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Remote Medical Claims Processing Jobs in Delaware

Patient Financial Services Specialist

Dover, DE · On-site +1

$18 - $24/hr

... financial processes. This role also helps identify trends, improve workflows, and enhance the ... Serve as the primary point of contact for patients regarding billing, statements, claims, balances ...

Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... We may use artificial intelligence (AI) tools to support parts of the hiring process, such as ...

Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... We may use artificial intelligence (AI) tools to support parts of the hiring process, such as ...

$75K - $90K/yr

... claims process. WHAT WE OFFER We are a teleworking-first organization with work from home and ... For remote or full remote work-from-home positions, reliable high-speed internet, a dedicated ...

$75K - $90K/yr

... claims process. WHAT WE OFFER We are a teleworking-first organization with work from home and ... For remote or full remote work-from-home positions, reliable high-speed internet, a dedicated ...

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Remote Medical Claims Processing information

See Delaware salary details

$13

$19

$25

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

As of Aug 5, 2026, the average hourly pay for remote medical claims processing in Delaware is $19.48, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $21.63 per hour, depending on experience, location, and employer.

What is the difference between Remote Medical Claims Processing vs Remote Medical Billing Specialist?

AspectRemote Medical Claims ProcessingRemote Medical Billing Specialist
CredentialsKnowledge of insurance policies, claims processing certifications often preferredMedical billing certifications, coding credentials like CPC or CCS+
Work EnvironmentHome-based, computer-focused, insurance company or third-party payerHome-based, healthcare provider offices, billing companies
Industry UsageInsurance companies, third-party administratorsHospitals, clinics, medical practices
Search & Comparison IntentFocus on claims processing tasks, insurance reimbursementFocus on billing, coding, and invoicing processes

Remote Medical Claims Processing involves reviewing and submitting insurance claims for reimbursement, often requiring knowledge of insurance policies. Remote Medical Billing Specialists handle invoicing and coding for healthcare providers. While both roles are home-based and involve healthcare finance, claims processing emphasizes insurance submission, whereas billing focuses on patient invoicing and coding accuracy.

What is remote medical claims processing?

Remote medical claims processing involves reviewing, validating, and submitting health insurance claims from a location outside of a traditional office, often from home. Professionals in this role analyze patient data, ensure claims are accurate and complete, and handle communication with insurance companies to facilitate timely reimbursement. This job requires strong attention to detail, knowledge of medical terminology and billing codes, and proficiency with healthcare management software. Many employers offer remote positions to streamline operations and accommodate flexible work arrangements.

How to get a job as a remote medical claims processing?

To get a remote medical claims processing job, candidates typically need a high school diploma or equivalent, strong attention to detail, and familiarity with medical billing and coding software. Relevant certifications such as CPC or CCS can improve job prospects, and experience with electronic health records (EHR) systems is often preferred. Applying through healthcare companies, insurance providers, or staffing agencies that specialize in remote roles is common.

What are some common challenges faced when working remotely as a medical claims processor, and how can they be managed?

Remote medical claims processors often face challenges such as maintaining clear communication with team members, managing a high volume of claims efficiently, and staying updated on frequently changing insurance policies. To manage these challenges, it's important to utilize collaboration tools, participate in regular virtual meetings, and establish a structured daily routine. Additionally, leveraging secure digital resources and ongoing training can help ensure accuracy and compliance, making remote work both productive and rewarding.

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

To thrive as a Remote Medical Claims Processor, you need a strong understanding of medical terminology, insurance policies, and claims adjudication, typically supported by a high school diploma or an associate degree in health administration. Proficiency with claims management software, electronic health record (EHR) systems, and familiarity with coding systems like ICD-10 and CPT is essential. Attention to detail, time management, and effective written communication are standout soft skills in this role. These skills and qualities ensure accurate, efficient claims processing and help maintain compliance with healthcare regulations.
What are popular job titles related to Remote Medical Claims Processing jobs in Delaware? For Remote Medical Claims Processing jobs in Delaware, the most frequently searched job titles are:
Infographic showing various Remote Medical Claims Processing job openings in Delaware as of July 2026, with employment types broken down into 88% Full Time, 10% Part Time, and 2% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $40,528 per year, or $19.5 per hour.

Senior Claims Adjuster Workers Compensation

Gallagher

Newark, DE • Remote

$65K - $84K/yr

Full-time

Re-posted 20 days ago


Arthur J. Gallagher & Co. rating

7.7

Company rating: 7.7 out of 10

Based on 92 frontline employees who took The Breakroom Quiz

201st of 301 rated insurance


Job description

Introduction
At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose.

Overview
  • Jurisdictions: NJ, MA
  • Licenses: Must have state license or reciprocal.
  • Location: This role is fully remote work.

How you'll make an impact
  • Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims.
  • Interact extensively with various parties involved in the claim process to ensure effective communication and resolution.
  • Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process
  • Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements.
  • Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file.

About You

Ideal candidates for this position will have:
Claims Background: Minimum 3 years of experience adjusting a workers compensation desk, including lost time/indemnity and litigation.
Jurisdictional Experience: NJ, MA
Active Adjusters' licenses: Must have state license or reciprocal.
As a key member of our experienced Claims Adjuster team, you will:

  • Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.
  • Work in partnership with our clients to deliver innovative solutions and enhance the claims management process.
  • Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants.

REQUIRED QUALIFICATIONS:
• High School Diploma.
• Minimum of 3 years related claims experience.
• Appropriately licensed and/or certified in all states in which claims are being handled.
• Knowledge of accepted industry standards and practices.
• Computer experience with related claims and business software.


DESIRED:
• Bachelor's Degree

#LI-Remote

#LI-AB2

#WorkersComp


Compensation and benefits

At Gallagher, we believe supporting our colleagues goes far beyond the role itself. For more information, visit our Benefits page.

  • Competitive compensation
  • Comprehensive benefits programs designed to support your well-being 
  • Career development opportunities and ongoing learning 
  • A collaborative, people-first culture with accessible leadership 
  • The opportunity to do meaningful work with global reach and local impact 

At Gallagher, we are dedicated to building an inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to join our Talent Community to stay connected to additional career opportunities. At times, we will consider transferable skills from previous roles.

Gallagher is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled)

Qualifications:

Ideal candidates for this position will have:
Claims Background: Minimum 3 years of experience adjusting a workers compensation desk, including lost time/indemnity and litigation.
Jurisdictional Experience: NJ, MA
Active Adjusters' licenses: Must have state license or reciprocal.
As a key member of our experienced Claims Adjuster team, you will:

  • Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.
  • Work in partnership with our clients to deliver innovative solutions and enhance the claims management process.
  • Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants.

REQUIRED QUALIFICATIONS:
• High School Diploma.
• Minimum of 3 years related claims experience.
• Appropriately licensed and/or certified in all states in which claims are being handled.
• Knowledge of accepted industry standards and practices.
• Computer experience with related claims and business software.


DESIRED:
• Bachelor's Degree

#LI-Remote

#LI-AB2

#WorkersComp

Education:UNAVAILABLEEmployment Type: FULL_TIME

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