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Remote Medical Claims Processor Jobs in Reserve, LA

Deloitte

Epic Denials Manager

New Orleans, LA · Remote

Epic Denials Manager Position Summary Join Deloitte's AI & Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle

Deloitte

Epic Denials Management Operator

New Orleans, LA · Remote

$17.25 - $23/hr

Position Summary Join Deloitte's AI & Engineering practice to support hospital denials management to deliver back-end Revenue Cycle Management (RCM) services, including Billing and Claims Submission,

micro1 AI

Medical Billing Specialist

New Orleans, LA · Remote

$50 - $80/hr

Role Title: Medical Writer / Clinical Document Author Role Type: Contractor Location: Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer's project

micro1 AI

Medical Writing Manager

New Orleans, LA · Remote

$50 - $80/hr

Role Title: Medical Writer / Clinical Document Author Role Type: Contractor Location: Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer's project

Crawford and Company

Sr Claim Examiner- WC

Metairie, LA · Remote

$30.25 - $41.25/hr

We're Hiring: Senior Claims Examiner - Workers Compensation (Alabama) This is an exciting opportunity to join a global leader in claims management and make a meaningful impact through your expertise.

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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 12, 2026, the average hourly pay for remote medical claims processor in Reserve, LA is $19.42, according to ZipRecruiter salary data. Most workers in this role earn between $17.26 and $21.59 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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Remote Medical Claims Processor jobs near you
Infographic showing various Remote Medical Claims Processor job openings in Reserve, LA as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $40,402 per year, or $19.4 per hour.

General Liability Claims Adjuster Gaming & Hospitality Accounts

Metairie, LA • On-site, Remote

CCMSI
Insurance Services • 1 - 5K employees
Learn more about CCMSIexternal

$65K - $75K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

CCMSI rating

7.9

Company rating: 7.9 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

Job description

General Liability Claims Adjuster – Gaming & Hospitality Accounts

Location: Metairie, LA (Hybrid) or Remote for Qualified Candidates
Schedule: Monday – Friday, 8:00 AM – 4:30 PM
Salary Range: $65,000 – $75,000 annually

Hybrid employees typically work 1–2 days per week in the Metairie office. Remote eligibility is available for qualified candidates based on experience and location.

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with clients to solve complex risk management challenges through innovative claim solutions, collaborative problem-solving, and an unwavering commitment to service excellence.

As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim management solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work® and an employee-owned company where your expertise, judgment, and contributions directly impact client success.

Job Summary

The General Liability Claims Adjuster is responsible for the investigation, evaluation, negotiation, and resolution of liability claims within a dedicated national gaming and hospitality program.

This role handles a diverse inventory of General Liability claims, ranging from low-severity incidents to more complex litigated matters. Claims may involve premises liability, bodily injury, guest incidents, property damage, and other liability exposures occurring within gaming, hospitality, and entertainment environments.

The successful candidate will independently manage claims from assignment through resolution while ensuring compliance with Corporate Claim Standards, client-specific handling requirements, and applicable state regulations across multiple jurisdictions.

This position is ideal for an experienced liability adjuster who enjoys investigative claim work, litigation management, direct client interaction, and the opportunity to support a nationally recognized hospitality and gaming program.


At CCMSI, we look for experienced claim professionals who take ownership of their files, communicate effectively, and exercise sound judgment. Successful adjusters are proactive, organized, client-focused, and comfortable navigating both routine and complex liability matters.
What You'll Do
  • Investigate, evaluate, and adjust General Liability claims from assignment through resolution
  • Conduct liability investigations involving bodily injury, premises liability, and property damage exposures
  • Analyze coverage, liability, damages, and risk transfer opportunities
  • Establish and maintain appropriate reserves based on claim exposure
  • Review incident reports, medical records, witness statements, contracts, and supporting documentation
  • Negotiate settlements with claimants, attorneys, and authorized representatives
  • Manage attorney-represented and litigated claims throughout the claim lifecycle
  • Coordinate activities with defense counsel, experts, and vendors as necessary
  • Identify and pursue subrogation opportunities when appropriate
  • Maintain timely diary management and accurate claim documentation
  • Prepare claim summaries, reserve recommendations, and client reports
  • Deliver exceptional customer service and responsive claim management
  • Ensure compliance with Corporate Claim Standards and client-specific handling instructions

Required Qualifications

  • Active Adjuster License or Designated Home State (DHS) License required
  • Minimum 5 years of General Liability claims handling experience
  • Experience managing claims from investigation through final resolution
  • Strong liability investigation and coverage analysis skills
  • Experience handling premises liability and bodily injury claims
  • Litigation management experience required
  • Experience working directly with defense counsel
  • Ability to establish reserves and negotiate settlements
  • Strong organizational, diary management, and documentation skills
  • Excellent verbal and written communication abilities
  • Ability to work independently in a hybrid or remote environment
  • Proficiency with Microsoft Office applications
  • Reliable attendance during established business hours
Preferred Qualifications
  • Gaming, hospitality, hotel, casino, or entertainment industry claims experience
  • Multi-jurisdiction liability claim experience
  • Prior TPA experience
  • Experience handling high-exposure liability claims
  • Additional adjuster licenses
  • Industry designations such as:
    • AIC
    • CPCU
    • ARM

Why You’ll Love Working Here

  • 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
  • Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
  • Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
  • Career growth: Internal training and advancement opportunities
  • Culture: A supportive, team-based work environment

 

How We Measure Success 

 At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:  

  • Quality claim handling – thorough investigations, strong documentation, well-supported decisions
  • Compliance & audit performance – adherence to jurisdictional and client standards
  • Timeliness & accuracy – purposeful file movement and dependable execution
  • Client partnership – proactive communication and strong follow-through
  • Professional judgment – owning outcomes and solving problems with integrity
  • Cultural alignment – believing every claim represents a real person and acting accordingly

This is where we shine, and we hire adjusters who want to shine with us.

Compensation & Compliance

The posted salary reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance.

Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.
ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.
Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

Our Core Values

At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:

  • Lead with transparency We build trust by being open and listening intently in every interaction.
  • Perform with integrity We choose the right path, even when it is hard.
  • Chase excellence We set the bar high and measure our success. What gets measured gets done.
  • Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
  • Win together Our greatest victories come when our clients succeed. 

We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you.

#CCMSICareers #EmployeeOwned #GreatPlaceToWorkCertified #ESOP #TPA #GeneralLiabilityClaims #PremisesLiability #BodilyInjuryClaims #LiabilityClaimsAdjuster #ClaimsExaminer #LitigationManagement #GamingClaims #HospitalityClaims #CasinoClaims #InsuranceCareers #RemoteJobs #HybridJobs #LouisianaJobs #HiringNow #LIHybrid #LIRemote #IND123

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