, OH are:

What are popular job titles related to Remote Insurance Claims jobs in Hamilton, OH?

For Remote Insurance Claims jobs in Hamilton, OH, the most frequently searched job titles are:

What job categories do people searching Remote Insurance Claims jobs in Hamilton, OH look for?

The top searched job categories for Remote Insurance Claims jobs in Hamilton, OH are:

What cities near Hamilton, OH are hiring for Remote Insurance Claims jobs?

Cities near Hamilton, OH with the most Remote Insurance Claims job openings:

Remote Insurance Claims jobs near you
Infographic showing various Remote Insurance Claims job openings in Hamilton, OH as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $45,534 per year, or $21.9 per hour.

Claims Specialist with FineOS - Remote

Northern Base

Cincinnati, OH • Remote

Full-time

PTO

Re-posted 20 days ago

Job description

Claims Specialist with FineOS
Remote
Fulltime

Responsibilities:
To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments.
Review and analyze the claim nuances, eligibility review, and type of claims (intermittent or continuous)
Review and analyze medical information (i.e. attending physician reports, medical records such as diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined.
Approval or denial on FMLA claims as per Insurance carrier, and employer’s guidelines
Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to US paid family law regulations.
Review claims for Not in good order cases, and work on securing missing documentations including employee, physician, or employer outreach.
Communicates clearly with the claimants and clients to set expectations on all aspects of claims process either by phone and/or written correspondence.
Reviews client critical deliverables, manages the overall workload, and second-level process escalation.
Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Refers cases as appropriate to team lead and clinical case management
Responsible for managing the day-to-day workload and first-level process escalation, and reviews processes for accuracy and timeliness where applicable in case of peer reviews.
Provide ideas to management on continuous improvement and service level management
Performs other duties or participates in special projects as assigned

Requirements:
1+ year of Disability/FMLA/PFL claims or insurance claims experience
Experience working with FINEOS
Working knowledge of medical terminology and documents, including APS, Diagnostic Tests, Imaging Tests reports
Knowledge of disability insurance claims, benefits administration, offsets and deductions, disability duration and medical management practices mandatory
Excellent oral and written communication, including presentation skills
Strong Analytical, decision making, problem solving, and people management skills
Computer experience with keyboarding skills and proficiency in using software applications and packages including MS Office (Excel, Word, PPT)
Willingness to embrace change in a fast paced work environment
A strong desire to continuously learn and improve
Identify escalated cases and work with Team Leader to develop a plan to address key issues.