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Remote Medical Claims Processor Jobs in Hanover, MA

Massgeneralbrigham

Senior Revenue Analyst

Somerville, MA · Remote

$79K - $115K/yr

... claims processing outcomes. -Monitors key performance indicators (KPIs) for revenue cycle ... Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive ...

IME RESOURCES LLC

Client Coordinator (32686)

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 ...

New

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 ...

IME RESOURCES LLC

Client Coordinator (32816)

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 ...

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 ...

BMC HealthNet Plan

Medical Director

Boston, MA · On-site +1

$173K - $250K/yr

Our Investment in You: • Full-time remote work • Competitive salaries • Excellent benefits ... claims involving complex, controversial, or unusual or new services in order to determine medical ...

WellSense Health Plan

Medical Director

MA · On-site +1

$173K - $250K/yr

Our Investment in You: · Full-time remote work · Competitive salaries · Excellent benefits Key ... claims involving complex, controversial, or unusual or new services in order to determine medical ...

YO AI Labs

Hospitalist Physician - Remote

Boston, MA · Remote

$70 - $100/hr

Verify that clinical information, findings, and claims are supported by the available medical ... Support quality assurance processes by identifying potential issues and inconsistencies.

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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 Sep 5, 2026, the average hourly pay for remote medical claims processor in Hanover, MA is $20.31, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $22.60 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 cities near Hanover, MA are hiring for Remote Medical Claims Processor jobs?

Cities near Hanover, MA 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 Hanover, MA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $42,250 per year, or $20.3 per hour.

Claims Specialist II - Rideshare Commercial Auto - Attorney Represented Bodily Injury Claims Adjuste

Liberty Mutual Insurance

MA • On-site, Remote

$61K/yr

Full-time

Re-posted 12 days ago

Liberty Mutual rating

8.7

Company rating: 8.7 out of 10

Based on 162 frontline employees who took The Breakroom Quiz

72nd of 315 rated insurance

Job description

Description
The Claims Specialist works within a Claims Team, using the latest technology to manage a caseload of commercial rideshare, also known as Transportation Network Company (TNC), claims from initial investigation through resolution. The role handles claims involving complex injuries as well as claims involving high policy limits, attorney representation, litigation, uninsured/underinsured motorist coverage, and 3rd-party bodily injury.
The Claims Specialist leverages expertise in coverage and liability, reserve analysis, damages assessment, negotiation strategy, and litigation management. This role partners with defense counsel, internal claims partners, and external vendors to ensure claims are managed accurately and efficiently, consistent with policy provisions, regulatory requirements, and company standards.
You will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: Boston, MA; Westborough, MA; Hoffman Estates, IL; Weatogue, CT; Indianapolis, IN; Plano, TX; Suwanee, GA; or Lake Oswego, OR; Las Vegas, NV; Chandler, AZ. (Please note this policy is subject to change.)
Responsibilities:
  • Owns complex commercial rideshare/TNC claims from investigation through resolution, including determining coverage, liability, damages, and appropriate claim outcomes.
  • Reviews commercial policy language, endorsements, exclusions, limits, conditions, and applicable coverage requirements to determine coverage.
  • Investigates complex losses involving significant injuries, attorney representation, litigation, and UM/UIM coverages
  • Evaluates the severity and complexity of injuries to assess medical exposure, future damages, and overall claim value.
  • Establishes, documents, and updates accurate reserves throughout the life of the claim based on severity, exposure, venue, liability, policy limits, litigation status, and evolving facts.
  • Determines amounts owed, evaluates settlement value, negotiates with plaintiff counsel and other parties, and authorizes settlements and payments within assigned authority; recommends or issues denials when appropriate.
  • Manages attorney-represented and litigated claims, including developing resolution strategies and coordinating with defense counsel, Home Office Legal, Claims leadership, and other internal partners.
  • Partners with defense counsel on pleadings, discovery plans, litigation plans, case evaluations, mediation preparation, deposition strategy, trial preparation, and settlement negotiations
  • Reviews pleadings, discovery, depositions, expert reports, medical records, suit documentation, investigation materials, and claim files to determine appropriate actions and litigation strategy.
  • Prepares claims for mediation, deposition, and potential trial by analyzing liability, coverage, damages, documentation, venue considerations, and settlement authority.
  • Performs other duties as assigned, including participation in special projects, training, guidance, and mentorship to staff.
  • Experience handling commercial/Transportation Network Company (TNC) claims and/or larger policies.
  • Experience with high-exposure claims involving severe injury, soft tissue, fractured bones, catastrophic loss, or fatalities.
  • Prior handling of attorney-represented and/or litigated claims in a commercial or specialty lines environment.
  • Experience preparing claims for mediation, deposition, trial, or other litigation milestones.
  • Background in settlement negotiation with attorneys and/or plaintiff counsel and coordination with defense counsel.
  • Experience handling complex policy interpretation and coverage analysis on large commercial accounts.
  • Familiarity with time limit demands, discovery, legal expense management, and litigation strategy.
  • Experience managing high-limit claims with detailed reserve and exposure analysis.
  • Knowledge of multi-state claim handling and jurisdictional issues.
  • Experience working in a high-performance claims environment where quality, precision, and responsiveness are expected

Qualifications
  • BS/BA degree or equivalent work experience.
  • Minimum of 2 years' experience in claims adjustment, general insurance or formal claims training.
  • Required to obtain and maintain all applicable licenses.
  • Continuing education courses leading to industry certifications preferred (e.g., AEI, IIA, CPCU).
  • Knowledge of claims investigation techniques, medical terminology and legal aspects of claims.

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

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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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