Remote Claims Payment Processor

Introduction to the Role

In a world where empathy meets accuracy, the role of a Remote Claims Payment Processor stands as a critical bridge between compassion and financial integrity. This position is ideal for those who are not only detail-oriented but also motivated by the opportunity to support individuals during sensitive and often challenging times. With a clear focus on inclusivity, this role promotes equal opportunities and celebrates a diverse team environment where every voice is valued and matters. This is more than a remote data-entry job—it's a chance to bring humanity into the claims process, ensuring timely and accurate resolution with respect and dignity for every client.

About the Team and Culture

You'll be joining a team known for its resilience, integrity, and camaraderie. Remote yet connected, our team thrives on transparent communication, shared successes, and collective problem-solving. From weekly virtual meetings to an open-door policy with team leads, there is a genuine emphasis on psychological safety and support. People here are not just coworkers—they are collaborators, mentors, and advocates for one another. Our work culture fosters ongoing dialogue, promotes professional growth, and creates space for all identities and lived experiences.

Key Responsibilities

Processing with Precision

• Review, validate, and process electronic and paper-based insurance claims promptly and thoroughly.
• Cross-reference claims data against policy provisions, payment guidelines, and regulatory requirements.
• Ensure compliance with established timelines and internal service standards.

Communication and Documentation

• Communicate with claimants, healthcare providers, and internal departments to gather necessary documentation and resolve discrepancies.
• Maintain accurate records of claim status, notes, and outcomes using claim management software.
• Escalate complex or high-risk cases to senior staff when required.

Collaboration and Quality Assurance

• Participate in regular quality audits and team performance reviews.
• Offer input on improving processing systems, flagging bottlenecks, or recurring claim issues.
• Assist in the training and onboarding of new processors as needed.

Tools and Technology

This role leverages modern claims management systems, data validation tools, and secure communication platforms to perform daily operations. Tools such as claim adjudication software, document scanning apps, and real-time messaging applications help ensure work is seamless and secure. Familiarity with systems such as Guidewire, Meditech, or proprietary claims software is a plus; however, comprehensive training is provided to ensure proficiency. A reliable internet connection and proficiency in remote collaboration tools, such as Zoom and Microsoft Teams, are essential.

Inclusive Work Environment

We believe that the best results come from varied perspectives. Our inclusive workplace welcomes candidates of every background, embracing diversity in gender, culture, ability, and thought. Flexibility in scheduling, accommodations for unique needs, and a culture of openness make this a space where professionals can thrive without compromising authenticity. We take pride in being an equal opportunity employer and go beyond compliance to ensure that inclusion is felt in every interaction.

Qualifications and Skills

Must-Haves

• Minimum high school diploma or equivalent; associate or bachelor's degree preferred.
• At least 1 year of experience in claims payment, insurance billing, or administrative processing.
• Excellent attention to detail with the ability to analyze data accurately.
• Strong organizational skills and the ability to prioritize tasks independently.
• Fluency in written and verbal English; multilingual abilities are a plus.

Preferred Attributes

• Empathetic communicator who understands the importance of sensitivity when handling claims.
• Technologically savvy and adaptable to evolving digital tools.
• Self-starter mindset with a collaborative attitude and a sense of accountability.
• Experience working in a remote environment or supporting virtual teams.

Career Path and Growth

We don’t just hire for a role—we invest in a journey. This position offers multiple pathways for professional growth, including advancement to Senior Claims Processor, Claims Auditor, or Payment Team Lead. Regular training modules, virtual workshops, and access to mentorship programs ensure that learning becomes an integral part of your routine. Our leadership encourages innovation and welcomes feedback on processes that can enhance the claims experience.

Benefits and Work-Life Balance

We understand the value of wellness and the importance of striking a balance between professional drive and personal care. The compensation for this role is $40,493 annually, complemented by:

• Flexible remote working schedule
• Generous leave policy with required time-off minimums
• Mental health and wellness support
• Inclusive family leave policies
• Annual stipend for home office improvements
• Regular virtual social events and appreciation initiatives

We know that each person brings a unique story to the table. Our benefits are designed to ensure every employee feels cared for, heard, and empowered to perform at their best.

Real Stories from the Team

One of our Claims Processors, Jordan, shares: "When I started, I was nervous about working remotely. But the onboarding was so personal and engaging, and my team immediately made me feel welcome. Now, I have close relationships with people I’ve never met in person, and I feel a deep sense of purpose in what I do."

Equal Opportunity Commitment

We proudly foster a culture of equality and diversity. Our hiring practices are designed to be fair, unbiased, and transparent. All employment decisions are based on qualifications, performance, and business needs. We encourage individuals from traditionally marginalized communities to apply and share their unique perspectives with us. Every application is valued, and every candidate is treated with respect.

Ready to Make an Impact?

Are you looking for a remote role where your attention to detail can make someone’s life easier? Do you value teamwork, empathy, and inclusive collaboration? Join us as a Remote Claims Payment Processor and be part of a purpose-driven team. Bring your precision, your compassion, and your voice—because here, you matter.

Apply today to start a meaningful journey where professionalism meets purpose.