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Work From Home Insurance Customer Service Representative Jobs in Rochester, NY

Vivo HealthStaff

Psychiatry Physician

Rochester, NY · Remote

Work from home; Telecommute * Provide psychiatric treatment services * Treat and prescribe with medication as needed * Part-time/ Full-time hours available Benefits: * Competitive Hourly Rate

Pentair

Regional Sales Leader

Victor, NY · On-site +1

$118K - $219K/yr

... customers in more than 150 countries, working to help create a better world for people and the ... When you are not travelling for work, you will work from home. ** You will: * Acquire new Rainsoft ...

Nexera

Entry Level Remote Sales Role

Rochester, NY · Remote

$1.5K - $5.3K/wk

... Zoom from your home. No prior experience in finance or insurance is required. We provide full ... Any customer-facing role -- retail, hospitality, food service, tutoring * Student athletes or ...

micro1 AI

Biostatistician

Rochester, NY · Remote

$60 - $65/hr

Your work will shape how models learn, reason, and perform through high-quality, real-world input ... study reports (CSR), including subtle errors in population definitions, censoring rules, or ...

micro1 AI

Director of Biostatistics

Rochester, NY · Remote

$60 - $65/hr

Your work will shape how models learn, reason, and perform through high-quality, real-world input ... study reports (CSR), including subtle errors in population definitions, censoring rules, or ...

MVP Health Care

Care Center Representative

Rochester, NY · On-site +1

$15.25 - $19.75/hr

... Work For in New York , and an Inclusive Workplace . You'll contribute to our humble pursuit of ... Minimum 1 - 3 years customer service experience and/or relevant office experience required

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All JobsInsurance Customer Service Representative JobsWork From Home Insurance Customer Service Representative JobsWork From Home Insurance Customer Service Representative Jobs in Rochester, NY

Work From Home Insurance Customer Service Representative information

See Rochester, NY salary details

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How much do work from home insurance customer service representative jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for work from home insurance customer service representative in Rochester, NY is $18.55, according to ZipRecruiter salary data. Most workers in this role earn between $15.19 and $20.62 per hour, depending on experience, location, and employer.

What are some common challenges faced by work from home insurance customer service representatives and how can they be managed effectively?

Work From Home Insurance Customer Service Representatives often encounter challenges such as maintaining clear communication with both customers and team members, staying motivated without in-person supervision, and handling complex policy inquiries remotely. To manage these effectively, it's important to establish a dedicated and distraction-free workspace, use collaboration tools for regular team check-ins, and stay organized with digital resources. Adopting these practices helps ensure productivity and consistent customer service quality, while also fostering strong connections with colleagues despite the remote setting.

What are the key skills and qualifications needed to thrive as a work from home insurance customer service representative?

To thrive as a Work From Home Insurance Customer Service Representative, you need strong communication skills, knowledge of insurance products, and typically a high school diploma or equivalent. Familiarity with CRM software, call center systems, and sometimes insurance licensing are important technical qualifications. Exceptional problem-solving abilities, patience, and self-motivation help individuals excel in this remote role. These skills and qualities ensure representatives can efficiently assist clients, resolve inquiries, and maintain high customer satisfaction while working independently.

What is the best insurance company to work for remotely?

For work-from-home insurance customer service representatives, companies like State Farm, Progressive, and Allstate are known for offering remote positions with flexible schedules and training programs. Factors such as company culture, benefits, and opportunities for advancement can influence the best fit for individual preferences.

What is the difference between Work From Home Insurance Customer Service Representative vs Insurance Claims Specialist?

AspectWork From Home Insurance Customer Service RepresentativeInsurance Claims Specialist
CredentialsHigh school diploma or equivalent; customer service experienceHigh school diploma; specialized claims training or certification
Work EnvironmentRemote, home-based officeRemote or office-based, handling claims processing
Employer & Industry UsageInsurance companies, call centersInsurance companies, claims departments

The main difference is that Customer Service Representatives focus on assisting policyholders with inquiries, policy details, and billing, while Claims Specialists handle the processing and investigation of insurance claims. Both roles often require similar credentials and can be performed remotely, but their core responsibilities differ within the insurance industry.

