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Work From Home Claims Analyst Jobs (NOW HIRING)

TRILLIUM HEALTH RESOURCES

Manager, Claims

NC · Remote

$70K - $94K/yr

Competitive benefits and work-from-home options for most positions * Opportunities for professional ... Analyze claims data to identify trends, risks, and opportunities for improvement. * Oversee ...

UnitedHealth Group

Life Claims Analyst

Dallas, TX · Remote

$49K - $88K/yr

The work you do here impacts the lives of millions of people for the better. Come build the health ... Training will be conducted virtually from your home. Primary Responsibilities: * Review and render ...

Network Health

Claims Analyst II

Brookfield, WI · On-site +1

This position is eligible to work at your home office (reliable internet is required), at our ... Obtains additional information from appropriate person and/or agency as needed. * Maintains ...

Network Health

Claims Analyst II

Menasha, WI · On-site +1

This position is eligible to work at your home office (reliable internet is required), at our ... Obtains additional information from appropriate person and/or agency as needed. * Maintains ...

Network Health, Inc

Claims Analyst II

Menasha, WI · On-site +1

This position is eligible to work at your home office (reliable internet is required), at our ... Obtains additional information from appropriate person and/or agency as needed. * Maintains ...

Network Health, Inc

Claims Analyst II

Brookfield, WI · On-site +1

This position is eligible to work at your home office (reliable internet is required), at our ... Obtains additional information from appropriate person and/or agency as needed. * Maintains ...

Crum & Forster

Claims Analyst

Glastonbury, CT · On-site +1

Manage work queue independently * Take ownership of claim decisions and work queue * Communicate ... Crum & Forster is committed to ensuring a workplace free from discriminatory pay disparities and ...

Crum & Forster

Claims Analyst

Glastonbury, CT · On-site +1

Manage work queue independently * Take ownership of claim decisions and work queue * Communicate ... Crum & Forster is committed to ensuring a workplace free from discriminatory pay disparities and ...

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 cherishing every precious moment with your loved ones. With the freedom to set your own hours, you can ...

The Jernigan Agency

WORK FROM HOME

Hartford, CT · On-site +1

Occasional travel for work for in-person conferences. If you are not currently licensed but have a desire to learn this business, we will help guide you in that process. Sales * Call on our lead ...

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 cherishing every precious moment with your loved ones. With the freedom to set your own hours, you can ...

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 cherishing every precious moment with your loved ones. With the freedom to set your own hours, you can ...

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 cherishing every precious moment with your loved ones. With the freedom to set your own hours, you can ...

The Jernigan Agency

WORK FROM HOME

Richmond, VA · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...

The Jernigan Agency

WORK FROM HOME

Providence, RI · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...

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Work From Home Claims Analyst information

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$27

$51

How much do work from home claims analyst jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for work from home claims analyst in the United States is $27.39, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $31.49 per hour, depending on experience, location, and employer.

What does a work from home claims analyst do?

A Work From Home Claims Analyst reviews, evaluates, and processes insurance claims remotely, ensuring that claims are valid and comply with policy terms. They analyze documentation, verify information, and may communicate with clients, providers, or adjusters to gather additional details. Their goal is to determine the appropriate settlement amount, prevent fraudulent claims, and provide excellent customer service, all while working from a home office.

What are the key skills and qualifications needed to thrive as a work from home claims analyst?

To thrive as a Work From Home Claims Analyst, you need strong analytical skills, attention to detail, and a background in insurance, finance, or a related field, often supported by a relevant degree or industry certification. Familiarity with claims management software, databases, and secure remote communication tools is typically required. Excellent written communication, time management, and self-motivation are crucial soft skills for independent, remote work. These capabilities ensure accurate claims processing, regulatory compliance, and consistent performance in a remote environment.

What are some common challenges faced by work from home claims analysts and how can they be addressed?

Work from home Claims Analysts often encounter challenges such as maintaining effective communication with team members, managing distractions in a home environment, and ensuring data security when handling sensitive information remotely. To address these issues, it's important to establish a dedicated workspace, use secure company-approved software, and participate in regular virtual meetings to stay connected and aligned with your team. Proactively seeking feedback and clarifying expectations with supervisors can also help ensure smooth workflow and professional growth.

What is the difference between Work From Home Claims Analyst vs Insurance Claims Processor?

