Remote Claims Specialist Jobs
Remote claims specialist jobs are open across the U.S. at insurance carriers, third-party administrators, and managed care organizations running distributed teams. Companies hiring remotely right now include CorVel Corporation, Selective Insurance, and Liberty Mutual Insurance. See the openings below and apply to the ones that match your experience.
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Showing 4 of 108+ Remote Claims Specialist jobs
Are you ready to make a real impact in a growing organization? Join our PharMerica team as a Claims Specialist, where you'll play a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support they need. We offer a non-retail, closed-door pharmacy environment, allowing you to focus on what truly matters—delivering exceptional care and service.
Why Join PharMerica?
- Focused on Service Excellence: Our mission is to provide top-quality care and outstanding customer service to hospitals, rehabilitation centers, long-term acute care hospitals, and specialized care centers across the nation.
- Career Growth: We’re in high growth mode, offering plenty of opportunities for those looking to advance their careers.
- Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!
What You’ll Do: As a dynamic Claims Specialist, you will:
- Leverage your Pharmacy Claims Experience to manage and resolve claims efficiently, ensuring our clients get the support they need.
- Be a vital part of a team that’s dedicated to enhancing patient care through meticulous claims management and customer service.
What We Offer:
- DailyPay
- Flexible Schedules
- Competitive Pay with Shift Differentials
- Health, Dental, Vision, and Life Insurance
- Company-Paid Disability Insurance
- Tuition Assistance & Reimbursement
- Employee Discount Program
- 401k Plan
- Paid Time Off
- Non-Retail, Closed-Door Environment
- Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks
- Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines
- Ensures approval of claims by performing appropriate edits and/or reversals to ensure maximum payer reimbursement
- Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes
- Works as a team to identify, document, communicate and resolve payer/billing trends and issues
- Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans
- Prepares and maintains reports and records for processing
- Performs other tasks as assigned
- Required: High School Diploma or GED
- Desired: Associate’s or Bachelor’s Degree
- Required: Customer Service
- Desired: Up to one year of related experience. Pharmacy Technician experience
- Required: Ability to retain a large amount of information and apply that knowledge to related situations. Ability to work in a fast-paced environment. Basic math aptitude. Microsoft Office Suite
- Desired: Knowledge of the insurance industry’s trends, directions, major issues, regulatory considerations and trendsetters
- Desired: Pharmacy technician, but not required
Pharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference.
Are you ready to make a real impact in a growing organization? Join our PharMerica team as a Claims Specialist, where you'll play a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support they need. We offer a non-retail, closed-door pharmacy environment, allowing you to focus on what truly matters—delivering exceptional care and service.
Why Join PharMerica?
- Focused on Service Excellence: Our mission is to provide top-quality care and outstanding customer service to hospitals, rehabilitation centers, long-term acute care hospitals, and specialized care centers across the nation.
- Career Growth: We’re in high growth mode, offering plenty of opportunities for those looking to advance their careers.
- Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!
What You’ll Do: As a dynamic Claims Specialist, you will:
- Leverage your Pharmacy Claims Experience to manage and resolve claims efficiently, ensuring our clients get the support they need.
- Be a vital part of a team that’s dedicated to enhancing patient care through meticulous claims management and customer service.
What We Offer:
- DailyPay
- Flexible Schedules
- Competitive Pay with Shift Differentials
- Health, Dental, Vision, and Life Insurance
- Company-Paid Disability Insurance
- Tuition Assistance & Reimbursement
- Employee Discount Program
- 401k Plan
- Paid Time Off
- Non-Retail, Closed-Door Environment
- Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks
- Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines
- Ensures approval of claims by performing appropriate edits and/or reversals to ensure maximum payer reimbursement
- Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes
- Works as a team to identify, document, communicate and resolve payer/billing trends and issues
- Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans
- Prepares and maintains reports and records for processing
- Performs other tasks as assigned
- Required: High School Diploma or GED
- Desired: Associate’s or Bachelor’s Degree
- Required: Customer Service
- Desired: Up to one year of related experience. Pharmacy Technician experience
- Required: Ability to retain a large amount of information and apply that knowledge to related situations. Ability to work in a fast-paced environment. Basic math aptitude. Microsoft Office Suite
- Desired: Knowledge of the insurance industry’s trends, directions, major issues, regulatory considerations and trendsetters
- Desired: Pharmacy technician, but not required
Pharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference.
