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Remote Medical Claims Jobs in Michigan (NOW HIRING)

BeneSys, Inc.

Claims Analyst (Troy, MI)

Troy, MI · Remote

Applicants for this remote role will only be considered if they live in these locations: Arizona ... Must have working knowledge of medical terminology, CPT, ICD9/10, and HCPCS codes as well as ...

BeneSys, Inc.

Specialty Claims Analyst (Troy, MI)

Troy, MI · Remote

$21 - $24/hr

Applicants for this remote role will only be considered if they live in these locations: Illinois ... Qualifications - Individual must be skilled in medical claims processing and knowledge of medical ...

Summit

$69K - $92K/yr

Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee. #LI-Remote Job ... Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ...

Great American Insurance Group

$69K - $92K/yr

Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee. #LI-Remote Job ... Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ...

CSAA

$59K - $77K/yr

Job Title Commercial Senior Auto Claims Adjuster- Remote Requisition Number R7890 Commercial Senior Auto Claims Adjuster- Remote (Open) Location Nevada - Home Teleworkers Additional Locations Alabama ...

Tmhcc

Property Claims Adjuster

Troy, MI · On-site +1

Remote / Hybrid (dependent upon on proximity of office location) Reports To: Katie Toman Employment ... Comprehensive medical, vision, and dental coverage, with eligibility beginning on your first day of ...

Great American Insurance Group

$20 - $27/hr

This is a remote, work-from-home position for candidates located within the Mountain or Central ... Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ...

CARS Protection Plus

Claims Adjuster II

Detroit, MI · On-site +1

Summary As a Claims VSC Adjuster II, you will play a key role in our operations by adjudicating multicomponent, moderately complex claims. This position is ideal for someone with a strong background ...

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All JobsMedical Claims JobsRemote Medical Claims JobsRemote Medical Claims Jobs in Michigan

Remote Medical Claims information

See Michigan salary details

$12

$19

$27

How much do remote medical claims jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for remote medical claims in Michigan is $19.36, according to ZipRecruiter salary data. Most workers in this role earn between $15.91 and $21.39 per hour, depending on experience, location, and employer.

What is a remote medical claims job?

Remote medical claims jobs involve reviewing, processing, and managing health insurance claims from a location outside of a traditional office, typically from home. Professionals in this field assess medical records, verify patient information, ensure compliance with insurance policies, and determine the appropriate payment or denial of claims. These roles often require knowledge of medical terminology, coding, and healthcare regulations. Working remotely in this field offers flexibility while still maintaining the accuracy and confidentiality required in handling sensitive patient data.

What skills and qualifications are needed for a remote medical claims specialist?

To thrive as a Remote Medical Claims Specialist, you need a strong understanding of medical billing, insurance procedures, and healthcare regulations, often supported by relevant certifications like Certified Professional Coder (CPC) or Certified Billing and Coding Specialist (CBCS). Familiarity with claims management software, electronic health records (EHR) systems, and payer portals is typically required. Attention to detail, problem-solving abilities, and effective verbal and written communication help ensure accuracy and resolve claim issues efficiently. These skills are crucial for minimizing claim denials, maximizing reimbursements, and maintaining compliance in a remote environment.

What are common challenges in remote medical claims roles and how can they be managed?

One common challenge in remote medical claims roles is ensuring clear and timely communication with both healthcare providers and insurance companies, as miscommunication can lead to claim delays or denials. Additionally, managing a high volume of claims while maintaining accuracy requires strong organizational skills and attention to detail. To manage these challenges, professionals often rely on digital collaboration tools, regular team check-ins, and thorough knowledge of medical billing codes and insurance policies. Establishing a structured daily workflow and seeking continuous training on regulatory updates can also help remote medical claims specialists stay efficient and compliant.

What is the difference between Remote Medical Claims vs Remote Medical Billing?

AspectRemote Medical ClaimsRemote Medical Billing
CertificationsTypically requires CPC, CCS, or similar claims processing certificationsOften requires CPC, CPC-H, or billing-specific certifications
Work EnvironmentPrimarily involves reviewing and submitting insurance claimsFocuses on creating and submitting patient bills to insurance companies
Employer & Industry UsageUsed by insurance companies, third-party administrators, and healthcare providersUsed mainly by healthcare providers, billing companies, and medical offices

Remote Medical Claims specialists focus on processing and submitting insurance claims, ensuring compliance and accuracy. Remote Medical Billing professionals handle creating patient invoices and submitting bills to insurance companies. While both roles require similar certifications and work in healthcare, their core functions differ—claims processing vs billing. Understanding these distinctions helps job seekers find the right remote healthcare role.

What are the most commonly searched types of Medical Claims jobs in Michigan?

The most popular types of Medical Claims jobs in Michigan are:

What are popular job titles related to Remote Medical Claims jobs in Michigan?

For Remote Medical Claims jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Remote Medical Claims jobs in Michigan look for?

The top searched job categories for Remote Medical Claims jobs in Michigan are:

What cities in Michigan are hiring for Remote Medical Claims jobs?

Cities in Michigan with the most Remote Medical Claims job openings:

Remote Medical Claims jobs near you
Infographic showing various Remote Medical Claims job openings in Michigan as of August 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 100% Remote job distribution, with an average salary of $40,266 per year, or $19.4 per hour.

Claims Analyst (Troy, MI)

BeneSys, Inc.

