S.. This is a fully remote position so you will have a home-based office. In this role, you will ... Demonstrates understanding of the reserving process for indemnity and expense in analyzing the ...
S.. This is a fully remote position so you will have a home-based office. In this role, you will ... Demonstrates understanding of the reserving process for indemnity and expense in analyzing the ...
Claims Adjuster I (Remote)
Baltimore, MD ยท Remote
Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes ...
Claims Adjuster I (Remote)
Baltimore, MD ยท Remote
Verifies insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line situations; recommending changes in operating processes ...
Senior Manager, Stop Loss & Health Claims
Baltimore, MD ยท On-site +1
$68K - $102K/yr
... medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and ... Optimize Processes: Monitor workflow, implement efficiencies, and ensure prompt, accurate claims ...
New
Senior Manager, Stop Loss & Health Claims
Baltimore, MD ยท On-site +1
$68K - $102K/yr
... medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and ... Optimize Processes: Monitor workflow, implement efficiencies, and ensure prompt, accurate claims ...
New
Senior Manager, Stop Loss & Health Claims
Baltimore, MD ยท On-site +1
$68K - $102K/yr
... medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and ... Optimize Processes: Monitor workflow, implement efficiencies, and ensure prompt, accurate claims ...
New
Senior Manager, Stop Loss & Health Claims
Baltimore, MD ยท On-site +1
$68K - $102K/yr
... medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and ... Optimize Processes: Monitor workflow, implement efficiencies, and ensure prompt, accurate claims ...
New
The Policy Coordinator will support the end-to-end implementation of medical and payment policies ... Familiarity with claims systems, configuration processes, or policy governance. Knowledge, Skills ...
The Policy Coordinator will support the end-to-end implementation of medical and payment policies ... Familiarity with claims systems, configuration processes, or policy governance. Knowledge, Skills ...
Must have experience working with claims processing, enrollment, billing & payments, underwriting, partner programs, business operations, and benefit management business functions either in a ...
Must have experience working with claims processing, enrollment, billing & payments, underwriting, partner programs, business operations, and benefit management business functions either in a ...
Dispute Resolution Analyst I
Millersville, MD ยท On-site +1
$16.25 - $18.25/hr
Our team of 260 employees focuses on providing processing, review, and analysis of medical claims ... Remote Salary: $16.25-18.25 per hour J29, Inc. is committed to hiring and retaining a diverse ...
Dispute Resolution Analyst I
Millersville, MD ยท On-site +1
$16.25 - $18.25/hr
Our team of 260 employees focuses on providing processing, review, and analysis of medical claims ... Remote Salary: $16.25-18.25 per hour J29, Inc. is committed to hiring and retaining a diverse ...
The Senior Medical Coding Specialist acts as an internal expert to ensure that value-based ... claims processing. * Experience in revenue cycle management and value-based reimbursement ...
The Senior Medical Coding Specialist acts as an internal expert to ensure that value-based ... claims processing. * Experience in revenue cycle management and value-based reimbursement ...
Epic Denials Management Operator
Baltimore, MD ยท Remote
$18 - $23.75/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 ...
Epic Denials Management Operator
Baltimore, MD ยท Remote
$18 - $23.75/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 ...
HR Generalist
Millersville, MD ยท On-site +1
$40K - $50K/yr
Remote, with preference given to candidates in eastern standard time zone Report To: Director of ... processing, reviewing, and analyzing medical claims, records, disputes, and audits. Established in ...
HR Generalist
Millersville, MD ยท On-site +1
$40K - $50K/yr
Remote, with preference given to candidates in eastern standard time zone Report To: Director of ... processing, reviewing, and analyzing medical claims, records, disputes, and audits. Established in ...
Hybrid (Onsite & Remote) Hours: 40 Hours/Week (EST) Overview Our Client is embarking on a major ... and related claims processing workflows. This role will play a key part in delivering new ...
Quick apply
Hybrid (Onsite & Remote) Hours: 40 Hours/Week (EST) Overview Our Client is embarking on a major ... and related claims processing workflows. This role will play a key part in delivering new ...
