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Remote Insurance Claims Jobs in Lexington, SC (NOW HIRING)

Existing internal remote employees are eligible to apply. Unum and Colonial Life are part of Unum ... insurance benefits (short & long-term disability), performance-based incentive plans, paid time off ...

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Financial Audit Senior Consultant

Columbia, SC · Remote

$107K/yr

... claims audits. Develop corrective action plans as needed. * Serve as Subject Matter Expert and ... Required 5+ Years related work experience, including health insurance accounting, internal ...

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Remote Insurance Claims information

See Lexington, SC salary details

$10

$20

$36

How much do remote insurance claims jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote insurance claims in Lexington, SC is $20.12, according to ZipRecruiter salary data. Most workers in this role earn between $15.00 and $22.02 per hour, depending on experience, location, and employer.

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 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 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 Lexington, SC? For Remote Insurance Claims jobs in Lexington, SC, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Claims jobs in Lexington, SC look for? The top searched job categories for Remote Insurance Claims jobs in Lexington, SC are:
What cities near Lexington, SC are hiring for Remote Insurance Claims jobs? Cities near Lexington, SC with the most Remote Insurance Claims job openings:
Infographic showing various Remote Insurance Claims job openings in Lexington, SC as of August 2026, with employment types broken down into 43% Full Time, 43% Part Time, and 14% Contract. Highlights an 100% Remote job distribution, with an average salary of $41,843 per year, or $20.1 per hour.

Claims Processor Self-Funded

Marpai Administrators LLC

Columbia, SC • Remote

$24 - $30/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.


Job description

Marpai Administrators is a technology company transforming the Third-Party Administration sector serving employers with self-funded health plans. Marpai Administrators (“Marpai”) is an AI-powered national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. We create healthier members and a healthier bottom line. Marpai proactively targets at-risk members with meaningful clinical interventions to improve outcomes. 
 
ABOUT THE POSITION:
The Claims Processor will be responsible to for reviewing claims for accuracy, completeness, and eligibility. The Claims Processor is responsible to adjudicate claims, complete work assignments and meet established departmental metrics.  
 
WHAT YOU WILL BE DOING: 
  • Data entry of claims into system. 
  • Review, analyze adjudicate claims 
  • Validate the information on all claims to ensure there is no missing or incomplete information
  • Ability to understand and apply benefits as outlined in plan document
  • Maintain/manage all claim inventories in accordance with health plan and regulatory policies
  • Display maturity, composure and ability to operate under stressful conditions.
  • Complete daily assignments and update required spreadsheet
  • Complete end of day summary
  • Flexibility to change work direction as determined by management
  • Meet departmental standards for quality, production and attendance. 
  • Analyst is flexible and able to commit to overtime based on business needs 
  • Other duties as required
 
WHAT DO YOU NEED 
  • Associates degree preferred
  • 2+ yrs claims processing self-funded claims
  • Strong analytical, research, and communication skills.
  • Expansive knowledge of medical terminology.
  • Excellent verbal and written communication skills as well as exemplary organizational skills.
  • Work closely with leadership to assist in mitigating trends as necessary.
  • Independent judgment in decision-making and problem solving.
  • Computer skills in MS Word, Excel, PowerPoint, & Outlook at the intermediate or higher level.
  • Ability to multi-task & anticipate potential needs/problems.
  • Strong attention to detail.
  • Ability to understand and apply on-line documentation policies and procedures.
  • Excellent customer services skills including an ability to follow through, take ownership and drive all assigned tasks to completion.
  • Ability to handle large volumes of work, solve problems and manage multiple assignments while meeting critical deadlines.
  • HIPAA Compliance
 
WORK REQUIREMENTS:
  • Fast paced, dynamic work environment requiring the ability to be adaptive, innovative and flexible
  • Travel minimal
 
WHY WORK AT MARPAI?  
We have great benefits: 
  • Generous PTO
  • Medical and Prescription 
  • EAP 
  • FSA / HSA / Dependent Care
  • Dental 
  • Vision 
  • Life and Disability 
  • STD/LTD
  • Voluntary Benefits: Critical Illness, Accident, Hospital
  • 401k with Employer Match
  • LegalShield
  • Identity Theft Protection
 
Marpai is an equal opportunity workplace.  We are committed to equal opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or veteran status.
 

This is a remote position.