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Work From Home Anthem Health Insurance Jobs (NOW HIRING)

Randstad

Claims WFH - Health Insurance

Houston, TX · Remote

$21 - $23/hr

HIRING NOW - WFH CLAIMS SPECIALIST We are seeking a detail-oriented and experienced Claims Specialist to join a leader in the health insurance industry. In this role, you will be responsible for ...

Sagility LLC

$17 - $25/hr

Leadership Roles- Licensed Health Insurance- Medicare - Work from Home Sagility combines industry-leading technology andtransformation-drivenBPM services with decades of healthcare domain expertise ...

AO Globe Life

Work From Home

Virginia Beach, VA · On-site +1

Join our fully virtual, work-from-home team where you can earn an exceptional income while still ... Secure your future with life insurance coverage and health insurance reimbursement, prioritizing ...

AO Globe Life

Work From Home

Virginia Beach, VA · On-site +1

Join our fully virtual, work-from-home team where you can earn an exceptional income while still ... Secure your future with life insurance coverage and health insurance reimbursement, prioritizing ...

AO Globe Life

Work From Home

Virginia Beach, VA · On-site +1

Join our fully virtual, work-from-home team where you can earn an exceptional income while still ... Secure your future with life insurance coverage and health insurance reimbursement, prioritizing ...

AO Globe Life

Work From Home

Virginia Beach, VA · On-site +1

Join our fully virtual, work-from-home team where you can earn an exceptional income while still ... Secure your future with life insurance coverage and health insurance reimbursement, prioritizing ...

AO Globe Life

Work From Home

Virginia Beach, VA · On-site +1

Join our fully virtual, work-from-home team where you can earn an exceptional income while still ... Secure your future with life insurance coverage and health insurance reimbursement, prioritizing ...

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All JobsAnthem Health Insurance JobsWork From Home Anthem Health Insurance Jobs

Work From Home Anthem Health Insurance information

See salary details

$40K

$63.9K

$145.5K

How much do work from home anthem health insurance jobs pay per year?

As of Jul 19, 2026, the average yearly pay for work from home anthem health insurance in the United States is $63,852.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,000.00 and $63,000.00 per year, depending on experience, location, and employer.

What is the difference between Work From Home Anthem Health Insurance vs Customer Service Representative?

AspectWork From Home Anthem Health InsuranceCustomer Service Representative
CredentialsHealth insurance knowledge, possibly certificationsHigh school diploma or equivalent, communication skills
Work EnvironmentRemote, home-basedRemote or office-based, depending on employer
Industry UsageInsurance, healthcareVarious industries, including retail, telecom, healthcare
Job FocusAssisting policyholders, explaining coverageHandling customer inquiries, resolving issues

Work From Home Anthem Health Insurance roles focus on insurance-specific knowledge and policy management, often requiring certifications. Customer Service Representatives handle a broader range of customer inquiries across industries, with less emphasis on insurance credentials. Both roles can be remote, but their core responsibilities and industry focus differ significantly.

More about Work From Home Anthem Health Insurance jobs
What cities are hiring for Work From Home Anthem Health Insurance jobs? Cities with the most Work From Home Anthem Health Insurance job openings:
What states have the most Work From Home Anthem Health Insurance jobs? States with the most job openings for Work From Home Anthem Health Insurance jobs include:
What job categories do people searching Work From Home Anthem Health Insurance jobs look for? The top searched job categories for Work From Home Anthem Health Insurance jobs are:
Work From Home Anthem Health Insurance jobs near you
Infographic showing various Work From Home Anthem Health Insurance job openings in the United States as of July 2026, with employment types broken down into 80% Full Time, 17% Part Time, and 3% Contract. Highlights an 34% In-person, and 66% Remote job distribution, with an average salary of $63,852 per year, or $30.7 per hour.
Claims WFH - Health Insurance

Claims WFH - Health Insurance

Randstad

Houston, TX • Remote

$21 - $23/hr

Full-time

Posted 3 days ago

New

Job description

HIRING NOW – WFH CLAIMS SPECIALIST

We are seeking a detail-oriented and experienced Claims Specialist to join a leader in the health insurance industry. In this role, you will be responsible for processing, adjusting, and updating moderate to complex claims payments and payment errors. You will act as a key point of contact for resolving inquiries from customer service professionals, subscribers, providers, physicians, and other insurance carriers, ensuring all claims are handled accurately and efficiently.

Position Details

  • Schedule: Monday – Friday, 8:00 AM – 5:00 PM EST.
  • Location: 100% Remote (Available to candidates residing in 28 approved states)
  • Compensation: $21 - $23/hour (based on years of experience).

Key Responsibilities

  • Process, adjust, and update various moderate to complex claims payments for any business segment and provider type. Determine suspended claim resolution methods by reviewing benefit eligibility and claims history.
  • Process Medicare claims, review DTPs, and utilize Facets for Medicare Advantage and Medicare Supplement claims.
  • Meet or exceed established quality and performance standards. Daily production goals are based on an hourly target of 7 claim pends, 7 COB pends, and 4 CSI/ADJ.
  • Respond promptly and accurately to inquiries from internal and external stakeholders. Coordinate with other insurance carriers and Medicare to determine payment liability.
  • Escalate claims requiring specialized resolution to subject matter experts (SMEs). Review claims for possible fraud and abuse, referring them to the Special Investigations Unit when necessary.
  • Identify and document system issues, recommending potential solutions to technical staff. Use your knowledge of claims to drive efficiency, production gains, and share best practices.

Qualifications & Requirements

  • High School Diploma or GED
  • 3+ years of experience processing Insurance Claims.
  • Proven experience processing Medicare Advantage and Medicare Supplement claims.
  • Experience running and navigating Facets, as well as reviewing DTPs.
  • Strong analytical skills, excellent communication, and the ability to maintain high accuracy in a production-driven environment.

TO APPLY: Email Resume to: claudia.mendoza@randstadusa.com

If this job is not for you, feel free to refer a friend.


Skills

  • Claims
  • Claims Processing
  • Insurance
  • health insurance
  • claims processor
  • medicare
  • COB
  • facets
  • TriZetto
  • claims analyst

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.


Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.