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Remote Medical Claims Processing Jobs in Massachusetts

IME RESOURCES LLC

Client Coordinator (32545)

Norwood, MA · Remote

$17/hr

... medical claims, records, referrals, and supporting documentation for review and processing. This ... Location: Fully Remote! Duties & Responsibilities include: * Handle and respond promptly to ...

IME RESOURCES LLC

Client Coordinator (32687)

Norwood, MA · Remote

$17/hr

... medical claims, records, referrals, and supporting documentation for review and processing. This ... Location: Fully Remote! Duties & Responsibilities include: * Handle and respond promptly to ...

Deloitte

Epic Denials Manager

Boston, MA · Remote

... process accounts and claims. Regularly monitors work queues and workflows in Epic, claims ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...

New

Deloitte

Epic Denials Management Operator

Boston, MA · Remote

$19.50 - $26/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...

MAPFRE

Claim Rep I, PD (Hybrid or Remote)

Webster, MA · On-site +1

$75K/yr

Adhere to all internal claims handling guidelines and external regulatory requirements ... Medical, Dental and Vision Coverage : Choice of comprehensive medical, dental and vision insurance ...

CareScout

Associate Claims Clinical/Care Advocacy

Waltham, MA · On-site +1

$19.25 - $26.25/hr

... remote applicants residing in states/locations under Eastern or Central Standard Time: Alabama ... into the design process and provide feedback that will help create incredible digital user ...

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Remote Medical Claims Processing information

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.

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 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 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 are popular job titles related to Remote Medical Claims Processing jobs in Massachusetts?

For Remote Medical Claims Processing jobs in Massachusetts, the most frequently searched job titles are:

What job categories do people searching Remote Medical Claims Processing jobs in Massachusetts look for?

The top searched job categories for Remote Medical Claims Processing jobs in Massachusetts are:

What cities in Massachusetts are hiring for Remote Medical Claims Processing jobs?

Cities in Massachusetts with the most Remote Medical Claims Processing job openings:

Remote Medical Claims Processing jobs near you
Infographic showing various Remote Medical Claims Processing job openings in Massachusetts as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 12% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Senior Technical Claims Specialist, Energy Complex

MA • On-site, Remote

Liberty Mutual Insurance
Insurance Services • 10K+ employees

8.8

Company rating: 8.8 out of 10

Based on 161 frontline employees who took The Breakroom Quiz

48th of 312 rated insurance

People enjoy working here

Good employer

Recommended by students

Learn more about Liberty Mutual Insuranceexternal

$83K/yr

Full-time

Re-posted 14 days ago

Job description

Description
Fortune 100 stability! Front-line impact! Be the calm in someone's chaos!
Liberty Mutual has an immediate opening for an experienced claims professional to join our Complex Energy Team as a Senior Technical Claims Specialist! This role manages commercial third-party bodily injury and property damage claims for energy accounts across all 50 states, including litigation and high-dollar exposures!
A flexible way of working
This role offers a limited return-to-office schedule - just two days per month - and only if you reside within 50 miles of one of the following offices: Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Chandler, AZ; or Weatogue, CT. If you don't live near one of these locations, this is a fully remote role. (Please note this policy is subject to change.)
Why this role is compelling?
  • Take ownership of technically complex, high-exposure Energy claims from first notice through resolution. You'll be the trusted subject matter expert on matters that demand advanced coverage analysis, strategy, and litigation management.
  • Influence outcomes on high-profile matters (operators, contractors, utilities, midstream/downstream, power generation, pipelines) and work cross-functionally with underwriting, reinsurance, in-house counsel, and outside defense teams.
  • Use your deep technical knowledge - energy operations, catastrophic loss dynamics, multi-party liability, third-party property damage, bodily injury, and coverage nuances - to shape claims strategy, control cost, and protect our insureds and the company.

