Remote Claims Team Lead Jobs
Remote claims team lead jobs are open across the U.S. in insurance, healthcare, and financial services, at remote-first carriers, third-party administrators, and distributed managed-care organizations ranging from mid-size regional firms to large national insurers. Employers hiring remotely right now include Sedgwick, Reserv, and Gallagher. See the openings below and apply to the ones that match your experience.
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Showing 5 of 15+ Remote Claims Team Lead jobs
Claims Suspense Team Lead - Remote CA
West Sacramento, CA, US, 95605-1630
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
Summary
Gainwell Technologies is seeking an experienced Claims Suspense Team Lead to support claims operations for California’s Medi-Cal program.
In this role, you will serve as a primary resource for the Claims Suspense team, helping ensure suspended Medi-Cal claims are reviewed, researched, priced, and resolved accurately and timely. You will support the Claims Suspense Supervisor in coordinating daily workflow, monitoring claims inventory, and helping the team achieve established quality, productivity, and turnaround-time expectations.
You will also provide day-to-day guidance, training, and support to Claims Examiners while helping ensure claims are processed in accordance with Medi-Cal requirements, established procedures, and Gainwell service standards.
Your role in our mission
- Monitor suspended claims inventories and help prioritize aging claims to ensure established turnaround times and service level requirements are met.
- Support the review, research, pricing, processing, and resolution of suspended claims in accordance with Medi-Cal guidelines, policies, and established procedures.
- Provide day-to-day guidance, training, and operational support to Claims Examiners, including assisting with complex claims and questions.
- Track team productivity, quality, claims inventory, and other operational metrics and communicate potential issues or trends to the Claims Suspense Supervisor.
- Help identify workflow, quality, and processing issues and support efforts to improve claims accuracy, productivity, and operational performance.
- Serve as a backup to the Claims Suspense Supervisor as needed and help coordinate daily team activities and priorities.
What we're looking for
- Three or more years of experience in healthcare claims processing, claims adjudication, claims examination, claims suspense, Medicaid/Medi-Cal, or a related healthcare claims function.
- Experience researching and resolving suspended, pended, denied, or exception healthcare claims.
- Previous experience as a team lead, senior claims examiner, senior claims processor, or other position providing day-to-day guidance and support to team members is preferred.
- Knowledge of healthcare claims processing, claims policies and procedures, reimbursement or pricing guidelines, and healthcare or insurance terminology.
- Strong analytical and problem-solving skills with excellent attention to detail and a commitment to quality and accuracy.
- Strong communication and organizational skills with the ability to prioritize work and support a team in a fast-paced, metrics-driven claims environment.
What you should expect in this role
- This is a remote position supporting California’s Medi-Cal program.
- Standard work schedule is Monday through Friday, 7:00 AM to 3:30 PM.
- You will work in a fast-paced, metrics-driven claims environment requiring strong prioritization, accuracy, and timely decision-making.
- This is a hands-on lead role that requires supporting Claims Examiners while also helping monitor daily workflow, inventory, quality, and productivity.
- To work effectively as a teleworker with Gainwell, employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload. Higher speeds are recommended for optimal performance.
This posting is being used to build a pipeline of qualified candidates for current and future opportunities.
#LI-REMOTE
#LI-MA1
The pay range for this position is $37,500 - $53,500 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
Claims Suspense Team Lead - Remote CA
West Sacramento, CA, US, 95605-1630
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
Summary
Gainwell Technologies is seeking an experienced Claims Suspense Team Lead to support claims operations for California’s Medi-Cal program.
In this role, you will serve as a primary resource for the Claims Suspense team, helping ensure suspended Medi-Cal claims are reviewed, researched, priced, and resolved accurately and timely. You will support the Claims Suspense Supervisor in coordinating daily workflow, monitoring claims inventory, and helping the team achieve established quality, productivity, and turnaround-time expectations.
You will also provide day-to-day guidance, training, and support to Claims Examiners while helping ensure claims are processed in accordance with Medi-Cal requirements, established procedures, and Gainwell service standards.
Your role in our mission
- Monitor suspended claims inventories and help prioritize aging claims to ensure established turnaround times and service level requirements are met.
- Support the review, research, pricing, processing, and resolution of suspended claims in accordance with Medi-Cal guidelines, policies, and established procedures.
- Provide day-to-day guidance, training, and operational support to Claims Examiners, including assisting with complex claims and questions.
- Track team productivity, quality, claims inventory, and other operational metrics and communicate potential issues or trends to the Claims Suspense Supervisor.
- Help identify workflow, quality, and processing issues and support efforts to improve claims accuracy, productivity, and operational performance.
- Serve as a backup to the Claims Suspense Supervisor as needed and help coordinate daily team activities and priorities.
What we're looking for
- Three or more years of experience in healthcare claims processing, claims adjudication, claims examination, claims suspense, Medicaid/Medi-Cal, or a related healthcare claims function.
