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Remote Medical Claims Processor information

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

As of Aug 22, 2026, the average hourly pay for remote medical claims processor in Vermont is $20.70, according to ZipRecruiter salary data. Most workers in this role earn between $18.41 and $22.98 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.

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Workers Compensation Claims Trainee - New England

Gallagher

South Burlington, VT • Remote

$60K/yr

Full-time

PTO

Posted 15 days ago

Arthur J. Gallagher & Co. rating

7.6

Company rating: 7.6 out of 10

Based on 93 frontline employees who took The Breakroom Quiz

212th of 311 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

About the INVEST Program  

Are you a recent college graduate looking for a long-term, stable, innovative and exciting career that helps make a meaningful difference and supports people through challenges?  

The INVEST Program Guardian Pathway is a 6-month paid, fully remote, entry-level immersive learning experience, designed for recent college graduates to gain real-world exposure, personalized coaching and mentorship and a clear, long-term career path in one of U.S. best industries.   

Program Highlights 

  • 6-months, paid, fully remote learning track 
  • Virtual classroom, peer shadowing, simulations, case studies, and hands-on experience 
  • Fully remote (candidates must physically reside in states specified although the role is remote)
  • Interactive sessions, one-on-one mentorship, collaborative projects, exposure to wide variety of industries, clients, and knowledge material 
  • Fully paid licensing and advance education opportunities 
  • Career progression post-graduation into claims resolution manager roles and beyond 

Key Details:

Starting salary: $60,000 USD (states outside of California)

Start date: January 2027

PTO black out: Due to the structured nature of the training program we will likely not be able to support any PTO requests for the first 8 weeks of the program.


How you'll make an impact

What will you do? 

Over the course of this 6-month program you will be partnered with a team of peers and experienced Training Specialists that will create a supportive learning environment designed to position you for successful program completion. You will alternate between self-study modules, virtual classroom-style learning, guided training modules, and hands-on application of the knowledge gained. Over the course of the program, you will progressively increase your hands-on experience to immerse yourself into the world of claims management and client service excellence under the mentorship of the program mentors and training leaders. The program is designed to offer consistent and repeated opportunities to develop, grow and practice your knowledge, advance your education via licensing studies, and help you gain confidence in the unique and highly specialized field of commercial claims handling for world’s largest employers and insurance carriers.  

What can you expect? 

  • Participate in Structured Learning: Actively engage in the first phase of the INVEST Program, which includes instructor-led sessions, online modules, job shadowing, and mentorship focused on foundational insurance knowledge, claims operations, and state-specific workers’ compensation regulations. 
  • Shadow Claims Experts: Observe experienced claims professionals and learn best practices in managing lost time (indemnity) workers’ compensation claims. 
  • Practice in a Simulated Environment ("Sandbox"): Apply newly learned concepts in a controlled, simulated claims environment designed to mimic real-world scenarios. The sandbox allows colleagues to practice making decisions, inputting data, and managing mock claims without risk, helping build confidence before handling actual cases. 
  • Complete Program Milestones: Achieve key learning objectives and performance checkpoints as you build technical knowledge and professional skills essential for a successful claims career. 
  • Collaborate and Network: Engage with peers, mentors, and cross-functional teams to deepen understanding of the claims process and build professional relationships within the organization. 
  • Gradual Claim Ownership: Begin handling new workers’ compensation claims starting in Week 3 of the program. Claim assignments will begin at an incremental, supportive pace, with inventory gradually increasing as confidence and competency develop. 
  • Support Claims Management: Take ownership of an evolving portfolio of indemnity claims under close supervision. Begin applying program training to real-world scenarios, including benefit calculations, wage loss evaluations, and return-to-work considerations. 
  • Claims Analysis and Learning: Continue developing skills in analyzing medical documentation, regulatory guidelines, state-specific regulations, and supplemental case materials to determine claim strategy, financial exposure and potential next steps. 
  • Stakeholder Communication: Engage in professional communication and strategy development with clients; provide support and empathy to the injured employees; secure key details from medical providers and other key stakeholders to support collaborative, outcome-focused, and empathetic claims handling. 
  • Client Service Instructions & Carrier Guidelines: 
    Learn how to interpret and apply client service instructions and carrier guidelines to ensure claims are handled in compliance with expectations. This includes understanding unique requirements for documentation, communication, and jurisdictional standards across our diverse client base. 
  • Reserving Acumen: 
    Build core skills in setting and adjusting reserves by analyzing claim details, medical data, and potential outcomes. You’ll learn how accurate reserving supports financial stewardship and impacts overall claim strategy. 

About You

Education:

  • Bachelor’s degree or 4-year degree from an accredited institution preferred.
    • Candidates possessing a Bachelor’s degree will receive preferential treatment.  Others with proven experience will be considered.
  • 3.5 or Higher GPA preferred
    • Candidates possessing a GPA of 3.5 or higher will receive preferential treatment. Others will be considered.

Attributes: 

  • Active listening skills  
  • Problem-solving mindset 
  • Adaptable to changes in procedures and technology 
  • Computer literacy, including strong familiarity with M365 products (e.g. Outlook, Word, and basic Excel and PPT) 
  • Strong verbal and written communication skills 
  • Strong time management and ability to multi-task 
  • Detail-oriented 
  • Curious, learning-focused mindset 

#INVEST

#GBTopJob

#remote

#LI-MD3


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:

Education:

  • Bachelor’s degree or 4-year degree from an accredited institution preferred.
    • Candidates possessing a Bachelor’s degree will receive preferential treatment.  Others with proven experience will be considered.
  • 3.5 or Higher GPA preferred
    • Candidates possessing a GPA of 3.5 or higher will receive preferential treatment. Others will be considered.

Attributes: 

  • Active listening skills  
  • Problem-solving mindset 
  • Adaptable to changes in procedures and technology 
  • Computer literacy, including strong familiarity with M365 products (e.g. Outlook, Word, and basic Excel and PPT) 
  • Strong verbal and written communication skills 
  • Strong time management and ability to multi-task 
  • Detail-oriented 
  • Curious, learning-focused mindset 

#INVEST

#GBTopJob

#remote

#LI-MD3

Education:UNAVAILABLEEmployment Type: UNAVAILABLE

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