Remote Claims Unit Manager Jobs
Remote claims unit manager jobs are open across the U.S. in insurance, healthcare, and financial services, at remote-first carriers and distributed claims operations that need experienced managers to lead adjusting teams without a central office. Companies currently hiring include Gallagher, CorVel Corporation, and Sedgwick. See the openings below and apply to the ones that match your experience.
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Showing 5 of 352+ Remote Claims Unit Manager jobs
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 352+ Remote Claims Unit Manager Jobs
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Find JobsRemote Claims Unit Manager Job Market
Who's Hiring
- Gallagher35
- CorVel Corporation29
- Sedgwick16
- Reserv14
- Liberty Mutual Insurance13
Top Industries Hiring
- Technology & Software14
- Insurance12
- Consulting & Professional Services3
- Construction & Real Estate1
- Healthcare & Medical Services1
What Employers Look For
The qualifications that appear most often in remote claims unit manager jobs.
- Five or more years of claims handling experience in a relevant line of business
- Active property and casualty adjuster license in the state of employment
- Demonstrated experience supervising or mentoring a team of claims adjusters
- Proficiency with claims management systems such as Guidewire or Duck Creek
- Strong working knowledge of coverage interpretation and reserve setting
- Bachelor's degree in business, risk management, or a related field preferred
Tips for Your Remote Claims Unit Manager Job Search
Apply early to remote roles that fit
Migrate Mate lists remote claims unit manager openings from across the U.S. in one place. Check it regularly and apply directly to roles that match your line of business, team size, and state licensing before postings fill.
Show your remote management approach upfront
Remote hiring teams want to see how you lead without being in the room. Describe the tools and cadences you use, like video team huddles, shared claim review queues, and written performance feedback, directly in your resume summary and cover letter.
Highlight multi-state licensing and line experience
Remote claims units often cover multiple states and lines of business. Listing the states where you hold an adjuster license and the lines you've managed, property, casualty, liability, or workers' comp, makes your profile immediately relevant to distributed teams.
Prepare for async interview formats
Many remote insurance employers use recorded video screenings or written case scenarios before a live interview. Practice explaining a claims decision or a team coaching situation in concise written or recorded form so your communication skills are evident from the first step.
Remote Claims Unit Manager Jobs: Frequently Asked Questions
How do I get a remote claims unit manager job?
Target remote-first insurance carriers, third-party administrators, and self-insured employers that run distributed claims teams. Remote hiring managers screen hard for self-direction, clear written communication, and the ability to coach adjusters without in-person oversight. Candidates who can show experience managing team performance through digital workflows, documented case reviews, and async feedback cycles stand out clearly over those with only office-based management experience.
Which companies hire remote claims unit managers?
Employers currently hiring remote claims unit managers include Gallagher, CorVel Corporation, and Sedgwick, per current remote listings on Migrate Mate as of November 2026. Remote openings for this role concentrate at national insurance carriers, third-party administrators, and large self-insured organizations that operate claims teams across multiple states and time zones.
Can you get a remote claims unit manager job with no experience?
Yes, but remote entry into this role is harder than on-site because you must demonstrate independent judgment from day one without a supervisor nearby. Some third-party administrators and regional carriers hire adjusters who show strong caseload results and lead by example on a team. Building a record of resolved claims, mentoring peers, or completing a claims management certificate can open the door when direct management experience is thin.
Do you need a degree for remote claims unit manager jobs?
Not always. Remote employers in insurance and financial services weigh adjuster licensure, claims software proficiency, and a demonstrated record of managing caseloads or coaching staff alongside, and sometimes instead of, a formal degree. Candidates who show concrete team outcomes, multi-line claims knowledge, and comfort with remote reporting tools are competitive even without a four-year credential.
Which industries hire the most remote claims unit managers?
The sectors hiring the most remote claims unit managers are Technology & Software, Insurance, and Consulting & Professional Services, based on current remote listings on Migrate Mate as of November 2026. These sectors rely heavily on remote claims unit managers because their teams are distributed across states, requiring managers who can oversee caseloads, compliance, and adjuster development entirely through digital channels.
See All 352+ Remote Claims Unit Manager Jobs
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