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Remote Medical Claims Processor Jobs in Berwick, PA

USAA

Sr. TLE Auto Appraiser

Bloomsburg, PA · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintains accurate and current claim file documentation throughout the claims process for complex ...

USAA

Sr. TLE Auto Appraiser

Bloomsburg, PA · On-site +1

$63K - $121K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintains accurate and current claim file documentation throughout the claims process for complex ...

Erie Insurance

Property Adjuster I

Wilkes Barre, PA · Remote

$56K - $90K/yr

... litigated claims. * This is a remote, work from home position in Pennsylvania * The selected ... Optimizes Work Processes (IC) * Job-Specific Knowledge * Instills Trust * Ensures Accountability

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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 24, 2026, the average hourly pay for remote medical claims processor in Berwick, PA is $18.70, according to ZipRecruiter salary data. Most workers in this role earn between $16.63 and $20.77 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.

More about Remote Medical Claims Processor jobs

What are popular job titles related to Remote Medical Claims Processor jobs in Berwick, PA?

For Remote Medical Claims Processor jobs in Berwick, PA, the most frequently searched job titles are:

What cities near Berwick, PA are hiring for Remote Medical Claims Processor jobs?

Cities near Berwick, PA with the most Remote Medical Claims Processor job openings:

Remote Medical Claims Processor jobs near you
Infographic showing various Remote Medical Claims Processor job openings in Berwick, PA as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $38,906 per year, or $18.7 per hour.

Complex Claims Adjuster - Commercial Liability

Wilkes Barre, PA • On-site, Remote

Berkshire Hathaway GUARD Insurance Companies
Insurance Services • 1 - 5K employees
Learn more about Berkshire Hathaway GUARD Insurance Companiesexternal

$80K - $120K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 28 days ago

Job description

Overview

Good Things Start Here.

Good things are happening at Berkshire Hathaway GUARD Insurance Companies-an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway. With supportive leadership, collaborative teams, and opportunities to grow, GUARD is a place where people build meaningful, longterm careers.

Good Things You Can Count On.

  • Hybrid schedule: 2 days remote / 3 inoffice
  • Predictable hours (no nights, weekends, or holidays)
  • Competitive pay + generous PTO
  • Medical, dental & vision starting day one
  • 401(k), tuition reimbursement & longevity bonuses
Responsibilities

Berkshire Hathaway GUARD Insurance Companies is seeking a Complex Liability Adjuster to handle Commercial General Liability (CGL) and Business Owners Policy (BOP) claims, including litigated files.

What You'll Do

  • Handle CGL and BOP claims from initial investigation through resolution
  • Manage litigated claims in coordination with defense counsel and vendors
  • Review policy language and determine coverage, liability, and damages
  • Develop and implement claim handling and resolution plans
  • Negotiate settlements with claimants and attorneys
  • Maintain accurate claim documentation in accordance with company and regulatory requirements
  • Communicate with insureds, claimants, attorneys, and internal teams
Qualifications
  • Minimum 10 years of insurance industry experience, including hands-on Commercial General Liability (CGL) claims handling
  • 5+ years of experience managing litigated and in-suit CGL and BOP claims
  • Strong understanding of litigation management, claim valuation, and negotiation strategies
  • Experience analyzing coverage issues and applying policy language to liability claims
  • Proven ability to work effectively with defense counsel and manage claims through the litigation lifecycle
  • Strong written and verbal communication skills
  • Ability to manage multiple complex claims and competing priorities
  • Experience using claims management systems and standard business applications
  • JD preferred, or bachelor's degree with significant experience handling litigated liability claims

  • Licensing Requirement: Candidates must hold an active adjuster license or be willing and able to obtain and maintain all required state licenses. The company will support the licensing process, including training and compliance with ongoing continuing education requirements

Salary $80,000 - $120,000 

In accordance with applicable pay transparency laws, this range represents a goodfaith estimate. Final compensation will be determined based on factors such as experience, credentials, geographic location, and other considerations permitted by law.

This role may be based out of any of our office locations, including:

New York, NY; Parsippany, NJ; Conshohocken, PA; WilkesBarre, PA; Alpharetta, GA; Rosemont, IL; Plano, TX; Scottsdale, AZ; and Rancho Cordova, CA.

Interview Integrity Notice: Berkshire Hathaway GUARD is committed to a fair and consistent hiring process. Candidates are expected to participate independently in interviews. Unauthorized recording, transcription, AI note-taking, or AI interview assistance tools may not be used during interviews without prior approval.

Employment Type: FULL_TIME

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