ZipRecruiter

Log In

2

Remote Medical Insurance Claims Jobs in Spring, TX

Ccfs

Risk Claims Manager

Houston, TX · Remote

$95/hr

This role will oversee insurance claims for physical property damage, auto vehicle damage, and ... This position has the potential to be remote. ESSENTIAL JOB DUTIES Investigate and maintain claims ...

PFS Group

Remote Insurance Rep

Houston, TX · Remote

$53K - $67K/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 ...

PFS Group

Remote Insurance Rep

Houston, TX · On-site +1

$53K - $67K/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 ...

PFS Group

Remote Senior Insurance Rep

Houston, TX · On-site +1

Key Responsibilities: - Manage and process insurance claims, ensuring accuracy and timeliness in accordance with company policies and industry regulations. - Serve as a primary point of contact for ...

PFS Group

Remote Senior Insurance Rep

Houston, TX · On-site +1

Key Responsibilities: - Manage and process insurance claims, ensuring accuracy and timeliness in accordance with company policies and industry regulations. - Serve as a primary point of contact for ...

Gallagher

Administrative Assistant - Claims

Houston, TX · Remote

$17 - $21.75/hr

Remote role with an insurance carrier, MGA, or TPA * Fast-paced claims environment with regulatory ... Medical/dental/vision plans, which start from day one! * Life and accident insurance * 401(K) and ...

IQVIA

Medical Biller/Claims Processing

Houston, TX · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to ...

next page

Showing results 1-20

All JobsMedical Insurance Claims JobsRemote Medical Insurance Claims JobsRemote Medical Insurance Claims Jobs in Spring, TX

Remote Medical Insurance Claims information

See Spring, TX salary details

$12

$18

$26

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

As of Jul 14, 2026, the average hourly pay for remote medical insurance claims in Spring, TX is $18.66, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $20.53 per hour, depending on experience, location, and employer.

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, and why are they important?

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 are remote medical insurance claims jobs?

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 are popular job titles related to Remote Medical Insurance Claims jobs in Spring, TX? For Remote Medical Insurance Claims jobs in Spring, TX, the most frequently searched job titles are:
What job categories do people searching Remote Medical Insurance Claims jobs in Spring, TX look for? The top searched job categories for Remote Medical Insurance Claims jobs in Spring, TX are:
What cities near Spring, TX are hiring for Remote Medical Insurance Claims jobs? Cities near Spring, TX with the most Remote Medical Insurance Claims job openings:
Remote Medical Insurance Claims jobs near you

Risk Claims Manager

Ccfs

Houston, TX • Remote

$95/hr

Full-time

Re-posted 26 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:$85K-95KSalary 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.

Apply