- Experience researching and resolving suspended, pended, denied, or exception healthcare claims.
- Previous experience as a team lead, senior claims examiner, senior claims processor, or other position providing day-to-day guidance and support to team members is preferred.
- Knowledge of healthcare claims processing, claims policies and procedures, reimbursement or pricing guidelines, and healthcare or insurance terminology.
- Strong analytical and problem-solving skills with excellent attention to detail and a commitment to quality and accuracy.
- Strong communication and organizational skills with the ability to prioritize work and support a team in a fast-paced, metrics-driven claims environment.
What you should expect in this role
- This is a remote position supporting California’s Medi-Cal program.
- Standard work schedule is Monday through Friday, 7:00 AM to 3:30 PM.
- You will work in a fast-paced, metrics-driven claims environment requiring strong prioritization, accuracy, and timely decision-making.
- This is a hands-on lead role that requires supporting Claims Examiners while also helping monitor daily workflow, inventory, quality, and productivity.
- To work effectively as a teleworker with Gainwell, employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload. Higher speeds are recommended for optimal performance.
This posting is being used to build a pipeline of qualified candidates for current and future opportunities.
#LI-REMOTE
#LI-MA1
The pay range for this position is $37,500 - $53,500 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
See All 15 Remote Claims Team Lead Jobs
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Find Remote Claims Team Lead JobsRemote Claims Team Lead Job Market
Who's Hiring
Top Industries Hiring
- Government & Public Sector
- Insurance
What Employers Look For
The qualifications that appear most often in remote claims team lead jobs.
- 3 to 5 years of claims adjusting experience with supervisory or team lead exposure
- Active multi-state property and casualty or workers' compensation adjuster license
- Proficiency in claims management systems such as Guidewire, Duck Creek, or Majesco
- Demonstrated ability to coach adjusters on coverage interpretation and reserve accuracy
- Bachelor's degree in business, risk management, or a related field preferred
- Certification such as AIC, CPCU, or ARM from the Insurance Institute of America
Tips for Your Remote Claims Team Lead Job Search
Apply early to remote roles that fit
Migrate Mate lists remote claims team lead openings from across the U.S. in one place so you can find roles that match your background and apply directly. Remote postings at distributed carriers and third-party administrators fill quickly, so applying in the first few days matters.
Show async leadership in your resume
Remote hiring managers want proof you can lead without proximity. Quantify your written coaching, queue oversight, and quality-audit outcomes so a remote employer can picture you running a distributed claims team from day one.
Demonstrate claims platform fluency upfront
Remote employers screen heavily for hands-on experience with claims management systems like Guidewire, Duck Creek, or similar platforms. Name the tools you have used and the workflows you have owned directly in your resume summary and cover letter.
Prepare written communication samples before interviews
Remote claims team lead interviews often include a written exercise or ask for examples of feedback you have given to adjusters. Having two or three polished, anonymized coaching memos or audit-response notes ready signals that you communicate clearly without relying on in-person conversation.
Remote Claims Team Lead Jobs: Frequently Asked Questions
How do I get a remote claims team lead job?
Remote claims team lead roles go to candidates who can demonstrate independent judgment, clear written communication, and the ability to coach a distributed team without in-person oversight. Insurers and third-party administrators hiring remotely screen for experience managing workflows asynchronously, familiarity with claims management platforms, and a record of hitting accuracy and cycle-time targets without a supervisor nearby. Strong written coaching feedback samples and documented quality-audit results give candidates a clear edge.
Which companies hire remote claims team leads?
Remote claims team lead roles are posted by Sedgwick, Reserv, and Gallagher and others right now, based on current remote listings on Migrate Mate as of September 2026. The bulk of remote hiring comes from remote-first carriers, third-party administrators, and distributed managed-care organizations operating across multiple states.
Can you get a remote claims team lead job with no experience?
Yes, but remote entry is harder because you need to demonstrate self-direction from day one without an on-site manager. Remote-first third-party administrators and smaller regional carriers are more likely to take a chance on an emerging lead. Candidates who document quality-audit results, show familiarity with claims management software, and provide writing samples that reflect clear coaching ability stand out even without a formal lead title on their resume.
Do you need a degree for remote claims team lead jobs?
Not always. Remote employers in this role weigh hands-on claims experience, adjudication accuracy, and demonstrated team-coordination skills heavily alongside formal education. Many carriers and third-party administrators hire candidates who hold an associate degree or industry certifications and can show measurable results in claims quality and throughput, especially when applying to remote roles where output is tracked closely.
Which industries hire the most remote claims team leads?
Most remote claims team lead openings sit in Government & Public Sector and Insurance, per current remote listings on Migrate Mate as of September 2026. Those sectors rely on geographically distributed operations and multi-state claim volumes that make remote team structures both practical and cost-effective for employers.
See All 15 Remote Claims Team Lead Jobs
Find roles that match your experience and apply in just a few clicks.
Find Remote Claims Team Lead Jobs