Remote Bank Examiner Jobs
Remote bank examiner jobs are open across the U.S. at remote-first financial services firms, distributed regulatory consulting teams, and technology-forward banking organizations where compliance work travels well outside a physical office. Sectors actively hiring include community banking, fintech, and financial regulatory advisory, with demand coming from employers like Sedgwick, TRISTAR, and WPS Health Solutions. Scan the live roles below and apply to whichever ones fit.
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POSITION SUMMARY
The Claims Examiner is responsible for determining the proper payment (if any) of medical claims by group health plans, based upon specific knowledge and application of each client’s customized plan(s).
ESSENTIAL FUNCTIONS
- Independently review and analyze health care claims for: 1) reasonableness of cost; 2) medically unnecessary treatment by physicians and hospitals; and 3) fraud.
- Determine whether a health plan provides benefits in connection with the claim submitted and the level of benefits to be paid to the provider.
- Contact providers to negotiate discounts.
- Log claims negotiated in Access database and create weekly summary reports.
- Review and understand the terms and conditions of each clients’ customized plans.
- Understand and comply with all applicable privacy and security laws, including but not limited to HIPAA, HITECH and any regulations promulgated thereto.
- Request, review and analyze any physician notes, hospital records or police reports.
- Consult with other entities who can offer additional evaluation of a claim.
- Process claims in the QicLink System.
- Review, analyze and add applicable notes to the QicLink System.
- Document all information gathered in available systems as needed, including the QicLink System and alliedbenefit.com.
- Review billed procedure and diagnosis codes on claims for billing irregularities.
- Analyze claims for billing inconsistencies.
- Review and analyze specific procedure and diagnosis codes for medical necessity.
- Authorize payment, partial payment or denial of claim based upon individual investigation and analysis.
- Review Suspended Claim Reports and follow up on open issues.
- Assist and support other team members as needed and when requested.
- Attend continuing education classes as required, including but not limited to HIPAA training.
- Other duties as assigned.
EDUCATION
- High School Diploma, College and Advanced Degrees Preferred or equivalent work experience required.
EXPERIENCE AND SKILLS
- Must have a minimum of 5 years of medical claims analysis experience (including dental and vision claims analysis).
- Strong analytical skills
- Knowledge of computer systems and CPT and ICD-9 coding terminology.
- Continuing education in all areas affecting group health and welfare plans is required.
POSITION COMPETENCIES
- Accountability
- Analytical Thinking
- Collaboration
- Communication
- Customer Focus
- Functional Expertise
- Initiative
PHYSICAL DEMANDS
- This is standard desk role requiring extended periods of sitting and computer work.
WORK ENVIRONMENT
- Remote
Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.
The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.
Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.
POSITION SUMMARY
The Claims Examiner is responsible for determining the proper payment (if any) of medical claims by group health plans, based upon specific knowledge and application of each client’s customized plan(s).
ESSENTIAL FUNCTIONS
- Independently review and analyze health care claims for: 1) reasonableness of cost; 2) medically unnecessary treatment by physicians and hospitals; and 3) fraud.
- Determine whether a health plan provides benefits in connection with the claim submitted and the level of benefits to be paid to the provider.
- Contact providers to negotiate discounts.
- Log claims negotiated in Access database and create weekly summary reports.
- Review and understand the terms and conditions of each clients’ customized plans.
- Understand and comply with all applicable privacy and security laws, including but not limited to HIPAA, HITECH and any regulations promulgated thereto.
- Request, review and analyze any physician notes, hospital records or police reports.
- Consult with other entities who can offer additional evaluation of a claim.
- Process claims in the QicLink System.
- Review, analyze and add applicable notes to the QicLink System.
- Document all information gathered in available systems as needed, including the QicLink System and alliedbenefit.com.
- Review billed procedure and diagnosis codes on claims for billing irregularities.
- Analyze claims for billing inconsistencies.
- Review and analyze specific procedure and diagnosis codes for medical necessity.
- Authorize payment, partial payment or denial of claim based upon individual investigation and analysis.
- Review Suspended Claim Reports and follow up on open issues.
- Assist and support other team members as needed and when requested.
- Attend continuing education classes as required, including but not limited to HIPAA training.
- Other duties as assigned.
