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Remote Medical Claims Processor Jobs in Ohio (NOW HIRING)

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 ...

Commercial Senior Auto Claims Adjuster- Remote

Delaware, OH ยท Remote

$62K - $81K/yr

  • Retirement

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Senior Auto Claims Adjuster- Remote Requisition Number R7890 Commercial Senior ...

Bank Statement Processor

Toledo, OH ยท On-site +1

$18 - $20/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Pay: $18-$20 per hour Description APS Medical Billing located in Toledo Ohio, is looking for a ... claims * Ensure all payments are posted correctly, discrepancies are identified and resolved ...

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Remote Medical Claims Processor information

See Ohio salary details

$13

$18

$24

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

As of Aug 20, 2026, the average hourly pay for remote medical claims processor 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 a remote medical claims processor?

Remote medical claims processors handle billing paperwork for health care offices or insurance companies. Instead of working in the office, remote medical claims processors complete their job duties from home or another location outside of the office with internet connectivity. As a remote medical claims processor, your responsibilities include ensuring medical insurance claims have proper billing codes that match the services provided, clarifying patient concerns about benefits, and adding changes made to the claim by the doctors or insurer. You may also be required to follow up with the insurer to find out the status of claims and discuss any discrepancies.

What does a remote medical claims processor do?

A Remote Medical Claims Processor reviews, evaluates, and processes insurance claims submitted by healthcare providers and patients. Working from a remote location, they verify the accuracy of claim information, ensure proper coding, and determine whether services are covered based on insurance policies. They also communicate with providers, patients, and insurance companies to resolve discrepancies or request additional information. This role helps ensure that claims are processed efficiently and accurately for timely reimbursement.

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

To thrive as a Remote Medical Claims Processor, a solid understanding of medical terminology, insurance policies, and claims adjudication is essential, typically supported by a high school diploma or equivalent and relevant experience. Familiarity with claims management software, electronic health records (EHR) systems, and knowledge of HIPAA regulations are typically required. Attention to detail, strong organizational skills, and clear written communication help individuals excel in processing claims accurately and efficiently. These skills ensure timely and correct claims processing, reducing errors and supporting the financial health of both healthcare providers and patients.

How does a remote medical claims processor typically collaborate with healthcare providers and insurance companies while working from home?

As a Remote Medical Claims Processor, collaboration with healthcare providers and insurance companies primarily occurs through secure digital communication channels, such as email, specialized claims management software, and phone calls. You will regularly interact with provider offices to clarify patient information, verify coverage, or resolve discrepancies in submitted claims. While the role is independent, you often coordinate with team members and supervisors virtually to ensure claims are processed efficiently and accurately. Maintaining clear documentation and communication is essential for resolving issues and minimizing processing delays.

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

AspectRemote Medical Claims ProcessorRemote Medical Billing Specialist
CredentialsTypically requires medical coding or claims processing certificationsOften requires medical billing certifications and coding knowledge
Work EnvironmentRemote, healthcare or insurance companiesRemote, healthcare providers or billing companies
Industry UsageInsurance companies, third-party administratorsHospitals, clinics, billing service providers
Job FocusProcessing and reviewing insurance claims for reimbursementPreparing and submitting bills, managing accounts receivable

While both roles work remotely within the healthcare industry, the Remote Medical Claims Processor primarily reviews and processes insurance claims, focusing on reimbursement. In contrast, the Remote Medical Billing Specialist handles billing procedures, including preparing and submitting invoices. Both roles require similar certifications and often overlap in work environment and employer types, but their core responsibilities differ in claim review versus billing management.

What are the most commonly searched types of Medical Claims Processor jobs in Ohio?

The most popular types of Medical Claims Processor jobs in Ohio are:

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

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

Infographic showing various Remote Medical Claims Processor job openings in Ohio 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, 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 5 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.