Remote Insurance Claims Processor in NYC

Join a Role That Combines Precision with Purpose

Are you a detail-oriented professional looking to make a tangible difference from the comfort of your own home? Consider stepping into a rewarding position as a Remote Insurance Claims Processor based in New York City. This fully remote position offers an annual salary of $53,482 and provides an ideal career path for individuals passionate about data integrity, digital workflow systems, and delivering exceptional customer support. This is your chance to be part of a future-focused organization using innovative technologies to streamline claims processing and deliver timely support to policyholders nationwide.

About This Role and Its Strategic Importance

As a Remote Insurance Claims Processor, your role is vital in maintaining seamless, accurate, and efficient claims handling processes. You will be responsible for reviewing, analyzing, and processing a range of insurance claims using advanced claims management software. From initial intake to final resolution, your work ensures that policyholders experience clarity, fairness, and speed in every interaction. You will work collaboratively with internal teams, leveraging a secure cloud-based infrastructure and AI-enhanced tools to deliver accurate assessments and minimize processing delays. Your ability to understand digital workflows, assess complex claim scenarios, and document every step with precision will significantly influence meaningful client experiences and retention.

Key Responsibilities

Claims Review and Processing

• Evaluate incoming claims data for completeness, accuracy, and compliance
• Use digital documentation systems to validate information from policyholders, adjusters, and third parties
• Process claims within established timelines using claims management platforms

Customer Communication

• Initiate contact with policyholders or representatives to clarify claim details.
• Provide clear updates and explanations regarding claim status and resolution timelines.
• Ensure professional and courteous interactions through email, chat, and phone support.

Compliance and Documentation

• Maintain meticulous digital records aligned with regulatory standards
• Monitor for inconsistencies or red flags that may indicate fraud or policy violations
• Follow internal protocols for escalation and resolution of complex claims

Data Analytics and Reporting

• Utilize built-in analytics dashboards to monitor claim progress and team KPIs
• Collaborate with data integrity teams to maintain clean, structured claim databases.
• Participate in quarterly reviews to assess claims trends and propose workflow improvements.

Work Environment & Culture

This role offers the stability of a full-time position with the flexibility of remote work. As part of a virtual operations team, you'll enjoy:

• A structured, distraction-free work environment
• Regular digital team huddles and collaborative project boards
• Access to cloud-based productivity tools for document handling and task management
• Emphasis on independent accountability paired with a supportive team culture

We believe that a healthy work-life balance fosters creativity and precision, especially in fast-paced, tech-driven workflows. You’ll be part of a team that values integrity, innovation, and communication.

Tools, Platforms, and Technology Stack

Core Software

• Claims Processing Systems: Guidewire, Duck Creek, or similar platforms
• Data Validation Tools: OCR software, form recognition AI
• CRM: Salesforce or Zendesk for customer records
• Communication Channels: Microsoft Teams, Zoom, and cloud-based email systems

Security Protocols

• Encrypted file transfer protocols
• Role-based access control systems for data privacy
• AI-driven fraud detection algorithms

Workflow Enhancements

• Kanban boards for project tracking (e.g., Trello, Jira)
• Document storage and collaboration via SharePoint or Google Workspace
• Automation bots for repetitive task processing

Skills and Qualifications

Core Competencies

• Strong analytical thinking with a sharp eye for detail
• Familiarity with electronic document processing and digital signatures
• Comfortable navigating multiple software platforms simultaneously

Educational Background

• An academic foundation in insurance, finance, or a similar discipline, such as a diploma or undergraduate-level qualification
• Relevant certifications (e.g., AIC, CPCU) are a plus, but not required

Professional Experience

• Minimum 2 years of experience in insurance claims processing or related customer service work
• Experience with remote collaboration and cloud-based claims software is highly preferred.

Soft Skills

• Strong written and verbal communication capabilities appropriate for engaging with colleagues and customers
• High level of empathy and tact when handling sensitive client scenarios
• Self-driven with strong time management and prioritization abilities

Performance Indicators & Measurable Impact

Our team thrives on data. Success in this role is measured by:

• Claims resolution timeframes
• Accuracy of documentation and decisions
• Policyholder satisfaction rates
• Reduction in claim resubmissions or corrections

These benchmarks guide performance evaluations, shape workflow optimization, and keep the organization aligned with its goal of delivering timely, efficient service.

Career Development & Growth Pathways

We’re committed to helping you grow with us. You’ll gain hands-on experience with top-tier digital tools, and through monthly performance reviews and mentoring sessions, you'll have opportunities to:

• Transition into senior claims analyst or supervisory roles
• Gain exposure to underwriting support and digital risk assessment projects
• Participate in training modules on insurance compliance, AI integrations, and remote team leadership

We believe in upskilling and cross-functional exposure. If you demonstrate initiative and consistency, there is a clear upward path within the team.

Compensation and Benefits

Alongside a base compensation of $53,482, you’ll also enjoy:

• Paid time off (including flexible vacation days)
• Health, dental, and vision insurance
• Annual technology reimbursement for remote equipment
• Learning and certification stipend for continued education
• Wellness initiatives and mental health resources

Why This Role Stands Out

This isn’t just another data-entry remote job. It’s a tech-enhanced position with direct influence on customer trust and operational excellence. You’ll be part of a modern claims ecosystem designed to minimize friction, reduce errors, and foster a faster claims cycle—all while working in an agile, forward-thinking digital environment.

With digital transformation redefining the insurance industry, your work here goes beyond administrative processing. You’ll be supporting the evolution of claims management into a transparent, customer-first experience. That’s what makes this role so impactful—and so rewarding.

Ready to Take the Next Step?

Your future in insurance innovation starts here. If you're ready to bring your attention to detail, tech-savvy mindset, and customer-first approach to a growing team that values excellence and agility, then this opportunity is calling.

Apply now and process the future of insurance from anywhere.