Remote Insurance Claims Processor in New York

Join a Tech-Driven Team with a Passion for Precision

Are you ready to play a vital role in a data-centric, digitally enabled environment? As a Remote Insurance Claims Processor based in New York, you will become an integral part of a future-forward claims operations team that leverages digital tools, workflow automation, and robust claims analytics to deliver top-tier service. Suppose you thrive in a detail-oriented remote setting and enjoy leveraging technology to solve real-world challenges. In that case, this is your opportunity to take charge of your career and make every interaction count. Annual Salary: $64,609

Role Summary

We are seeking a meticulous and tech-savvy individual to join our virtual claims processing unit. In this role, you will handle incoming insurance claims from policyholders, assess documentation accuracy, verify policy coverage, and support claim resolution with modern tools and frameworks. This is more than a data-entry role—you'll be influencing customer satisfaction, claims integrity, and operational efficiency in real-time through technology.

Key Responsibilities

Claim Review and Analysis

• Assess incoming digital claim submissions for accuracy and completeness
• Validate policyholder eligibility using our cloud-integrated policy database
• Coordinate digital communication with claimants to collect additional documents

Data Validation and Compliance

• Match supporting documentation with internal rules via AI-powered claim-matching tools.
• Follow regulatory and compliance frameworks related to insurance claim adjudication.
• Flag and report inconsistencies to the fraud analytics team

System Updates and Documentation

• Enter and update claims data using our secure insurance workflow platforms
• Collaborate with cross-functional teams through collaborative dashboards
• Maintain clear, audit-ready digital trails for every claim processed

Technology-Enabled Service

• Utilize remote CRM and virtual claims management systems
• Attend regular virtual training sessions to stay current with updates in tools and procedures
• Participate in virtual process-improvement discussions and innovation meetings

The Ideal Work Environment

This is a fully remote position tailored for professionals who are self-disciplined, responsive in virtual communication, and comfortable working independently with cloud-based tools. You’ll be supported by a team that believes in collaboration through technology, fostering community via daily huddles and chat-based interactions. We emphasize transparency, digital wellness, and respect for work-life balance.

Tools and Technologies You’ll Use

• Claims Processing Platform: SmartClaim360
• CRM: Salesforce (Insurance Vertical)
• Cloud Storage: Google Workspace with enhanced insurance-compliance protocols
• Communication: Zoom, Slack, Microsoft Teams
• Workflow Automation: Zapier, Monday.com, and in-house AI rule engines
• Compliance and Reporting: RegTech audit platform with real-time alerts

What Sets This Role Apart

We are redefining how claims are processed. Imagine replacing paper trails with blockchain-verified steps, using data to guide decisions proactively, and being part of a virtual workforce that takes pride in accuracy and customer trust. Our company is leading the charge in remote-first insurance operations, where innovation meets precision.

Qualifications and Skills

Required:

• Associate’s or Bachelor’s degree in Insurance, Business, or a related field
• Minimum 1 year of experience in insurance claim processing or a similar role
• Demonstrated success in managing responsibilities from a remote environment using cloud-based tools
• Strong understanding of insurance terminology and coverage guidelines
• Proficient in Excel, G-Suite, and policy management software

Preferred:

• Experience with digital claims adjudication systems
• Knowledge of New York State insurance regulations
• Familiarity with AI-driven claim systems or RegTech tools
• Effective written communication for remote collaboration

Metrics That Matter

• Average claim cycle reduced by 30% with digital workflow integration
• 96% accuracy rate in remote claims adjudication within the team
• 24/7 support framework is available for escalated cases
• 3x faster resolution compared to industry benchmarks through automation

Benefits That Keep You Ahead

• ✨ Competitive salary with annual performance-based reviews
• ☑ Comprehensive health, dental, and vision plans
• 🎓 Reimbursement for professional development and certifications
• 🏡 Home office stipend and equipment provision
• 🌟 Monthly wellness challenges and virtual fitness classes
• ✅ Paid parental leave and wellness days

Growth Opportunities

This isn’t just a job; it’s a launchpad for your career in insurance operations. From here, you can grow into roles such as Remote Quality Analyst, Digital Claims Strategist, or even Workflow Automation Specialist. Regular upskilling sessions, mentorship tracks, and career planning tools will guide your journey.

Ready to Redefine Insurance Claims Processing?

Take the next step in your professional journey. Use your skills in remote collaboration, data interpretation, and modern claims tools to drive real impact in a digital-first organization. This is your moment to stand out, stay remote, and shape the future of insurance from your home.

🚀 Apply today and bring innovation to insurance—from anywhere.