ZipRecruiter

Log In

2

Rn Insurance Claims Remote Jobs in Springfield, MA

Aflac Incorporated

Mgr, Claims Operations

Windsor, CT · Remote

$90K - $120K/yr

If the role is remote, there may be occasions that you are requested to come to the office based on ... Insurance or other industry designations. Principal Duties & Responsibilities Manages the daily ...

Deloitte

Epic Denials Management Operator

Hartford, CT · Remote

$18.25 - $24.25/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 ...

next page

Showing results 1-20

All JobsRn Insurance Claims JobsRn Insurance Claims Remote JobsRn Insurance Claims Remote Jobs in Springfield, MA

Rn Insurance Claims Remote information

See Springfield, MA salary details

$12

$23

$42

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

As of Aug 9, 2026, the average hourly pay for rn insurance claims remote in Springfield, MA is $23.42, according to ZipRecruiter salary data. Most workers in this role earn between $17.50 and $25.62 per hour, depending on experience, location, and employer.

What is an RN Insurance Claims Remote?

RN Insurance Claims Remote jobs are positions where registered nurses (RNs) work from home or another remote location to evaluate, process, and review insurance claims related to medical care. These nurses use their clinical expertise to assess the validity of claims, ensure proper documentation, and determine the necessity and appropriateness of medical treatments. They may also communicate with healthcare providers, patients, and insurance companies to gather information and clarify medical details. This role typically requires an active RN license, strong analytical skills, and experience in case management or utilization review.

What are the key skills and qualifications needed to thrive as an RN Insurance Claims Remote?

To thrive as an RN Insurance Claims Remote, you need a current RN license, strong clinical knowledge, and experience in medical case review or utilization management. Familiarity with claims management software, ICD-10/CPT coding, and electronic health records (EHRs) is typically required, along with certifications like CCM (Certified Case Manager) being a plus. Exceptional attention to detail, analytical thinking, and effective written communication skills help you excel in evaluating claims and collaborating with stakeholders. These skills ensure accurate claims assessment, regulatory compliance, and efficient processing in a remote insurance environment.

What are some common challenges RNs face when working remotely in insurance claims, and how can they be addressed?

RNs working remotely in insurance claims often encounter challenges such as navigating complex medical records without in-person context, managing high caseloads, and ensuring clear communication with both internal teams and external providers. Staying organized, utilizing standardized documentation practices, and leveraging secure digital communication tools can help address these difficulties. Regular virtual check-ins with colleagues and ongoing training also support effective collaboration and professional growth in a remote environment.

What is the difference between Rn Insurance Claims Remote vs Rn Insurance Adjuster?

AspectRn Insurance Claims RemoteRn Insurance Adjuster
CredentialsRN license, insurance knowledgeRN license, insurance certification (e.g., AIC, CPCU)
Work EnvironmentRemote, home-basedField or office-based, sometimes remote
Industry UsageInsurance claims processing, customer serviceClaims assessment, damage evaluation
Common Search IntentRemote claims jobs, insurance claims rolesInsurance adjusting, claims evaluation

While both roles involve insurance and require RN licensure, Rn Insurance Claims Remote focuses on processing claims remotely, often involving customer communication. Rn Insurance Adjuster typically involves evaluating damages in the field or office, with a stronger emphasis on damage assessment and adjusting claims.

Do insurance nurses work remotely?

Yes, insurance nurses often work remotely, especially in roles involving claims review, case management, and documentation. These positions typically require strong communication skills, familiarity with healthcare software, and the ability to work independently from home.
What are popular job titles related to Rn Insurance Claims Remote jobs in Springfield, MA? For Rn Insurance Claims Remote jobs in Springfield, MA, the most frequently searched job titles are:
What job categories do people searching Rn Insurance Claims Remote jobs in Springfield, MA look for? The top searched job categories for Rn Insurance Claims Remote jobs in Springfield, MA are:
What cities near Springfield, MA are hiring for Rn Insurance Claims Remote jobs? Cities near Springfield, MA with the most Rn Insurance Claims Remote job openings:
Rn Insurance Claims Remote jobs near you
Infographic showing various Rn Insurance Claims Remote job openings in Springfield, MA as of August 2026, with employment types broken down into 86% Full Time, and 14% Contract. Highlights an 100% Remote job distribution, with an average salary of $48,714 per year, or $23.4 per hour.

Claims Specialist - Professional Liability

Philadelphia Insurance Companies

Glastonbury, CT • On-site, Remote

$95K - $105K/yr

Full-time

Medical, Retirement, PTO

Re-posted 13 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

What Philadelphia Insurance Companies employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply