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Remote Medical Claims Jobs in Rio Rancho, NM (NOW HIRING)

Workit Health

RCM Specialist

Albuquerque, NM · On-site +1

$18.75 - $25.75/hr

M-W in office and Th-F remote each week Job Summary: Workit Health is seeking a full-time RCM ... for eligibility, claims resolution, and authorization requests * Submit medical records to ...

Erm

Right of Way (ROW) Agent (Field Based)

Albuquerque, NM · On-site +1

$34.19 - $40.20/hr

Work on the settlement of complex damage claims with land owners (or their designees) relative to ... Ability to work in remote locations for long periods of time; * Excellent interpersonal skills and ...

ERM

Right of Way (ROW) Agent (Field Based)

Albuquerque, NM · On-site +1

$34.19 - $40.20/hr

Work on the settlement of complex damage claims with land owners (or their designees) relative to ... Ability to work in remote locations for long periods of time; * Excellent interpersonal skills and ...

All JobsMedical Claims JobsRemote Medical Claims JobsRemote Medical Claims Jobs in Rio Rancho, NM

Remote Medical Claims information

See Rio Rancho, NM salary details

$13

$20

$30

How much do remote medical claims jobs pay per hour?

As of Jul 18, 2026, the average hourly pay for remote medical claims in Rio Rancho, NM is $20.89, according to ZipRecruiter salary data. Most workers in this role earn between $17.16 and $23.08 per hour, depending on experience, location, and employer.

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 remote medical claims jobs?

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 are the key skills and qualifications needed to thrive as a Remote Medical Claims Specialist, and why are they important?

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 some common challenges faced by professionals working 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 are popular job titles related to Remote Medical Claims jobs in Rio Rancho, NM? For Remote Medical Claims jobs in Rio Rancho, NM, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims jobs in Rio Rancho, NM look for? The top searched job categories for Remote Medical Claims jobs in Rio Rancho, NM are:
What cities near Rio Rancho, NM are hiring for Remote Medical Claims jobs? Cities near Rio Rancho, NM with the most Remote Medical Claims job openings:
Remote Medical Claims jobs near you
Infographic showing various Remote Medical Claims job openings in Rio Rancho, NM as of July 2026, with employment types broken down into 87% Full Time, 11% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $43,454 per year, or $20.9 per hour.
Senior Workers Compensation Claims Adjuster

Senior Workers Compensation Claims Adjuster

Gallagher

Albuquerque, NM • Remote

$60K - $78K/yr

Full-time

Re-posted 21 days ago

Arthur J. Gallagher & Co. rating

7.8

Company rating: 7.8 out of 10

Based on 91 frontline employees who took The Breakroom Quiz

168th of 281 rated insurance

Job description

Introduction
At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose.

Overview

• Jurisdictions: NM

• Licenses:  NM

• This role is eligible for fully remote work


How you'll make an impact

• Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. 
• Interact extensively with various parties involved in the claim process to ensure effective communication and resolution. 
• Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process 
• Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements. 
• Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file. 


About You

Ideal candidates for this position will have:  
• Claims Background: A minimum of 3-5 years experience handling lost time/indemnity claims and have extensive experience with litigated files
• Jurisdictional Experience: NM
• Active Adjusters' licenses: NM
As a key member of our experienced Claims Adjuster team, you will: 

• Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.

• Work in partnership with our clients to deliver innovative solutions and enhance the claims management process

• Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants

Required Qualifications: 
• High School Diploma. 
• Minimum of 5 years related claims experience. 
• Appropriately licensed and/or certified in all states in which claims are being handled. 
• Knowledge of accepted industry standards and practices. 
• Computer experience with related claims and business software. 

 
Desired: 
• Bachelor's Degree 

#LI-KD1

#LI-Remote

#WorkersComp


Compensation and benefits

At Gallagher, we believe supporting our colleagues goes far beyond the role itself. For more information, visit our Benefits page.

  • Competitive compensation
  • Comprehensive benefits programs designed to support your well-being 
  • Career development opportunities and ongoing learning 
  • A collaborative, people-first culture with accessible leadership 
  • The opportunity to do meaningful work with global reach and local impact 

At Gallagher, we are dedicated to building an inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to join our Talent Community to stay connected to additional career opportunities. At times, we will consider transferable skills from previous roles.

Gallagher is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled)

Qualifications:

Ideal candidates for this position will have:  
• Claims Background: A minimum of 3-5 years experience handling lost time/indemnity claims and have extensive experience with litigated files
• Jurisdictional Experience: NM
• Active Adjusters' licenses: NM
As a key member of our experienced Claims Adjuster team, you will: 

• Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.

• Work in partnership with our clients to deliver innovative solutions and enhance the claims management process

• Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants

Required Qualifications: 
• High School Diploma. 
• Minimum of 5 years related claims experience. 
• Appropriately licensed and/or certified in all states in which claims are being handled. 
• Knowledge of accepted industry standards and practices. 
• Computer experience with related claims and business software. 

 
Desired: 
• Bachelor's Degree 

#LI-KD1

#LI-Remote

#WorkersComp

Education:UNAVAILABLEEmployment Type: FULL_TIME

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