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Remote Medical Claims Processor Jobs in Spring, TX

Ccfs

Risk Claims Manager

Houston, TX · Remote

$85/hr

This position has the potential to be remote. ESSENTIAL JOB DUTIES Investigate and maintain claims ... Knowledge of statistical process control desirable.

Elite

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Workers Compensation Claims Adjuster (TEXAS)

Houston, TX · Remote

$44.61 - $50.26/hr

This position is offered as a fully remote work from home opportunity and the schedule for this ... processing of claims and payment of benefits, managing, and directing medical treatment, setting ...

Brookfield

TEMP- Claims Adjuster

Houston, TX · Remote

$63K - $81.60K/yr

In-Officeor Remote Summary: We are looking for a highly capable Workers' Compensation Claims ... medical only claims beyond the minimum experience required above may be substituted in lieu of a ...

Chevron

Claims Specialist

Houston, TX · On-site +1

Familiarity with environmental reserve development, forecasting, and budgeting processes. * Working ... medical condition, reproductive health decision-making, military or veteran status, political ...

PFS Group

Remote Insurance Rep

Houston, TX · Remote

$53.70K - $67.80K/yr

Strong understanding of insurance policies, coverage, claims processes, and reimbursement, with the ability to research payer billing policies and medical bulletins to accurately troubleshoot denials ...

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

As of May 31, 2026, the average hourly pay for remote medical claims processor in Spring, TX is $17.32, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $19.23 per hour, depending on experience, location, and employer.

What Is the Job of 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, and why are they important?

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 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 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 Spring, TX? For Remote Medical Claims Processor jobs in Spring, TX, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims Processor jobs in Spring, TX look for? The top searched job categories for Remote Medical Claims Processor jobs in Spring, TX are:
What cities near Spring, TX are hiring for Remote Medical Claims Processor jobs? Cities near Spring, TX 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 Spring, TX as of May 2026, with employment types broken down into 100% Full Time. Highlights an 80% Physical, 12% Hybrid, and 8% Remote job distribution, with an average salary of $36,034 per year, or $17.3 per hour.

Risk Claims Manager

Ccfs

Houston, TX • Remote

$85/hr

Full-time

Posted 12 days ago

Job description

Job Title:

Risk Claims Manager

Department:

Compliance

Job Status:

Exempt

Compensation:

Direct Reports:

Yes

COMPANY OVERVIEW

CrossCountry Freight Solutions (CCFS) is an exceptional company with a mission to achieve universal prosperity with our Customers, Company, Team Members, & Communities. We use the latest technology to provide quality service and on-time delivery to our customers. CCFS provides direct service throughout the Western and Central United States. We look forward to having you Hitch on and Prosper with us!

SALARY RANGE:$75K-85KSalary is based on education and years of experience.

JOB SUMMARY
The Risk Claims Manager is responsible for managing insurance claims for both auto liability and workers compensation. This role will oversee insurance claims for physical property damage, auto vehicle damage, and verifiable damage. Ensures complete and sound claim settlements, legal reviews, and investigations in accordance with company policies and procedures. Will oversee workers compensation insurance claims, return to work documentation and modified duty job offers. Will be capable of resolving escalated issues arising from operations and requiring coordination with other departments. Recommends measures to reduce or eliminate losses due to accidents and injuries. This position has the potential to be remote.
ESSENTIAL JOB DUTIES
Investigate and maintain claims for the company. Review and determine coverages and work with insurance companies to set claim reserves.
Identify claims that require escalation to our insurance company during intake and gather all relevant and appropriate information at that time required for claim resolution.
Management of property and auto damage, and workers compensation claims, handle serious losses, retain and direct defense counsel, attend mediations and depositions when needed.
Provide excellent customer service while talking to insureds/claimants on the phone.
Prepare statistical reports of claims activity and submit reports/findings as requested. Will lead claim file reviews as requested.
Ensure the Company is taking appropriate measures to minimize claim losses and comply with government regulations.
Create a positive and productive work atmosphere by communicating and behaving in a professional and team-like manner with all employees.
Other duties as assigned.
MINIMUM REQUIREMENTS
Must have extensive claim experience, no less than seven (7) years in a senior level claims role
Must have extensive knowledge of liability claims administration to include litigation avoidance.
Must have a thorough understanding of complex medical treatments, treatment outcome indications, tort, venue, and jurisdictional matters, as wells as highly developed investigative and analytical skills.
Demonstrate success exercising independent decision making, problem solving and effective negotiation skills.
Must be able collaborate with cross functional teams.
Excellent communication (verbal and written), presentation, interpersonal, and analytical skills required.
Proficiency with personal computer word processing and spreadsheet software; Microsoft Windows, Word, and Excel preferred.
Knowledge of statistical process control desirable.

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