Hybrid (Onsite & Remote) Hours: 40 Hours/Week (EST) Overview Our Client is embarking on a major ... and related claims processing workflows. This role will play a key part in delivering new ...
Quick apply
Hybrid (Onsite & Remote) Hours: 40 Hours/Week (EST) Overview Our Client is embarking on a major ... and related claims processing workflows. This role will play a key part in delivering new ...
... 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 ...
... 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 ...
Healthcare Customer Service Advocate (Remote)
Baltimore, MD ยท Remote
$28.75/hr
Claims questions and first-level claims research * Eligibility and billing inquiries * Provide ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Quick apply
Healthcare Customer Service Advocate (Remote)
Baltimore, MD ยท Remote
$28.75/hr
Claims questions and first-level claims research * Eligibility and billing inquiries * Provide ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Healthcare Customer Service Advocate (Remote)
Baltimore, MD ยท Remote
$28.75/hr
Claims questions and first-level claims research * Eligibility and billing inquiries * Provide ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Quick apply
Healthcare Customer Service Advocate (Remote)
Baltimore, MD ยท Remote
$28.75/hr
Claims questions and first-level claims research * Eligibility and billing inquiries * Provide ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Healthcare Customer Service Advocate (Remote)
Baltimore, MD ยท Remote
$28.75/hr
Claims questions and first-level claims research * Eligibility and billing inquiries * Provide ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Quick apply
Healthcare Customer Service Advocate (Remote)
Baltimore, MD ยท Remote
$28.75/hr
Claims questions and first-level claims research * Eligibility and billing inquiries * Provide ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Healthcare Customer Service Advocate (Remote)
Baltimore, MD ยท Remote
$28.75/hr
Claims questions and first-level claims research * Eligibility and billing inquiries * Provide ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Quick apply
Healthcare Customer Service Advocate (Remote)
Baltimore, MD ยท Remote
$28.75/hr
Claims questions and first-level claims research * Eligibility and billing inquiries * Provide ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Healthcare Project Manager - (FACETS Claims Systems)
Baltimore, MD ยท Remote
$119K/yr
Hybrid (onsite + remote) Location: DMV area -- Baltimore, MD / Washington, DC (EST) Type: Contract ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Quick apply
Healthcare Project Manager - (FACETS Claims Systems)
Baltimore, MD ยท Remote
$119K/yr
Hybrid (onsite + remote) Location: DMV area -- Baltimore, MD / Washington, DC (EST) Type: Contract ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Healthcare Project Manager - (FACETS Claims Systems)
Baltimore, MD ยท Remote
$119K/yr
Hybrid (onsite + remote) Location: DMV area -- Baltimore, MD / Washington, DC (EST) Type: Contract ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Quick apply
Healthcare Project Manager - (FACETS Claims Systems)
Baltimore, MD ยท Remote
$119K/yr
Hybrid (onsite + remote) Location: DMV area -- Baltimore, MD / Washington, DC (EST) Type: Contract ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Lead Healthcare Product Owner
Baltimore, MD ยท Remote
$72/hr
Identify and resolve breakdowns/errors in the PA/claims process--pinpoint fail points and implement ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Quick apply
Lead Healthcare Product Owner
Baltimore, MD ยท Remote
$72/hr
Identify and resolve breakdowns/errors in the PA/claims process--pinpoint fail points and implement ... medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as ...
Remote Medical Claims Processor information
See Perry Hall, MD salary details
$13.31 - $14.34
6% of jobs
$14.34 - $15.36
6% of jobs
$15.36 - $16.38
11% of jobs
$16.49 is the 25th percentile. Wages below this are outliers.
$16.38 - $17.40
15% of jobs
The median wage is $18.15 / hr.
$17.40 - $18.43
16% of jobs
$18.43 - $19.45
11% of jobs
$20.42 is the 75th percentile. Wages above this are outliers.