Troy, MI • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 7 days ago

BeneSys rating

7.8

Company rating: 7.8 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

150th of 494 rated business services

Job description

Claims Analyst (Troy, MI)
Summary – The Claims Analyst will be responsible for medical, dental, and vision claims processing of claims submitted electronically or on hard copy. Each Analyst will specialize in a particular group but is expected to handle claims processing for multiple groups.
Applicants for this remote role will only be considered if they live in these locations: Arizona, California, Colorado, Washington DC, Iowa, Illinois, Indiana, Kentucky, Massachusetts, Maryland, Michigan, Missouri, Nevada, Ohio, Oregon, Pennsylvania, Texas, Utah, Washington, Wisconsin.
Essential Duties and Responsibilities include but not limited to
  • Review claims for benefit determination based on exception reports of electronic claim submission or hard copy submissions.
  • Make corrections when necessary to incorrect participant or provider data.
  • Assist Client Services Representatives with difficult claim adjustments/corrections.
  • Analyst must be able to determine benefits for multiple groups and process claims accurately according to the corresponding Plan Documents.
  • Primary responsibilities will not include telephone or personal interaction with participants or providers unless; it is determined by a supervisor or manager that assistance is needed in this area.
  • Regular and predictable attendance is an essential function of this job.
Claim Analyst Levels
  • Level I – Previous claims processing experience necessary. Must have working knowledge of medical terminology, CPT, ICD9/10, and HCPCS codes as well as CMS1500 and CMS1450 claim forms. Must be detail-oriented, work well independently and part of a team, self-motivated, possess analytical skills and ability to make benefit determinations utilizing plan documents. Must meet established productivity and quality expectations of 98% procedural and 99% payment/financial accuracy. Ability to process specialty claims such as flexible spending and HRAs.
  • Level II – Must be proficient at all Level I skills. Complete understanding of claims processing system and assigned funds. Demonstrated ability to process all claim types and resolve complex claims including but not limited to Coalition and Hospitalist claims. Sound understanding of all aspects of the adjustment process. Ability to assist with system testing and claims auditing. Demonstrates initiative, sound judgment, and independent decision-making ability.
  • Level III – Must be proficient at all Level I and II skills. Solid understanding of all claim types and the ability to assist on all funds. Ability to identify inconsistencies and escalate findings appropriately. Excellent communication skills. Ability to train and assist new hires as well as provide support for Analyst I and II’s. Conduct audits, report findings, provide detailed analysis of claims, and recommend changes for process improvement.
  • Unit Lead - Must be proficient at all Level I - III skills. Must possess leadership ability and excellent communication skills both verbally and in writing. Demonstrates the ability to understand and facilitate the resolution of all complex claims issues including adjustments and appeals. Provide training to new hires and existing staff. Complete reporting for inventory, department, and individual analysts’ performance stats. Monitors inventory to ensure turn-around-times are maintained and department goals are achieved. Identifies error trends for training needs and works with the supervisor for implementation of processes to improve overall performance. Must demonstrate initiative, ability to multi-task and prioritize, and excellent organizational skills. Ability to represent the department on workgroups and new system implementation.
Qualifications - Individual must have previous medical claims processing experience and knowledgeable of medical terminology (i.e., CPT codes, ICD-9 codes, HCPCS, ADA codes). Analyst must be methodical and possess the skills to determine approval for benefit payment, versus pending or denying. Analyst will be accountable for benefit determinations. Excellent customer service skills are a must.
Applicants for this remote role will only be considered if they live in these locations: Arizona, California, Colorado, Washington DC, Iowa, Illinois, Indiana, Kentucky, Massachusetts, Maryland, Michigan, Missouri, Nevada, Ohio, Oregon, Pennsylvania, Texas, Utah, Washington, Wisconsin.
Education and/or Experience - High School diploma or GED equivalent and two years related experience.
Language Skills - Ability to read and interpret documents such as Summary Plan Descriptions of Plan rules. Ability to communicate professionally and clearly with other departments of BeneSys.
Mathematical Skills - Ability to apply concepts of basic addition, subtraction, multiplication and division.
Reasoning Ability - Ability to apply common sense to carry out detailed written or oral instructions.
Work Schedule - Full-time. Monday – Friday, 7:30am - 4:00pm. Permanent Remote position (No in-office days).
Competitive Benefits and Compensation Package
  • 15 days Paid Time Off (PTO) during first full calendar-year of service
  • 12 paid holidays
  • 3 days paid bereavement
  • Up to 20 days paid jury leave
  • Medical, dental, and vision insurance, with option for dependent coverage
  • Company-paid basic life, short-term disability, long-term disability, and AD amp;D insurance
  • 401k with employer match
  • Tuition reimbursement program
  • Career development opportunities
  • Referral bonus for all successful full-time referrals
  • Annual opportunities for increases
Pay - Hourly rate ranges from $25.00 - $27.00. Actual rate dependent on location, skills, education, experience and other business factors.
Our Culture
BeneSys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees. In short, our success is driven by our employees’ successes. We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally. We want to create a place where employees can find long-term growth and potential.
Our culture focuses on three core values:
  • Collaboration: working together across 31 locations to achieve the best for the company and our clients
  • Dedication: striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues
  • Integrity: doing what we say we will do. Upholding strong ethical and moral principles
ADA amp; EEO
Reasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job.

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About BeneSys

Sourced by ZipRecruiter

Industry

Insurance and employee benefit funds

Company size

501 - 1,000 Employees

Headquarters location

Troy, MI, US

Year founded

1979

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