What we're looking for
We're seeking candidates with a strong background in complex General Liability, Auto, Energy claims, or other specialty Commercial claims handling - ideally with experience navigating multi-party liability, catastrophic loss, and litigated high-exposure files. Energy-sector claims experience is a strong plus, but candidates with comparable complex commercial GL, Auto(add), or specialty lines experience are encouraged to apply.
Key responsibilities
  • Lead full lifecycle handling of complex Commercial Energy claims: conduct coverage analysis, supervise investigation, determine liability, set and adjust reserves, and negotiate or litigate settlements.
  • Act as the claim owner with authority to authorize payments, approve reserving strategy, and recommend or execute claim denials when warranted.
  • Review and drive response to complaint, suit documentation, discovery, expert reports, and technical files; develop litigation plans and settlement strategies.
  • Assemble and manage the appropriate internal and external teams (Home Office Legal, Defense Counsel, technical experts, Home Office Claims, underwriting, reinsurance) based on loss dynamics and allegation exposure.
  • Oversee selection, engagement and oversight of outside Counsel and technical experts, Home Office Claims, underwriting, reinsurance) based on loss dynamics and allegation exposure.
  • Serve as subject matter expert for complex coverage and energy-specific issues; advise claims leadership on policy wording implications, emerging legal trends, and potential changes to claims practices or training needs.
  • Mentor less experienced claims examiners; provide guidance on technical investigations, negotiation, strategy and litigation handling.
  • Maintain confidentiality and integrity of financial and claims file information; comply with company policies, regulatory requirements and security standards.
  • Participate in special projects (e.g., claims process improvement, litigation strategy initiatives, cross-functional task forces).

Qualifications
Litigation-Focused Qualifications
  • Bachelor's degree or equivalent experience, with 5-7+ years of progressively complex Commercial Casualty claims experience, emphasizing litigated Commercial General Liability/Auto and/or Energy claims involving oil & gas, power generation, renewable energy and/or energy-adjacent contractors
  • Demonstrated expertise managing Energy-specific litigation, including upstream, midstream, and downstream exposures such as well blowouts, pipeline incidents, refinery operations, energy construction, transportation, catastrophic injury, and multi-party losses
  • Demonstrated strength in litigation management, including oversight of defense counsel, evaluation of pleadings and motion practice, development of discovery and deposition strategy, and participation in mediations, arbitrations, and trials
  • Advanced proficiency in coverage analysis within a litigation context, including interpretation of complex policy language, reservations of rights, coverage defenses, indemnity and additional insured disputes
  • Strong experience setting and managing high-exposure indemnity and expense reserves aligned with litigation strategy and evolving case posture
  • Proven ability to assess liability, causation, damages, and venue risk, and to develop effective resolution strategies for contested, multi-party, or catastrophic claims
  • In-depth knowledge of the insurance legal and regulatory environment, with the ability to apply sound judgment to nuanced legal issues and emerging case law
  • Track record of independently managing a litigation-heavy claim portfolio, balancing strategic risk, financial stewardship, and timely resolution
  • Highly effective communicator with the ability to influence attorneys, internal legal partners, underwriting, reinsurance, and leadership through clear analysis and recommendations
  • Experience handling moderate to highly complex Energy and/or Commercial General Liability/Auto litigation-including catastrophic injury, or contractor-related losses-strongly preferred
  • All lines Adjuster License required

About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: https://www.libertymutualgroup.com/about-lm/careers/benefits
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
  • California
  • Los Angeles Incorporated
  • Los Angeles Unincorporated
  • Philadelphia
  • San Francisco
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About Liberty Mutual

Sourced by ZipRecruiter

Since 1912, we've grown into the fifth largest global property and casualty insurer based on 2022 gross written premium. We also rank 86 on the Fortune 100 list of largest corporations in the US based on 2022 revenue. ​At Liberty Mutual Insurance we work hard every day to support our customers and our people, so they can protect their families, build their businesses and invest in their futures. We are headquartered in Boston, but our people, our customers and our reach span the globe. So to better serve our global customers and employees, we are organized into three business units.

Industry

Insurance services

Company size

10,000+ Employees

Headquarters location

Boston, MA, US

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Hours and flexibility

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