$19.45 - $20.47
11% of jobs
$20.47 - $21.49
11% of jobs
$21.49 - $22.52
6% of jobs
$22.52 - $23.54
5% of jobs
$23.54 - $24.56
2% of jobs
$13
$18
$24
How much do remote medical claims processor jobs pay per hour?
What is the difference between Remote Medical Claims Processor vs Remote Medical Billing Specialist?
| Aspect | Remote Medical Claims Processor | Remote Medical Billing Specialist |
|---|---|---|
| Credentials | Typically requires medical coding or claims processing certifications | Often requires medical billing certifications and coding knowledge |
| Work Environment | Remote, healthcare or insurance companies | Remote, healthcare providers or billing companies |
| Industry Usage | Insurance companies, third-party administrators | Hospitals, clinics, billing service providers |
| Job Focus | Processing and reviewing insurance claims for reimbursement | Preparing 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 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 are the key skills and qualifications needed to thrive as a remote medical claims processor?
How does a remote medical claims processor typically collaborate with healthcare providers and insurance companies while working from home?
What does a remote medical claims processor do?

Full-time
Posted 17 days ago
Job description
Zurich North America is hiring a Senior Claims Professional, Surety/Construction to join our team!ย We are open to hiring talent who is located within the U.S.. This is a fully remote position so you will have a home-based office.ย ย
In this role, you will manage a caseload of moderate to high complexity Surety claims from start through settlement and resolution, and within specific authority limits. You will ensure that claims are handled in the most efficient and effective manner to deliver on Zurich's claims best practices and customer led commitment. You will have an opportunity to develop strong partnerships that include extensive communications and interactions with principals, brokers and other internal business unit contacts.ย
Primary accountabilities include:
- Investigate surety claims from initial notice through final resolution.
- Review contracts, invoices, payment applications, project records and other claim related documentation.
- Analyze claim information and determine potential exposure and resolution strategies.
- Identify recovery opportunities and support indemnity collection efforts.
- Excel - accumulating accounting data, invoicing, adding payments
Basic Qualifications:
- Bachelor's Degree and 3 or more years of experience in the Claims or Insurance area OR
- Zurich Certified Insurance Apprentice, including an Associate Degree and 3 or more years of experience in Claims or Insurance area OR
- Completion of Zurich Claims Training Program and 2 or more years of experience in the Claims or Insurance area OR
- High School Diploma or Equivalent and 5 or more years of experience in the Claims or Insurance area AND
- Must obtain and maintain required adjuster license(s)
- Knowledge of insurance regulations, markets and products
- Microsoft Office experience
Preferred Qualifications:
- Experience investigating claims
- Knowledge of construction projects, contracts or commercial insurance
- Experience with Excel and accounting
- Microsoft Office experience
- Effective verbal and written communication skills
- Strong analytical, critical thinking, and problem solving skills
- Solid time management, prioritization and multi-tasking skills
- Experience collaborating in a team environment and building cross functional working relationships
- Adept in identifying and explaining complex financial and/or actuarial concepts.
- Ability to determine the scope and exposure for moderately complex claims
- Demonstrates understanding of the reserving process for indemnity and expense in analyzing the potential exposure of moderately complex claims
- Ability to develop and execute a negotiation strategy and plan for resolution
- Ability to identify subtleties in customer/client and/or business partner interactions
- Ability to present information necessary to propose a claim resolution to stakeholders
Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us. The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $59,900 - $98,200 with short-term incentive bonus eligibility set at 10%.
We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewardsย here.]
ย
Why Zurich?
At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500.
Join us for a brighter future-for yourself and our customers.
Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.
Zurich complies with 18 U.S. Code 1033.
ย
Please note: Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal.
Location(s): AM - Owings Mills
Remote Working: Yes
Schedule: Full Time
Employment Sponsorship Offered:ย Noย
Linkedin Recruiter Tag: #LI-LC1 LI-ASSOCIATE #LI-REMOTEย
About Zurich Insurance
Sourced by ZipRecruiter
Industry
Insurance services
Company size
10,000+ Employees
Headquarters location
Schaumburg, IL, US