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Remote Medical Claims Examiner Jobs (NOW HIRING)

Addison Group

Life Claims Examiner

Mckinney, TX · Remote

$20 - $23/hr

Remote, working hours within Central Time Zone Work Schedule: M-F, 7:00 am - 4:00 pm Type of ... This position is eligible for medical, dental, vision, and 401(k). Addison Group is partnering with ...

HealthEdge

Claims Examiner II

Knowledge base around physician practices and hospital coding, billing and medical terminology, CPT ... Remote, US Type of Employment: Full-time, permanent Work Environment: The physical demands ...

New

HealthEdge

Claims Examiner II

Knowledge base around physician practices and hospital coding, billing and medical terminology, CPT ... Remote, US Type of Employment: Full-time, permanent Work Environment: The physical demands ...

New

HealthEdge

Claims Examiner II

Knowledge base around physician practices and hospital coding, billing and medical terminology, CPT ... Remote, US Type of Employment: Full-time, permanent Work Environment: The physical demands ...

New

HealthEdge

Claims Examiner II

Knowledge base around physician practices and hospital coding, billing and medical terminology, CPT ... Remote, US Type of Employment: Full-time, permanent Work Environment: The physical demands ...

New

HealthEdge

Claims Examiner II

Knowledge base around physician practices and hospital coding, billing and medical terminology, CPT ... Remote, US Type of Employment: Full-time, permanent Work Environment: The physical demands ...

New

HealthEdge

Claims Examiner II

Knowledge base around physician practices and hospital coding, billing and medical terminology, CPT ... Remote, US Type of Employment: Full-time, permanent Work Environment: The physical demands ...

New

Gallagher

Claims Examiner

Oakland, CA · Remote

Overview This is a remote position located in California. Keenan is a leading insurance brokerage ... The Claims Examiner is responsible for liability claims and property damage claims to their ...

Gallagher

Claims Examiner

Torrance, CA · Remote

Overview This is a remote position located in California. Keenan is a leading insurance brokerage ... The Claims Examiner is responsible for liability claims and property damage claims to their ...

Smart Data Solutions LLC

Claims Examiner Contractor

MN · Remote

$28/hr

Familiarity with medical claim forms CMS1500 and UB04 * Knowledge and experience with Medical Code ... Experience working in a remote environment. Why this is the company for you? Top Benefits & Perks:

NTT DATA Services

Claims Examiner Remote

Plano, TX · On-site +1

We are currently seeking a Claims Examiner Remote to join our team in Plano, Texas (US-TX), United States (US). NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end ...

NTT DATA Services

Claims Examiner Remote

Plano, TX · On-site +1

We are currently seeking a Claims Examiner Remote to join our team in Plano, Texas (US-TX), United States (US). NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end ...

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Remote Medical Claims Examiner information

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$15

$29

$45

How much do remote medical claims examiner jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for remote medical claims examiner in the United States is $29.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $35.10 per hour, depending on experience, location, and employer.

What does a remote medical claims examiner do?

As a remote medical claims examiner, your primary responsibilities involve investigating health insurance claims. In this career, you work from home and assess patient insurance coverage information and eligibility. You speak with patients, doctors, and other involved parties to gain additional insight into each case. Your duties include taking steps to review each case and decide whether to pay the claim, negotiate a settlement, or deny the request. You make these decisions based on the data you collect and the policy of your employer. You also take steps to detect and defend against fraud.

What does a remote medical claims examiner do?

A Remote Medical Claims Examiner is responsible for reviewing and processing medical insurance claims from a remote location, often working from home. Their job involves evaluating medical records, verifying patient eligibility, checking the accuracy of billing codes, and determining whether claims should be approved, denied, or sent back for more information. They ensure that claims comply with insurance policies and regulatory guidelines, and may also communicate with healthcare providers or policyholders to clarify details. Working remotely requires strong attention to detail, good communication skills, and proficiency with specialized claims processing software.

What are the key skills and qualifications needed to thrive as a remote medical claims examiner?