See All 108+ Remote Claims Specialist Jobs
Find roles that match your experience and apply in just a few clicks.
Find Remote Claims Specialist JobsRemote Claims Specialist Job Market
Who's Hiring
- CorVel Corporation24
- Selective Insurance6
- Liberty Mutual Insurance6
- Gallagher5
- The Hartford3
Top Industries Hiring
- Insurance
- Technology & Software
- Consulting & Professional Services
What Employers Look For
The qualifications that appear most often in remote claims specialist jobs.
- Prior experience handling insurance claims in a specific line such as property, casualty, or workers' compensation
- Active state adjuster license or ability to obtain one within a defined period after hire
- Proficiency with claims management systems such as Guidewire, Xactimate, or similar platforms
- Strong written communication skills for drafting coverage determinations, reservation of rights letters, and denial notices
- Associate or bachelor's degree in business, finance, health administration, or a related field
- Professional designation such as AIC, CPCU, or AHM preferred for mid-level and senior roles
Tips for Your Remote Claims Specialist Job Search
Apply early to remote roles that fit
Migrate Mate lists remote claims specialist openings from across the U.S. in one place, so you can find roles that match your background and apply directly. Remote roles at distributed teams often fill faster than in-office positions.
Prove async communication skills upfront
Remote claims employers screen for written clarity before they schedule interviews. Use your cover letter and any written screening responses to show you can document decisions, explain coverage determinations, and flag issues without a phone call.
Show your claims platform experience specifically
Name the systems you have worked in, such as Guidewire, Duck Creek, or Xactimate, in your resume and application materials. Remote hiring managers use platform familiarity as a quick filter because remote onboarding has less hands-on training time.
Highlight independent caseload management
Remote claims roles require you to prioritize and close claims without a supervisor nearby. Quantify the caseload size you have managed and note any experience handling multi-state claims, since distributed teams often cover policies across several jurisdictions.
Remote Claims Specialist Jobs: Frequently Asked Questions
How do I get a remote claims specialist job?
Target companies that run fully distributed claims operations, including third-party administrators, self-insured employers, and remote-first insurance carriers. Remote hiring managers screen for self-direction, clear written communication, and proficiency with claims management platforms like Guidewire or Xactimate. Candidates who document independent decision-making, low-supervision caseload management, and async collaboration give themselves a clear edge over applicants with only in-office experience.
Which companies hire remote claims specialists?
Companies hiring remote claims specialists right now include CorVel Corporation, Selective Insurance, and Liberty Mutual Insurance, based on current remote listings on Migrate Mate as of November 2026. Remote claims roles concentrate at insurance carriers, third-party administrators, and managed care organizations that operate distributed teams and handle claims across multiple states.
Can you get a remote claims specialist job with no experience?
Yes, but remote entry-level claims roles are harder to land because you're expected to work independently from day one without on-site supervision. Third-party administrators and smaller regional carriers are most likely to hire entry-level remotely. Showing completion of an insurance fundamentals course, familiarity with claims software, and strong written communication can substitute for direct experience when applying.
Do you need a degree for remote claims specialist jobs?
Not always. Many remote employers care more about relevant certifications, like an Associate in Claims or a state adjuster license, than a four-year degree. Demonstrated ability to manage a caseload independently, process claims accurately, and communicate clearly in writing often carries as much weight as formal education for remote claims specialist roles.
Which industries hire the most remote claims specialists?
The sectors hiring the most remote claims specialists are Insurance, Technology & Software, and Consulting & Professional Services, based on current remote listings on Migrate Mate as of November 2026. These sectors rely on distributed teams to handle high claim volumes across multiple regions without requiring specialists to work from a central office.
See All 108+ Remote Claims Specialist Jobs
Find roles that match your experience and apply in just a few clicks.
Find Remote Claims Specialist Jobs