Remote Claims Examiner

Description

Remote Claims Examiner

Join an Innovator Shaping the Future of Claims

Imagine working for a company where creativity isn’t an afterthought—it’s in the DNA. Our journey began with a single idea: to revolutionize the claims process with intelligence, speed, and human empathy. Today, we serve clients across industries with a blend of automation and compassion. As a Remote Claims Examiner, you won’t just evaluate claims—you’ll be a critical part of a dynamic system that empowers people in moments they need help most. With cutting-edge systems and a collaborative remote environment, we invite professionals who crave purpose and impact to help us shape the future of work-from-home claim resolution.

Key Responsibilities with Meaningful Impact

Evaluating and Investigating Claims

  • Conduct thorough investigations of submitted insurance claims using digital records, interviews, and documentation.
  • Assess validity and determine liability based on company policies and regulatory guidelines.
  • Ensure accurate and timely resolution in all claim categories, including property, auto, and health claims.

Collaborative Communication

  • Liaise with claimants, providers, and internal departments through clear and compassionate communication.
  • Document findings in cloud-based systems and update stakeholders throughout the claim lifecycle

Decision-Making and Documentation

  • Finalize claim outcomes supported by fact-based reporting
  • Write detailed findings and decisions to ensure transparency and audit-readiness

Creative Problem-Solving

  • Offer innovative resolution approaches for complex or disputed claims
  • Contribute ideas during team huddles to improve processes and enhance client satisfaction

Where You’ll Work: Our Remote Culture

Designed for Remote Excellence

Our remote work model isn’t an emergency adaptation—it’s our standard. From virtual water coolers to weekly brainstorming sessions, we ensure every team member is connected, heard, and supported.

Diversity and Inclusion

Our team comprises individuals from diverse geographies, perspectives, and professions. We celebrate individuality and collaboration, encouraging new ideas and fearless thinking.

Innovation at the Core

We invest in our people and technology equally. Our claims platform combines machine learning, predictive analytics, and live dashboards to enable smarter decisions in real time.

Tools, Tech, and Talent that Empower

Digital Ecosystem

  • Integrated CRM and claims management tools
  • AI-driven fraud detection and risk modeling engines
  • Secure, encrypted communication channels

Performance Insights

  • Automated reporting tools to analyze trends and improve efficiency
  • KPI dashboards to track individual and team-level success

Supportive Framework

  • 24/7 tech support for remote environments
  • Weekly virtual training workshops to stay ahead of industry standards

Skills and Qualifications

What You Bring

  • Prior experience in claims examination, adjudication, or insurance analysis
  • Excellent judgment and ethical standards in evaluating complex information
  • Superb written and verbal communication in virtual settings
  • Familiarity with remote case management or paperless processing
  • Comfort working with large datasets, digital claims files, and reporting tools

Education & Certifications

  • A diploma or university-level qualification in financial services, business administration, or another relevant discipline
  • Certifications like AIC or CPCU are a plus, but not required

Career Growth and Work-Life Harmony

Thrive Remotely, Grow Professionally

With regular feedback loops, mentorship channels, and access to leadership, your growth never takes a backseat. We offer quarterly training grants and internal upskilling programs specifically designed for remote professionals.

Balanced Benefits

  • Competitive annual salary of $65,609
  • Generous PTO policy and flexible hours
  • Remote wellness initiatives, including mindfulness apps and virtual therapy sessions
  • Retirement and health packages tailored for remote employees

Ready to Lead the Future of Claims?

This isn’t your average insurance job. This is your chance to collaborate with experts, make life better for others, and stretch your problem-solving muscles in a digital-first environment. Every case you touch will be an opportunity to think creatively, learn deeply, and contribute meaningfully. We are looking for professionals who want more than a 9-to-5—we want visionaries with a claims mindset and a passion for progress.

Apply Now — Make an Impact from Anywhere

If you’re ready to be part of a company that values insight, rewards initiative, and invests in both people and innovation, we want to hear from you. Apply today to become a Remote Claims Examiner and help shape the way the world handles insurance. Your future, your flexibility, and your impact start here.