To thrive as a Remote Medical Claims Examiner, you need a strong understanding of medical terminology, healthcare regulations, and claims processing, often supported by a degree in health administration or a related field. Familiarity with claims management systems, insurance software, and relevant certifications such as Certified Professional Coder (CPC) are highly beneficial. Attention to detail, analytical thinking, and effective communication are essential soft skills for ensuring accuracy and resolving discrepancies. These skills and qualifications are crucial for minimizing errors, preventing fraud, and ensuring timely and compliant claim adjudication in a remote work environment.

How does working remotely as a medical claims examiner impact collaboration with healthcare providers and internal teams?

Working remotely as a Medical Claims Examiner often relies heavily on digital communication tools to collaborate with healthcare providers, billing departments, and internal claims teams. While you may not have face-to-face contact, regular virtual meetings, emails, and secure messaging platforms are used to clarify claim details, resolve discrepancies, and ensure timely processing. Successful remote examiners are proactive communicators and often participate in team huddles or check-ins to stay aligned on policies and workflow updates. Building strong virtual relationships is key to overcoming the challenge of not being onsite, and most organizations provide training and support for effective remote collaboration.

What is the difference between Remote Medical Claims Examiner vs Remote Medical Claims Processor?

AspectRemote Medical Claims ExaminerRemote Medical Claims Processor
Required CredentialsMedical background, certifications like CPC or CCSBasic insurance knowledge, often no medical credentials needed
Work EnvironmentHome-based, insurance companies, healthcare providersHome-based, insurance companies, healthcare providers
Job FocusReviewing medical claims for accuracy and coverageProcessing claims, data entry, and initial review
Common UsageUsed in insurance and healthcare industriesUsed in insurance companies and claims departments

The main difference is that Remote Medical Claims Examiners review and evaluate medical claims for accuracy and coverage, often requiring medical credentials. In contrast, Remote Medical Claims Processors handle the initial processing and data entry of claims, typically without medical certifications. Both roles are remote and serve the insurance industry, but the Claims Examiner role involves more specialized medical review.

More about Remote Medical Claims Examiner jobs

What cities are hiring for Remote Medical Claims Examiner jobs?

Cities with the most Remote Medical Claims Examiner job openings:

What states have the most Remote Medical Claims Examiner jobs?

States with the most job openings for Remote Medical Claims Examiner jobs include:

What job categories do people searching Remote Medical Claims Examiner jobs look for?

The top searched job categories for Remote Medical Claims Examiner jobs are:

Remote Medical Claims Examiner jobs near you
Infographic showing various Remote Medical Claims Examiner job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

Life Claims Examiner

Addison Group

Mckinney, TX • Remote

$20 - $23/hr

Contractor

Medical, Dental, Vision, Retirement

Re-posted 19 days ago

Job description

Job Title: Life Claims Examiner

Location: Remote, working hours within Central Time Zone

Work Schedule: M-F, 7:00 am - 4:00 pm

Type of Employment: 6-month Contract

Compensation: $20/hr - $23/Hr

Industry: Insurance / Financial Services

Benefits: This position is eligible for medical, dental, vision, and 401(k).

Job Description:

Addison Group is partnering with our client to hire a detail-oriented Life Claims Examiner to support their operations team. This role is responsible for reviewing and handling claims from start to finish, ensuring accuracy, compliance with policy guidelines, and timely processing. The ideal candidate is analytical, organized, and comfortable working in a fast-paced environment with minimal supervision.

Key Responsibilities:

  • Review and assess claims to determine eligibility based on policy terms and internal guidelines
  • Analyze documentation and investigate claim details to ensure completeness and accuracy
  • Calculate benefit amounts and finalize claim determinations
  • Process claims in internal systems while maintaining accuracy and efficiency
  • Record necessary financial transactions related to claims processing
  • Communicate with claimants, agents, and third parties (such as medical providers) via phone, email, and written correspondence
  • Respond to inquiries and provide updates regarding claim status and requirements
  • Maintain organized records and ensure compliance with company procedures and regulatory standards
  • Support additional departmental tasks and projects as needed

Qualifications:

  • 3+ years of Life Claims Examiner Experience
  • Strong numerical skills with the ability to perform intermediate calculations
  • Proficiency in Microsoft Office (Excel, Word, Outlook) and general computer systems 

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.

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