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Remote Insurance Verification Jobs in Remote, OR

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Remote, NC Duration: 6-Month Contract Pay Rate: $16- $18/hour on W2 Training & Work Schedule ... This role involves assisting members, providers, and employer groups with insurance-related ...

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Remote Insurance Verification information

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How much do remote insurance verification jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for remote insurance verification in Remote, OR is $18.85, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.19 per hour, depending on experience, location, and employer.

What is a remote insurance verification specialist?

A Remote Insurance Verification Specialist is a professional who works from a remote location to confirm patients' insurance coverage and benefits. They communicate with insurance companies, healthcare providers, and patients to ensure that medical procedures or services are covered by the patient's insurance plan. These specialists play a crucial role in preventing billing issues and ensuring that claims are processed accurately and efficiently. Their work helps healthcare organizations minimize denials and delays in reimbursement. The position typically requires strong communication skills, attention to detail, and familiarity with insurance policies and medical terminology.

What are some common challenges faced in a remote insurance verification role, and how can I overcome them?

In a remote insurance verification role, one common challenge is navigating varying insurance policies and provider requirements, which can lead to delays or errors if not carefully reviewed. Communication can also be more complex when collaborating virtually with healthcare providers, patients, or insurance companies. To overcome these challenges, staying organized with detailed documentation, utilizing reliable communication tools, and proactively clarifying any uncertainties with team members or clients can help maintain efficiency and accuracy. Regular training and staying updated on industry changes also contribute to success in this role.

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

To thrive as a Remote Insurance Verification Specialist, you need a solid understanding of health insurance policies, medical terminology, and experience with insurance verification processes, often supported by a high school diploma or relevant certification. Proficiency in insurance portals, electronic health record (EHR) systems, and spreadsheet software is typically required. Strong attention to detail, organizational skills, and effective communication are essential soft skills for handling sensitive patient data and coordinating with providers. These abilities are vital to ensure accurate insurance verification, prevent claim denials, and support smooth healthcare operations.

What is the difference between Remote Insurance Verification vs Remote Claims Processing Specialist?

AspectRemote Insurance VerificationRemote Claims Processing Specialist
Primary RoleVerify insurance coverage and eligibilityReview and process insurance claims for reimbursement
Required SkillsKnowledge of insurance policies, data entry, attention to detailClaims review, documentation, problem-solving
Work EnvironmentRemote, healthcare or insurance companiesRemote, healthcare or insurance companies
CertificationsInsurance verification or billing certifications often preferredClaims processing certifications may be beneficial

Remote Insurance Verification and Remote Claims Processing Specialist roles both operate in the insurance and healthcare industries, often remotely. While verification focuses on confirming coverage details, claims processing involves reviewing and managing claims for reimbursement. Both roles require attention to detail and familiarity with insurance policies, but they differ in their specific responsibilities and certifications.

How to become a remote insurance verification specialist?

To become a remote insurance verification specialist, candidates typically need a high school diploma or equivalent, strong attention to detail, and familiarity with insurance policies and billing procedures. Relevant skills include data entry, communication, and proficiency with electronic health record (EHR) systems or insurance verification software. Some employers may prefer candidates with healthcare or insurance industry experience and may require certification in medical billing or coding.

What are the most commonly searched types of Insurance Verification jobs in Remote, OR?

The most popular types of Insurance Verification jobs in Remote, OR are:

What are popular job titles related to Remote Insurance Verification jobs in Remote, OR?

For Remote Insurance Verification jobs in Remote, OR, the most frequently searched job titles are:

What job categories do people searching Remote Insurance Verification jobs in Remote, OR look for?

The top searched job categories for Remote Insurance Verification jobs in Remote, OR are:

What cities near Remote, OR are hiring for Remote Insurance Verification jobs?

Cities near Remote, OR with the most Remote Insurance Verification job openings:

Infographic showing various Remote Insurance Verification job openings in Remote, OR as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 70% Physical, 1% Hybrid, and 29% Remote job distribution, with an average salary of $39,208 per year, or $18.9 per hour.

Lead Business Value Delivery Architect/Solution Architect

Project Sapiens

OR • Remote

Full-time

Posted 8 days ago


Job description

Join Sapiens as our Lead Business Value Delivery Architect / Lead Solution Architect and play a pivotal role in taking client-facing insurance solutions from the sales cycle through delivery and into SaaS and AI platform migration, holding every engagement to a designed business outcome rather than an evolving list of requirements.

 

About the role

This is a role that sits between presales and delivery and stays engaged across both, spanning P&C, Life, and in future Reinsurance, with a particular focus on the non functional and operational requirements our industry consistently under-invests in. If you are deeply fluent in insurance product suites and platform roadmaps, comfortable holding both a head of claims and an engineer in the same conversation, and driven to keep clients and internal teams honest to the outcomes they signed up for - we'd love to hear from you.