AspectWork From Home Claims AnalystInsurance Claims Processor
Required CredentialsHigh school diploma or equivalent; some roles prefer certifications in claims or insuranceHigh school diploma or equivalent; on-the-job training often provided
Work EnvironmentRemote, home-based setting with computer and phoneTypically office-based, but some roles are remote
Employer & Industry UsageInsurance companies, third-party administrators, healthcare providersInsurance companies, healthcare providers, government agencies
Common Search & Comparison IntentYesYes

The main difference between a Work From Home Claims Analyst and an Insurance Claims Processor lies in their roles and work settings. While both handle insurance claims, the Claims Analyst often performs more detailed analysis and investigation remotely, whereas the Claims Processor primarily processes claims, sometimes in an office environment. Both roles require similar credentials and are used across insurance and healthcare industries, with overlapping responsibilities and remote work options.

Is being a work from home claims analyst hard?

Work from home claims analysts typically need strong attention to detail, good communication skills, and familiarity with claims processing software. The role can involve repetitive tasks and meeting accuracy standards, but it often offers flexible schedules and the convenience of remote work. The difficulty level varies based on experience and the complexity of claims handled.
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Work From Home Claims Analyst jobs near you

Sr Claims Analyst - LHB

Luminare Health

Overland Park, KS • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Luminare Health rating

7.0

Company rating: 7.0 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

270th of 500 rated business services

Job description

At Luminare Health, our people are what set us apart. Their expertise, dedication, and passion for service excellence are the foundation of our success.
We're committed to helping our employees grow through thoughtful development opportunities, meaningful work, and a culture that values collaboration and continuous improvement. When you join Luminare Health, you join a purpose-driven team focused on making healthcare simpler, better, and more affordable.
Job Summary
This position includes a variety of claim administrative and technical tasks that support a Claim Unit and/or vendor staff, as well as the Claims Team and serves as a liaison for any internal departments.
In addition to these tasks, the Senior Claims Analyst is responsible for all of the same tasks as a Claim Analyst including the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups. All claims and inquiries are handled according to the established plan documents, claim processing guidelines, and established total turnaround times. Also advise team members regarding claim processing procedures.
Life & Disability - Sr Claims Analyst
Secure and analyze claim information to make life and disability benefit determinations in accordance with policy provisions and appropriate state and federal laws; achieving results by effective use of all appropriate resources. Calculate benefit payments and communicate claim decisions on new and continuing claims. Provide responsive and caring customer service. All tasks completed under general supervision of management.
Required Job Qualifications:
  • High School diploma or GED equivalent
  • 3 years prior medical claim processing experience
  • Ability to work in a fast-paced, customer centric & production driven environment
  • Excellent verbal and written communication skills
  • Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
  • Demonstrated critical thinking, to carry out instructions furnished in oral, written or diagram form
  • Flexible; open to continued process improvements
  • Self-directed individual who works well with minimal supervision
  • Good leadership, organizational and interpersonal skills
  • Ability to effectively handle with complex situations and reach resolution
  • Ability to analyze and interpret documents and Summary Plan Descriptions (SPDs)
  • Ability to adapt to various system platforms, and to effectively use MS Excel/Word

Preferred Job Qualifications:
  • Health Insurance/Third Party Administrator Experience

Life & Disability - Sr Claims Analyst
Minimum Requirements:
  • Minimum three-years life and/or disability claim administration experience: solid investigation, analytical and organizational skills along with attention to detail; or the equivalent combination of relevant experience.
  • Must have strong math and decision-making skills.
  • Must be able to work in a deadline driven, fast-paced environment.
  • Self-motivated with high learning agility.
  • Must have excellent verbal and written communication skills with a passion for helping others.
  • Must be a self-starter with strong time management skills to prioritize workload, manage and follow-up on numerous tasks.
  • Capable of making decisions in the absence of specific directions, independently or with minimal supervision.
  • Ability to effectively cope with change and shift gears accordingly in a dynamic environment.
  • Must display a strong commitment to teamwork and have the ability to work in a collaborative environment.
  • Effective in the use of personal computers and related software. Proficiency in working with Word, Excel and Outlook, Access preferred.

Preferred:
  • Four-year college degree in medical and/or business field a plus.
  • Understanding of medical terminology

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
EEO Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Pay Transparency Statement:
At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for associates.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
Min to Max Range:
$18.07 - $33.92
Exact compensation may vary based on skills, experience, and location.

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