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Remote Medical Claims Examiner Jobs (NOW HIRING)

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 ...

RemX

Be Seen First

$19/hr Remote Medical Claims Specialists *TEXAS*

Irving, TX · Remote

$19/hr

Remote Medical Claims Specialist * Pay: $19/hr. Weekly Pay plus Benefits * Paid Training!!! * Equipment Provided * MUST live near Irving, TX Schedule: 7am-9pm CST. Monday through Friday (Must be able ...

Berkley

AVP, Sr. Claims Examiner

Manhattan, NY · Remote

$132K - $189K/yr

The AVP, Senior Claims Examiner handles all aspects of claims notices and files related to ... remote Key functions include but are not limited to: * Adjusting all aspects of claims and loss ...

Berkley

AVP, Sr. Claims Examiner

Manhattan, NY · Remote

$132K - $189K/yr

Responsibilities The AVP, Senior Claims Examiner handles all aspects of claims notices and files ... remote Key functions include but are not limited to: * Adjusting all aspects of claims and loss ...

woodmenlife

Claims Examiner I or II

Claims Examiner I or II This position could be hybrid or possibly fully remote depending on level of experience. WoodmenLife is looking to hire Claims Examiner I or II to join our team! In this role ...

RemX

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$19/hr. WORK FROM HOME- Medical Claims Specialist-TEXAS

Fort Worth, TX · Remote

$19/hr

Remote Medical Claims Specialist| $19/hr. Weekly Pay & Benefits | Equipment Provided | MUST LIVE NEAR IRVING, TX FOR EQUIPMENT PICK UP Start Date: October 2026 | Mon-Fri, Any 8-Hour Shift Between 8 ...

RENFROE (Roster)

Commercial Claims Examiner

The Commercial Claims Examiner is responsible for approving and settling commercial property claims from the field where an estimate of damage has been prepared, or for preparing and settling ...

Firstsource

Claims Examiner

$17 - $20/hr

United States (Remote) Employment Type: Full-Time Experience Required: Minimum 2 years in US Health ... Review, validate, and process medical, behavioral health, and pharmacy claims in accordance with ...

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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.

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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.

Claims Examiner Remote

NTT DATA Services

Plano, TX • On-site, Remote

Full-time

Re-posted 14 days ago

NTT Data rating

7.5

Company rating: 7.5 out of 10

Based on 93 frontline employees who took The Breakroom Quiz

110th of 226 rated it services

Job description

Req ID: 382914
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.
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 client and their team.
In this Role the candidate will be responsible for:
• Processing of Professional claim forms files by provider
• Reviewing the policies and benefits
• Comply with company regulations regarding HIPAA, confidentiality, and PHI
• Abide with the timelines to complete compliance training of NTT Data/Client
• Work independently to research, review and act on the claims
• Prioritize work and adjudicate claims as per turnaround time/SLAs
• Ensure claims are adjudicated as per clients defined workflows, guidelines
• Sustaining and meeting the client productivity/quality targets to avoid penalties
• Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA.
• Timely response and resolution of claims received via emails as priority work
• Correctly calculate claims payable amount using applicable methodology/ fee schedule
Requirements:
• 3 year(s) hands-on experience in Healthcare Claims Processing
• 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools
• High school diploma or GED.
• Previously performing - in P&Q work environment; work from queue; remotely
• Key board skills and computer familiarity -
o Toggling back and forth between screens/can you navigate multiple systems.
o Working knowledge of MS office products - Outlook, MS Word and MS-Excel.
Preferred Skills & Experiences:
• Amisys
• Ability to communicate (oral/written) effectively in a professional office setting
• Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities
• Time management with the ability to cope in a complex, changing environment
About NTT DATA
NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D.
Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client's needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com, @nttdatafed.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, https://us.nttdata.com/en/contact-us.
NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.

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About NTT DATA

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NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Plano, TX, US

Year founded

1967

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