💼 Employment Type: Full-Time
📍 Location: Remote (U.S.) — Multiple states eligible
Must live in one of the following states: AL, AR, AZ, CO, CT, DE, FL, GA, ID, IN, IA, KS, KY, LA, ME, MI, MS, MO, NE, NV, NH, NJ, NM, NC, ND, OH, OK, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY They are currently NOT hiring in the following geographies, including but not limited to: States: AK, CA, HI, MA, IL, MT & NY
Metro Areas: MN – Minneapolis, IL – Chicago, NY – New York City, OR - Portland, MD - Montgomery County, WA - Seattle, Washington, DC
💬 Job Overview
Conduent is looking for a remote Claims Processor to review benefits-related paperwork, evaluate documents for eligibility, and process transactions according to client rules and IRS guidelines. This is a detail-heavy role that requires strong analytical thinking, accuracy, and the ability to work through complex cases.
You’ll analyze images of documents, verify participant information, apply plan rules, calculate reimbursements, and ensure all transactions comply with regulations. This position is perfect for someone who enjoys structured work, problem-solving, and navigating multiple computer systems in a fast-paced environment. Conduent offers paid training, strong benefits, and career growth opportunities.
📋 Key Responsibilities
Review document images from benefits plan participants and determine eligibility.
Prepare, index, and process electronic documents in the case management system.
Research and verify participant addresses from returned mail.
Apply IRS guidelines and plan-specific rules to each request.
Review legal guardianship, POA, and other legal documentation when transactions come from third parties.
Evaluate paperwork for completeness, accuracy, signatures, notarization, and required supporting documents.
Calculate eligible reimbursement amounts based on documentation and participant history.
Track request history and assess prior transactions that may impact eligibility.
Update case notes, follow up on open items, and close cases once resolved.
Collaborate with internal teams and vendors on escalations or exception processing.
Conduct peer reviews on other team members’ work as needed.
Meet accuracy and speed requirements while navigating multiple systems.
Request guidance when IRS guidelines or knowledgebase instructions are unclear.
🧩 Requirements
High school diploma required; associate degree preferred.
2+ years in an analytical, claims-processing, documentation, or eligibility-determination environment strongly preferred.
Experience in health & welfare benefits is a plus.
Strong critical thinking, accuracy, and attention to detail.
Ability to navigate multiple computer tools at once.
Must pass an internet speed test (≥25 download / ≥5 upload / ≤175 ping).
Must connect with a wired ethernet cable.
✨ Why You’ll Love This Job
This position offers extensive training, career growth potential, and the opportunity to support millions of participants across the U.S. Conduent provides competitive pay, benefits, paid holidays, paid time off, and the stability of a large, growing organization. If you enjoy detailed work, learning complex rules, and contributing to accurate claims processing, this job gives you a meaningful role with long-term potential.
🌟 Who This Job Is Perfect For
Analytical thinkers who enjoy structured, detail-heavy work.
Candidates with claims, eligibility, healthcare documentation, or billing backgrounds.
Remote workers who thrive in fast-paced environments with clear rules and processes.
Individuals who enjoy problem-solving, researching documents, and applying regulations.
People who want training, steady hours, and predictable Monday–Friday schedules.
🏢 About the Company
Conduent is a global business-services company supporting government agencies, healthcare clients, financial institutions, and large corporations. They specialize in transaction processing, claims management, customer support, and digital solutions that impact millions of people daily. Conduent is known for career development, strong benefits, and a culture that values contributions at every level.
🚀 How to Apply
You’ll be sent to Conduent’s official job portal to complete your application.
