Remote Claims Adjudicator

Join a Team That Puts People First

Imagine being part of a workplace where empathy, respect, and inclusion are more than just words—they’re lived every day. As a Remote Claims Adjudicator, you’ll contribute to a collaborative environment where human connection drives meaningful results. By prioritizing representation across backgrounds and cultivating a genuinely inclusive workplace, this remote opportunity empowers you to positively impact lives without leaving home.

Why This Role Matters

Claims adjudication isn't just a job—it's a way to help people navigate life's setbacks. This role enables you to deliver fair outcomes to policyholders during their most uncertain moments. You'll apply attention to detail, emotional intelligence, and sound reasoning to ensure each decision honors the unique story behind every claim.

Key Responsibilities

Fair and Empathetic Claim Evaluation

• Analyze medical, life, or disability claims with a balance of analytical rigor and compassion.
• Validate documentation through secure systems and follow up when additional context is needed.
• Apply adjudication guidelines in alignment with compliance standards and ethical considerations.

Meaningful, Inclusive Communication

• Deliver timely updates that reflect sensitivity to each claimant's circumstances.
• Prepare clear written decisions that explain findings with professionalism and care.

Team-Centered Collaboration

• Partner with cross-functional peers in case management, legal, and customer service.
• Contribute to discussions that improve adjudication quality and workflow efficiency.

Tools and Technology You’ll Use

To streamline your day-to-day, you'll access:

• Integrated claims adjudication software
• Real-time communication tools for team syncs
• Cloud-based portals for secure file review
• On-demand digital training for ongoing professional growth

A Day in the Life

From your remote workspace, you'll begin with a team standup to share insights and priorities. You may assess an injury-related disability claim that requires empathetic communication and careful evidence review. Later, you'll collaborate with a colleague to handle a time-sensitive appeal, leveraging internal knowledge bases and data systems. Midday, you join an inclusion-focused workshop that strengthens your ability to support claimants of diverse backgrounds. By day’s end, you’ve resolved multiple claims while upholding fairness and care.

What Makes Our Culture Unique

Respect for Every Voice

Our diverse team comprises individuals from diverse cultures, identities, and lived experiences. That variety fuels smarter decisions and a more compassionate service for everyone we help.

Growth Through Belonging

We offer more than a job—we foster a place where your ideas matter. Whether you're new to the field or a seasoned adjudicator, you'll have space to learn, lead, and be heard.

Stories of Impact

One adjudicator used their bilingual skills to walk a Spanish-speaking claimant through the entire process, making all the difference. Another initiated a peer feedback group that’s now driving quality improvements. These moments demonstrate how your individuality can contribute to elevating the entire team.

Required Qualifications

• Minimum 2 years’ experience in claims adjudication, insurance review, or a similar role
• Familiarity with healthcare, disability, or life claim processes
• Skilled in interpreting documentation and making independent, compliant decisions
• Proficiency with remote platforms and digital file systems
• Strong written and verbal communication skills

Preferred Attributes

• Experience with remote adjudication workflows or distributed teams
• Exposure to high-volume or complex claim scenarios
• Cultural sensitivity or fluency in multiple languages
• Interest in simplifying technical language for general understanding

Work Environment and Benefits

Wellness-Driven Remote Culture

• Fully remote role with flexible daily structure
• Diverse team culture rooted in empathy and inclusion
• PTO, wellness stipends, and mental health support resources
• Comprehensive healthcare and retirement options
• Annual salary: $55,623 with performance recognition

Long-Term Development Support

• Robust onboarding and mentorship
• Access to leadership roundtables and expert-led seminars
• Certifications and continuing education are available year-round

Commitment to Equity and Inclusion

We are committed to maintaining a fair and unbiased hiring environment. Regardless of your gender, race, ethnicity, sexual orientation, disability, or veteran status, you are welcome here. We strive to create a workplace where every individual is supported in reaching their full potential.

Ready to Take the Next Step?

If you’re ready to bring empathy and insight into a meaningful remote role, we’d love to hear from you. Join a team that values your story, celebrates your growth, and empowers you to help others every day.

Your Future Starts Here

Apply today and help us shape a claims experience built on trust, respect, and care. You could be the calm in someone else’s storm—and that’s no small thing.