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Remote Medical Insurance Claims Jobs in Colorado

The Claims Analyst handles complex and high exposure bodily injury and property damage claims under ... medical, prescription, dental, vision, life insurance and disability insurance options, as well as ...

The Claims Analyst handles complex and high exposure bodily injury and property damage claims under ... medical, prescription, dental, vision, life insurance and disability insurance options, as well as ...

Epic Denials Management Operator

Colorado Springs, CO · Remote

$17.75 - $23.75/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role supporting enterprise Epic support ...

Epic Denials Management Operator

Denver, CO · Remote

$18.50 - $24.75/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role supporting enterprise Epic support ...

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption ...

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption ...

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption ...

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption ...

Risk Claims Manager

Denver, CO · Remote

$85K - $95K/yr

Work with insurance companies to set claim reserves. * Identify claims that require escalation to ... Thorough understanding of complex medical treatments, treatment outcomes, tort, venue, and ...

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Remote Medical Insurance Claims information

See Colorado salary details

$15

$22

$30

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

As of Aug 10, 2026, the average hourly pay for remote medical insurance claims in Colorado is $22.05, according to ZipRecruiter salary data. Most workers in this role earn between $18.22 and $24.28 per hour, depending on experience, location, and employer.

Do remote medical insurance claims jobs pay well?

Remote medical insurance claims jobs typically offer competitive salaries that vary based on experience, certifications, and location. Entry-level positions may start lower, while experienced claims specialists or those with advanced certifications can earn higher wages, often supplemented by benefits and bonuses. Overall, these roles can provide a stable income within the healthcare administration field.

What are some common challenges faced by remote medical insurance claims professionals, and how can they be addressed?

Remote medical insurance claims professionals often face challenges such as maintaining clear communication with healthcare providers and colleagues, staying updated on frequently changing insurance policies, and managing high volumes of complex claims. These challenges can be addressed by utilizing reliable collaboration tools, participating in ongoing training sessions, and establishing a structured daily routine. Staying organized and proactive in seeking clarification on unclear policies or procedures also helps ensure accuracy and efficiency in claim processing.

What are the key skills and qualifications needed to thrive as a remote medical insurance claims specialist?

To thrive as a Remote Medical Insurance Claims Specialist, you need a solid understanding of medical terminology, health insurance policies, and claims processing, typically supported by relevant experience or certification such as Certified Professional Coder (CPC). Familiarity with claims management software, electronic health records (EHRs), and billing systems like ICD-10 and CPT coding is crucial. Attention to detail, strong organizational skills, and effective written communication are vital soft skills for accurately processing claims and resolving discrepancies. These competencies are essential for ensuring timely, accurate claims adjudication and maintaining compliance with healthcare regulations.

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

AspectRemote Medical Insurance ClaimsRemote Medical Billing Specialist
CredentialsInsurance claims processing certifications, knowledge of insurance policiesMedical billing certifications, coding knowledge
Work EnvironmentHome-based, insurance companies or third-party claims processorsHome-based, healthcare providers or billing companies
Industry UsageInsurance companies, claims processing firmsHospitals, clinics, billing service providers
Search/Comparison IntentUnderstanding claims processing roles, remote claims jobsBilling roles, coding, and invoicing jobs

Remote Medical Insurance Claims specialists focus on reviewing and submitting insurance claims for reimbursement, requiring knowledge of insurance policies and claims procedures. Remote Medical Billing Specialists handle invoicing and coding for healthcare providers. While both roles are remote and industry-related, claims specialists primarily work with insurance companies, whereas billing specialists work directly with healthcare providers.

What is a remote medical insurance claims job?

Remote medical insurance claims jobs involve processing, reviewing, and approving or denying insurance claims related to medical services from a remote location, typically from home. Professionals in this field assess claims for accuracy, verify patient and provider information, and ensure compliance with insurance policies and regulations. These roles often require knowledge of medical terminology, coding, and insurance procedures, as well as strong attention to detail and communication skills. Remote positions offer flexibility and the ability to work with healthcare providers, insurance companies, or third-party administrators virtually.
What cities in Colorado are hiring for Remote Medical Insurance Claims jobs? Cities in Colorado with the most Remote Medical Insurance Claims job openings:
Infographic showing various Remote Medical Insurance Claims job openings in Colorado as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $45,870 per year, or $22.1 per hour.

Claims Specialist - Professional Liability

Philadelphia Insurance Companies

Westminster, CO • On-site, Remote

$95K - $105K/yr

Full-time

Medical, Retirement, PTO

Re-posted 14 days ago


Philadelphia Insurance Companies rating

8.9

Company rating: 8.9 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

48th of 304 rated insurance


Job description

Marketing Statement:

Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best.

We are looking for a Claims Specialist - Professional Liability to join our team!

JOB SUMMARY

  • Investigate, evaluate and settle more complex first and third-party commercial insurance property claims.

JOB RESPONSIBILITIES

  • Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner.
  • Communicates with all relevant parties and documents communication as well as results of investigation.
  • Thoroughly understands coverages, policy terms and conditions for broad insurance areas, products or special contracts.
  • Travel is required to attend customer service calls, mediations, and other legal proceedings.

JOB REQUIREMENTS

  • High School Diploma; Bachelor's degree from a four-year college or university preferred.
  • 10 plus years related experience and/or training; or equivalent combination of education and experience.

National Range: $95,000.00 - $105,000.00

Ultimate salary offered will be based on factors such as applicant experience and geographic location.

We offer a hybrid work model that provides flexibility to work remotely while maintaining meaningful in-office collaboration with your team.

Remote consideration will be given to qualified candidates located outside of the primary geographic region.

EEO Statement:

Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc.and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.

Benefits:

We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online.
Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at https://www.phly.com/Careers/default.aspx


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