What Are Claims Jobs and What Remote Roles Are Available?

When unfortunate events occur, the claims industry makes sure that both individuals and businesses get the financial help they are entitled to. From managing insurance claims after accidents to handling health and property claims following unforeseen incidents, claims professionals are central to the process, making sure claims are handled efficiently and fairly.

What Are Claims Jobs?

Claims jobs are positions within various industries, particularly insurance, healthcare, and finance, where professionals are responsible for handling claims made by individuals or businesses. A claim is a formal request for compensation due to an incident or injury, and it is the job of claims professionals to ensure that these claims are handled properly.

A typical claims process begins when a claim is filed. This could be for anything from a car accident or property damage to health-related expenses or life insurance claims. Once the claim is submitted, the claims professional is responsible for reviewing the claim and deciding on the appropriate compensation, if any.

Types of Claims Jobs You Can Do from Home

Remote claims jobs offer a wide range of opportunities. Here are the main types of claims jobs that can be done from home:

Claims Adjuster

Average Salary Range: $50,000 – $70,000 annually

Claims adjusters are responsible for investigating claims to determine the extent of the insurance company’s liability. Working remotely, claims adjusters review claims and arrange inspections when necessary. The adjuster’s primary role is to assess damages and negotiate settlements that are fair for both the claimant and the insurer.

Key Responsibilities:

Investigating claims by reviewing evidence and speaking with claimants.
Evaluating policy coverage to determine if the claim is valid.
Negotiating settlements with claimants and other involved parties.
Preparing detailed reports for insurance companies.

Claims Examiner

Average Salary Range: $45,000 – $65,000 annually

Claims examiners review claims that have already been processed to ensure accuracy and compliance with company guidelines. Examiners double-check the work done by adjusters or processors to confirm that the correct decision was made. In a remote setting, claims examiners work digitally, reviewing documents and corresponding with relevant parties as needed.

Key Responsibilities:

Reviewing claims to ensure they meet policy terms.
Verifying that proper procedures were followed in claims processing.
Identifying cases that may require further investigation or legal action.
Working with claims adjusters to resolve discrepancies.

Claims Processor

Average Salary Range: $30,000 – $45,000 annually

Claims processors are responsible for managing the administrative side of claims. They collect documentation and input data to ensure claims move smoothly through the system. Remote claims processors can handle all of these tasks digitally, using specialized claims management software to process claims efficiently from home.

Key Responsibilities:

Inputting claim information into databases.
Reviewing documents and ensuring all required materials are received.
Assisting claimants with filling out forms or submitting additional information.
Escalating complex claims to adjusters or examiners for further review.

Claims Analyst

Average Salary Range: $50,000 – $75,000 annually

Claims analysts focus on examining the details of claims to detect potential fraud or identify patterns. Working from home, they often utilize data analytics tools to assess risks and ensure claims are processed correctly. Their role is particularly important in high-volume industries like health and auto insurance, where the risk of fraudulent claims is higher.

Key Responsibilities:

Using data analysis to assess the validity of claims.
Identifying fraudulent or suspicious claims.
Collaborating with adjusters and legal teams to resolve complex claims.
Recommending improvements to claims processing systems based on analysis.

Customer Service Representative (Claims)

Average Salary Range: $35,000 – $50,000 annually

Customer service representatives in the claims industry assist claimants by addressing their inquiries and guiding them through the claims process. Remote customer service reps handle communications through various channels, providing support to claimants while working from home.

Key Responsibilities:

Communicating with claimants to answer questions and provide updates.
Assisting customers in understanding their policy coverage and the claims process.
Coordinating with adjusters, processors, and examiners to resolve claims.
Maintaining accurate records of all customer interactions.

Where to Find Remote Claims Jobs

Finding remote claims jobs has become easier as more companies embrace flexible work arrangements. Here are some of the best platforms to start your search:

Wahojobs

Wahojobs is a leading site for discovering work-from-home jobs. With an intuitive interface and customizable filters, job seekers can easily find remote claims opportunities across different industries. The site emphasizes ongoing job listings, focusing on positions that remain open for applications throughout the year.

Other Platforms to Explore

LinkedIn: A great place for networking and job searches, offering a wide range of remote claims positions.
Indeed: Features remote claims jobs from insurance companies and third-party providers across various industries.
Glassdoor: Offers insights into company culture and salary information along with job postings.

Company Websites

Another reliable way to find remote claims jobs is to visit the careers section of major insurance companies like Allstate, Progressive, or Liberty Mutual. Many companies now offer remote positions and provide direct listings on their own websites.

Conclusion

As we’ve explored, claims jobs range from adjusters and examiners to analysts and customer service representatives, each with its unique responsibilities and salary potential. Claims professionals who stay adaptable and continue to develop their skills will find abundant opportunities in the remote job market.

If you're ready to take the next step in your career, start exploring claims jobs today and see where the opportunities lead.