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Remote Medical Claims Processing Jobs in Ohio (NOW HIRING)

... Remote โ€ข Weekends Off โ€ข Opportunities for Growth APS Medical Billing, located in Toledo Ohio ... Responsibilities * Follow up on unresolved claims within the standard billing cycle * Investigate ...

Regional Biller

Cleveland, OH ยท Remote

$60K - $80K/yr

Process patient billing and insurance claims in a timely and accurate manner * Maintain accurate ... medical billing, apply now to join the Sweetwater Care team as a Remote Biller Regional.

Claims Assistant

Seven Hills, OH ยท Remote

$18.25 - $23/hr

Must be proficient in Spanish - Must Be On Resume 100% Remote Must be US Citizen Primary Purpose ... Processes payments. Processes mail; handles filing, faxing and photocopying. Reviews, prepares ...

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Remote Medical Claims Processing information

See Ohio salary details

$13

$18

$24

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

As of Aug 24, 2026, the average hourly pay for remote medical claims processing in Ohio is $18.51, according to ZipRecruiter salary data. Most workers in this role earn between $16.44 and $20.58 per hour, depending on experience, location, and employer.

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

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

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

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

Infographic showing various Remote Medical Claims Processing job openings in Ohio as of August 2026, with employment types broken down into 93% Full Time, and 7% Contract. Highlights an 7% In-person, and 93% Remote job distribution, with an average salary of $38,496 per year, or $18.5 per hour.

Senior Claims Specialist, Environmental Claims

MSIG Holdings USA, Inc.

Cincinnati, OH โ€ข On-site, Remote

$150K - $190K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago


Job description

MSIG USA continues to grow!

Company Overview:

MSIG USA is the US-based subsidiary ofMS&AD Insurance Group Holdings, Inc., one of the world's top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business's unique risks.

MSIG USA is seeking a highly experienced Senior Environmental Claims Specialist to manage complex environmental, toxic tort, and long-tail liability claims. This role is responsible for handling claims end-to-end-from initial intake and coverage assessment through investigation, strategy development, negotiation, and final resolution.

The ideal candidate brings deep expertise in environmental law, coverage interpretation, and litigation management, with the ability to develop and execute thoughtful resolution strategies while effectively communicating with internal leadership and external stakeholders.

Key ResponsibilitiesClaims Management & Investigation
  • Manage a portfolio of complex environmental and toxic tort claims, including long-tail exposures

  • Oversee claims from intake through resolution, ensuring timely and thorough handling

  • Conduct detailed investigations, including liability, damages, and exposure analysis

  • Coordinate with external counsel, consultants, and experts on technical environmental matters

Coverage Analysis
  • Analyze and interpret policy language to determine coverage applicability

  • Draft clear, well-supported coverage position letters (including reservations of rights and disclaimers)

  • Evaluate coverage issues related to environmental exposures, bodily injury, and property damage claims

Litigation & Resolution Strategy
  • Develop and implement strategic claim resolution plans, including litigation and settlement approaches

  • Manage litigation in partnership with outside counsel, including strategy direction and budget oversight

  • Negotiate settlements and drive claims toward efficient, cost-effective resolution

  • Provide negotiation directives and authority recommendations aligned with company guidelines

Leadership Communication & Reporting
  • Prepare and deliver presentations to senior management on significant claims, exposures, and trends

  • Provide clear recommendations on reserves, litigation strategy, and settlement positions

  • Maintain accurate and timely claim documentation and reporting

Collaboration & Compliance
  • Partner with underwriting, legal, and risk teams to analyze emerging risks and coverage issues

  • Ensure compliance with regulatory requirements and internal claims handling standards

  • Contribute to continuous improvement of claims processes and best practices

QualificationsRequired Experience
  • Minimum 7+ years of experience handling environmental, toxic tort, or complex liability claims

  • Demonstrated experience managing long-tail claims from intake through final resolution

  • Strong background in coverage analysis and policy interpretation

Education & Credentials
  • Juris Doctor (JD) strongly preferred

  • Bachelor's degree required

Technical Expertise
  • In-depth knowledge of environmental law, toxic tort litigation, and liability frameworks

  • Proven ability to draft coverage-level communications and legal correspondence

  • Experience managing outside counsel and litigation strategy

  • Strong negotiation skills with a track record of achieving favorable claim outcomes

SALARY: The estimated salary range for this position is $150,000.00 -

$190,000.00 per year. This is a good-faith assessment of the salary range for this position only. In determining the actual salary within this range, MSIG USA will consider a candidate's relevant experience, location, and other job-related factors.
Additional Benefits:

  • Healthcare and Retirement Benefits

  • Comprehensive medical, dental, and vision coverage

  • 401(k) with a generous employer match and profit-sharing contribution

  • Wellness incentive program

  • Life and accidental death and dismemberment (AD&D) insurance

  • Flexible spending programs

  • Short-term and long-term disability plans


Additional Benefit Programs

  • Paid time off program

  • Paid charitable leave

  • Paid parental leave

  • Tuition reimbursement program

  • Personal insurance (auto/homeowners) discounts

#LI-Hybrid #LI-Remote

It's an exciting time for our company and a great opportunity to join a financially sound and growing global insurance group!


It is the policy of MSIG USA to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, MSIG USA will provide reasonable accommodations for qualified individuals with disabilities.