Remote National Bank Examiner Jobs
Remote national bank examiner jobs are open across the U.S. at remote-first financial services firms, distributed regulatory consulting teams, and technology-enabled banking organizations. Employers hiring remotely right now include Sedgwick, TRISTAR, and WPS Health Solutions. Scan the live roles below and apply to whichever ones fit.
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Showing 5 of 20+ Remote National Bank Examiner 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.
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Find JobsRemote National Bank Examiner Job Market
Who's Hiring
What Employers Look For
The qualifications that appear most often in remote national bank examiner jobs.
- Bachelor's degree in accounting, finance, economics, or a related business field
- Experience conducting safety and soundness or compliance examinations of financial institutions
- Knowledge of federal banking regulations including the Bank Secrecy Act and consumer protection laws
- Commissioned examiner status or eligibility to sit for a commission examination
- Proficiency in analyzing financial statements, call reports, and loan portfolio data
- Ability to obtain and maintain a federal government security clearance or background investigation
Tips for Your Remote National Bank Examiner Job Search
Apply early to remote roles that fit
Migrate Mate lists remote national bank examiner openings from across the U.S. in one place, so you can find roles that match your background and apply directly. Remote postings attract wide applicant pools, so applying as soon as a role is listed improves your chances.
Demonstrate async communication skills upfront
Remote national bank examination work runs on written communication. Include examples in your resume and cover letter of examination findings, regulatory reports, or risk summaries you drafted independently. Employers want evidence you can communicate complex findings clearly without real-time collaboration.
Highlight virtual examination experience specifically
Remote employers screen for candidates who have conducted off-site or virtual examinations before. Call out any experience with document-request workflows, remote access to core banking systems, or virtual interviews with bank personnel in your application materials.
Prepare for structured competency-based interviews
Remote national bank examiner interviews often run entirely over video and test technical judgment through scenario questions on credit risk, capital adequacy, or regulatory violations. Practice walking through examination scenarios out loud so your reasoning is clear and organized on camera.
Remote National Bank Examiner Jobs: Frequently Asked Questions
How do I get a remote national bank examiner job?
Remote national bank examiner roles go to candidates who can demonstrate strong self-direction and clear written communication, since remote teams depend on documentation and async updates instead of in-person oversight. Highlight experience with safety-and-soundness reviews, credit risk analysis, or regulatory compliance work. Familiarity with virtual examination tools and the ability to manage examination timelines without direct supervision gives you a clear edge.
Which companies hire remote national bank examiners?
Remote national 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 include remote-first regulatory consulting firms, distributed financial technology companies, and banking organizations that run compliance and examination functions across geographically dispersed teams.
Can you get a remote national bank examiner job with no experience?
Yes, but remote entry-level national bank examiner roles are harder to land because employers expect you to work independently from day one with minimal hands-on guidance. Smaller fintech firms and regulatory consulting companies occasionally hire entry-level candidates remotely. Demonstrating knowledge of bank examination frameworks, completing relevant coursework, or earning credentials like the CFSA can open doors when direct experience is limited.
Do you need a degree for remote national bank examiner jobs?
Usually, but the degree field matters more than the credential itself. Remote employers in this role typically look for backgrounds in finance, accounting, economics, or business. Candidates who can show hands-on regulatory compliance work, familiarity with examination procedures, or relevant certifications can sometimes offset a non-traditional academic background, particularly at smaller or specialized firms.
See All 20 Remote National Bank Examiner Jobs
Find roles that match your experience and apply in just a few clicks.
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