{"schemaVersion":"jobsearcher.job.v1","id":"8232cc0c501653fe05b64060","url":"https://jobsearcher.com/jobs/8232cc0c501653fe05b64060","canonicalUrl":"https://jobsearcher.com/jobs/8232cc0c501653fe05b64060","title":"Claims Processor- 100% Remote","description":"About Our ClientThe organization operates in the medical claims management industry, addressing inefficiencies in insurance claims processes within the auto insurance and workers’ compensation sectors. By combining specialized medical expertise, established procedures, and innovative technology, the company supports auto insurance carriers, third-party administrators, and government entities in reducing costs and improving claims-processing efficiency.About the OpportunityThe Claims Processor is responsible for reviewing, managing, and documenting insurance claims to ensure accurate and timely processing. This position involves verifying coverage, reviewing claim documentation, supporting dispute and litigation activities, and processing payments in accordance with applicable requirements.The role is essential to maintaining an efficient claims workflow while supporting legal, litigation, and operational teams.Responsibilities• Conduct account searches and obtain applicable police reports.• Make initial contact following notice of loss and accurately document claim files.• Send claim forms to claimants, insured parties, and authorized representatives.• Review claim files to ensure appropriate reserves and required documentation are maintained.• Request missing information and documentation needed to properly manage claims.• Support litigation and legal departments with disputes, appeals, and pre-suit actions.• Assist with post-service appeals, assignments, dispute awards, settlements, and withdrawals.• Process payments related to awards, settlements, and applicable interest.• Redirect documentation when claims cannot be located within the system.• Conduct cycle-time reviews for missing or pending documentation, open billing, and claim closure.Requirements• Bachelor’s degree or equivalent relevant experience.• Prior experience with an insurance carrier or as a claims adjuster.• 2–3 years of experience with New Jersey No-Fault PIP regulations preferred.• Minimum of 2 years of medical billing or claims processing experience.• Strong organizational skills and attention to detail.• Professional and sensitive communication skills when interacting with claimants and other stakeholders.• Familiarity with claims systems, procedures, and documentation requirements.• Ability to maintain confidentiality when handling sensitive information.• Proficiency with Microsoft Office Suite.• Ability to manage daily operations while adhering to established SOPs and client service-level agreements.Pay Range and Compensation Package• Compensation will be determined based on the candidate’s experience, skills, qualifications, and other relevant factors.Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.Note:RemoteHunter is not the Employer of Record (EOR) for this role. Our purpose in this opportunity is to connect exceptional candidates with leading employers. We help job seekers worldwide discover roles that match their goals and guide them to complete their full application directly through the hiring company’s career page or ATS.","company":"Remotehunter","rawCompany":"remotehunter","isRemote":true,"isActive":false,"createdAt":"2026-08-11T11:27:47.120Z","occupations":[{"code":"43-9041.00","title":"Insurance Claims and Policy Processing Clerks","slug":"insurance-claims-and-policy-processing-clerks"},{"code":"13-1031.00","title":"Claims Adjusters, Examiners, and Investigators","slug":"claims-adjusters-examiners-and-investigators"},{"code":"29-2072.00","title":"Medical Records Specialists","slug":"medical-records-specialists"}],"industries":[{"code":"524291","title":"Claims Adjusting","slug":"claims-adjusting"},{"code":"524298","title":"All Other Insurance Related Activities","slug":"all-other-insurance-related-activities"},{"code":"524292","title":"Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds","slug":"pharmacy-benefit-management-and-other-third-party-administration-of-insurance-and-pension-funds"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Claims Processor- 100% Remote","description":"About Our ClientThe organization operates in the medical claims management industry, addressing inefficiencies in insurance claims processes within the auto insurance and workers’ compensation sectors. By combining specialized medical expertise, established procedures, and innovative technology, the company supports auto insurance carriers, third-party administrators, and government entities in reducing costs and improving claims-processing efficiency.About the OpportunityThe Claims Processor is responsible for reviewing, managing, and documenting insurance claims to ensure accurate and timely processing. This position involves verifying coverage, reviewing claim documentation, supporting dispute and litigation activities, and processing payments in accordance with applicable requirements.The role is essential to maintaining an efficient claims workflow while supporting legal, litigation, and operational teams.Responsibilities• Conduct account searches and obtain applicable police reports.• Make initial contact following notice of loss and accurately document claim files.• Send claim forms to claimants, insured parties, and authorized representatives.• Review claim files to ensure appropriate reserves and required documentation are maintained.• Request missing information and documentation needed to properly manage claims.• Support litigation and legal departments with disputes, appeals, and pre-suit actions.• Assist with post-service appeals, assignments, dispute awards, settlements, and withdrawals.• Process payments related to awards, settlements, and applicable interest.• Redirect documentation when claims cannot be located within the system.• Conduct cycle-time reviews for missing or pending documentation, open billing, and claim closure.Requirements• Bachelor’s degree or equivalent relevant experience.• Prior experience with an insurance carrier or as a claims adjuster.• 2–3 years of experience with New Jersey No-Fault PIP regulations preferred.• Minimum of 2 years of medical billing or claims processing experience.• Strong organizational skills and attention to detail.• Professional and sensitive communication skills when interacting with claimants and other stakeholders.• Familiarity with claims systems, procedures, and documentation requirements.• Ability to maintain confidentiality when handling sensitive information.• Proficiency with Microsoft Office Suite.• Ability to manage daily operations while adhering to established SOPs and client service-level agreements.Pay Range and Compensation Package• Compensation will be determined based on the candidate’s experience, skills, qualifications, and other relevant factors.Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.Note:RemoteHunter is not the Employer of Record (EOR) for this role. Our purpose in this opportunity is to connect exceptional candidates with leading employers. We help job seekers worldwide discover roles that match their goals and guide them to complete their full application directly through the hiring company’s career page or ATS.","datePosted":"2026-08-11T11:27:47.120Z","dateModified":"2026-08-11T11:27:47.120Z","hiringOrganization":{"@type":"Organization","name":"Remotehunter","sameAs":"https://jobsearcher.com"},"jobLocationType":"TELECOMMUTE","applicantLocationRequirements":{"@type":"Country","name":"US"},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"8232cc0c501653fe05b64060"},"url":"https://jobsearcher.com/jobs/8232cc0c501653fe05b64060"}}