What does a work from home insurance customer service representative do?

A Work From Home Insurance Customer Service Representative assists customers with inquiries related to their insurance policies, such as billing questions, policy changes, and claims processing, all from a remote location. They communicate with customers by phone, email, or chat to provide information, resolve issues, and ensure customer satisfaction. These representatives also handle documentation and may process payments or update account information, all while adhering to company policies and privacy regulations. Working from home requires good communication skills, self-motivation, and the ability to use various digital tools effectively.

How to become a work from home insurance customer service representative?

To become a work from home insurance customer service representative, candidates typically need a high school diploma or equivalent, strong communication skills, and familiarity with insurance policies. Employers often require prior customer service experience and may provide training on specific insurance products and software tools. Having a quiet workspace and reliable internet connection is also essential for remote work.
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What job categories do people searching Work From Home Insurance Customer Service Representative jobs in Rochester, NY look for? The top searched job categories for Work From Home Insurance Customer Service Representative jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Work From Home Insurance Customer Service Representative jobs? Cities near Rochester, NY with the most Work From Home Insurance Customer Service Representative job openings:
Work From Home Insurance Customer Service Representative jobs near you

Clm Resltion Rep III, Hosp/Prv

University of Rochester

Rochester, NY • Remote

$20.30 - $27.41/hr

Full-time

Re-posted 3 days ago

University Of Rochester rating

8.3

Company rating: 8.3 out of 10

Based on 186 frontline employees who took The Breakroom Quiz

125th of 617 rated colleges and universities

Job description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

Remote Work - New York, Albany, New York, United States of America, 12224

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

910402 United Business Office

Work Shift:

UR - Day (United States of America)

Range:

UR URCA 205 H

Compensation Range:

$20.30 - $27.41

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities:

GENERAL PURPOSE
The Claims Resolution Representative III is responsible for working across the professional fee organization, handling follow-up activities designed to bring all open accounts receivable to successful closure. Responsible for effective claims follow-up on complex, multi-faceted accounts to obtain maximum revenue collection and closure. Responsibilities include, but are not limited to, independent research, claim correction and resubmission, handling payer specific appeal process taking timely and routine action to resolve unpaid claims. The Claims Resolution Representative III reports to Accounts Receivable Management.

ESSENTIAL FUNCTIONS

With general direction of the Manager/Supervisor/Lead:

  • 40% Follows department policies and procedures and maintains and exercises comprehensive knowledge of insurance company billing requirements and regulations to research and resolve unpaid accounts receivable, making any corrections in the professional billing system necessary to ensure balance resolution for all assigned URMFG physician services.
  • 25% Follows up on multi-faceted denials through review of remittances (EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. Research claims, identify problems, and takes appropriate action to assure claim resolution.
  • 20% Responds to all billing-related inquiries from colleagues, departments, patients, and payors in a timely and professional manner. Communicates any missing/incomplete information to providers and department administrative support staff to ensure accurate billing. Communicates with insurance representatives through telephone calls, payer website, and written communication to ensure accurate processing of claims. Collaborate with appropriate departments to generate a detailed rational for appeals and grievances to the insurance companies.
  • 10% Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution.
  • 5% Collaborates with Claim Edit Specialists and Patient Medical Billing Specialists assigned to pre claim WQ's to identify opportunities for improvement in clean claims rate.

May perform other duties as assigned.


QUALIFICATIONS

Required:

  • Associate degree and 2 years of related relevant experience; or equivalent combination of education and/or experience
  • Excellent problem-solving skills
  • Excellent communication skills
  • Excellent customer service skills

Preferred:

  • Strong working knowledge of the professional billing software applications
  • Ability to type 25 wpm.

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status,or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

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