Working model: East Coast (Remote)

What you will do:

You'll own the professional and content thread of the solution end to end - across four connected areas of impact:

  1. Value Definition - Presales solution design

 

  • Engage during the sales cycle, from general discovery through down select, to build product and industry context on the opportunity.
  • Frame the solution around the client's business outcomes, not a requirements checklist. Map what they are trying to achieve to what the platform actually delivers.
  • Establish a business outcome baseline with the client: what they will be able to do post go live that they cannot do today, and how both sides will measure it.
  • Own the definition of done, agreed jointly with the client.
  • Explicitly cover non functional and operational requirements: performance, scale, availability, security, integration, data migration, operability, and support, rather than leaving them to surface in build.
  • Feed into the implementation plan: the right order of implementation and the known dependencies, especially those on the client.
  • Where the platform does not meet the client's expected outcomes, own the resolution with Product and R&D. Either secure a commitment to build it into the core platform, with timelines aligned accordingly, or design it into the extension layer shipped with the core. The SA owns these conversations.
  • Act as the next layer of depth behind the presales and industry expert team. Presales surfaces the opportunity, the SA architects the solution.
  • Support the bid with clearly stated assumptions. The fixed price commercial construct itself is owned by Sales and the PD.
  1. Delivery integrity

 

  • Move into rapid planning immediately after signing. Harden the solution against what the platform delivers, steering toward standard configuration over bespoke build.
  • Hand over a clear, documented solution design to the delivery team at the start of build, and safeguard the integrity of that design through delivery.
  • Hold all parties, internal teams and the client, accountable to the agreed business outcomes and how they will be achieved. This is outcome and professional accountability. The PM or PD holds delivery and the client to scope, timeline, and commitments.
  • Stay engaged through quarterly business reviews to catch outcome or value drift early.
  • Apply the definition of done. The project is complete only when the client is positioned to realise the value agreed at the outset, not simply when the system goes live.
  1. Migration

 

  • For assigned clients, own migration outcomes through the analyse, dispose, bridge, and migrate framework, across the existing product portfolio and beyond.
  • Define, with each client, the specific value the migration unlocks and the KPIs that will confirm it. Migration is a value conversation, not only a technical one.
  1. Tooling, AI, and continuous improvement

 

  • Serve as the first internal customer for AI in delivery, and own the tools and the standard for how they are used.
  • Set which source wins when inputs conflict: signed document over email, email over deck, deck over verbal.
  • Set what a human must verify in AI drafted work, rather than approve on sight.
  • Flag what the inputs do not say: tacit process, stakeholder disagreement, edge cases, not just what the AI summarised.
  • Work as part of the SA group to improve processes, outputs, and tools for quicker, better implementations, especially the SaaS migration factory, including a feedback loop from delivery back to discovery to recalibrate where discovery got the scope wrong.

 

What Success Looks Like:

  • Every signed programme has a documented, client agreed business outcome baseline, a joint definition of done, and go live success criteria.
  • Non functional and operational requirements are surfaced and designed in up front, not discovered in build.
  • Platform gaps are resolved deliberately, through a core platform commitment or an extension layer build, rather than emerging during delivery.
  • Delivery builds to the handed over design with minimal rework driven by scope or requirements ambiguity.
  • The SA group's processes, tools, and outputs measurably shorten implementations over time.

What we are looking for:

  • You have a track record designing or leading solution design in complex, enterprise insurance implementations, ideally spanning both presales and delivery.
  • Ability to speak credibly to both a head of claims and an engineer, across P&C, Life, and Reinsurance.
  • Strong on non functional and operational requirements: performance, scale, availability, security, integration, operability, not only functional design.
  • Demonstrated ability to hold the professional and outcome vector, keeping internal teams and clients aligned to agreed business outcomes. Given that this accountability is a core responsibility of the role, it is a required skill, not simply a welcome personality trait.
  • Experience with, or strong aptitude for, legacy to SaaS or core platform migration work.
  • Comfortable operating in a function that is still being built. Process and tooling will be defined in parallel with the first deals.
  • You ideally have hands-on experience with cloud-native platforms and a proven track record working at Born-in-the-Cloud (BIC) companies, bringing modern SaaS delivery practices to a global enterprise environment.
  • Proficient in leveraging AI-driven tools and platforms to design, optimize, and scale enterprise solution architectures.

Interested? We'd love to hear from you. Our TA partner evija.briska@sapiens.com is your contact for any questions. We kindly ask that you apply via our website or LinkedIn.