EDUCATION
- High School Diploma, College and Advanced Degrees Preferred or equivalent work experience required.
EXPERIENCE AND SKILLS
- Must have a minimum of 5 years of medical claims analysis experience (including dental and vision claims analysis).
- Strong analytical skills
- Knowledge of computer systems and CPT and ICD-9 coding terminology.
- Continuing education in all areas affecting group health and welfare plans is required.
POSITION COMPETENCIES
- Accountability
- Analytical Thinking
- Collaboration
- Communication
- Customer Focus
- Functional Expertise
- Initiative
PHYSICAL DEMANDS
- This is standard desk role requiring extended periods of sitting and computer work.
WORK ENVIRONMENT
- Remote
Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.
The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.
Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.
See All 20 Remote Bank Examiner Jobs
Find roles that match your experience and apply in just a few clicks.
Find Remote Bank Examiner JobsRemote Bank Examiner Job Market
Who's Hiring
What Employers Look For
The qualifications that appear most often in remote bank examiner jobs.
- Bachelor's degree in finance, accounting, economics, or a related business field
- Knowledge of banking laws and regulations including applicable federal and state statutes
- Experience conducting financial institution examinations or audits
- Commissioned examiner status or progress toward agency-specific commissioning requirements
- Strong written communication skills for drafting examination reports and supervisory letters
- Proficiency analyzing financial statements, call reports, and loan portfolio data
Tips for Your Remote Bank Examiner Job Search
Signal async communication skills upfront
Remote bank examiners produce written findings without real-time back-and-forth, so your resume and cover letter are live samples of that skill. Lead with clear, structured prose and quantify examination outcomes wherever you can. Employers read your application as a preview of your reports.
Apply early to remote roles that fit
Migrate Mate lists remote bank examiner openings from across the U.S. in one place so you can find roles that match your regulatory background and apply directly. Remote postings at smaller firms and fintech companies fill fast, so checking and applying early gives you a real advantage.
Demonstrate remote examination tool fluency
Distributed examination teams rely on document management platforms, secure file-sharing systems, and virtual data rooms for their review workflows. Naming specific platforms you have used in prior roles, such as SharePoint, Box, or bank-specific regulatory portals, tells remote hiring managers you can operate independently without an IT desk nearby.
Prepare for structured competency interviews
Remote bank examiner interviews often run as structured video calls where you walk through a past examination, describe how you documented findings, and explain how you managed examiner-auditee communication without being on-site. Rehearse specific examples from prior examination or audit work before your first screen.
Remote Bank Examiner Jobs: Frequently Asked Questions
How do I get a remote bank examiner job?
Target employers who have already built distributed compliance and risk teams, since they have the workflows in place to onboard a remote examiner successfully. Remote hiring managers screen heavily for written communication, because most of your findings and recommendations land in documented reports rather than in-person briefings. Candidates who demonstrate self-directed examination skills, familiarity with regulatory frameworks, and a history of completing complex analytical work independently move to the top of the pool.
Which companies hire remote bank examiners?
Remote bank examiner roles are posted by Sedgwick, TRISTAR, and WPS Health Solutions and others right now, based on current remote listings on Migrate Mate as of November 2026. These tend to be remote-first financial advisory firms, distributed fintech compliance teams, and community banking organizations that have shifted examination and audit functions off-site.
Can you get a remote bank examiner job with no experience?
Yes, but remote entry-level bank examiner roles are harder to land because employers expect you to manage examination workflows independently from day one without in-office supervision. Your best path is through fintech startups and smaller community banking firms that hire entry-level compliance analysts remotely. Showing completed coursework in regulatory frameworks, finance, or accounting, alongside any internship or volunteer audit work, demonstrates the self-direction remote employers need to see.
Do you need a degree for remote bank examiner jobs?
Usually, but the field increasingly weighs demonstrated regulatory knowledge and examination skills alongside formal credentials. Remote employers look for candidates who can read financial statements, apply regulatory standards, and document findings clearly, and some will accept a combination of relevant certifications, prior examination experience, and strong analytical output in place of a four-year degree. Finance, accounting, or economics backgrounds are most common, but adjacent fields with strong quantitative components are considered.
See All 20 Remote Bank Examiner Jobs
Find roles that match your experience and apply in just a few clicks.
Find Remote Bank Examiner Jobs