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Claims Adjudicator – Remote Jobs

Claims Administrator - Remote | Wfh
By Get.It Recruit - Administrative At Chicago, IL, United States

At our company, we are proud to be recognized as a leader in the industry. With numerous accolades such as being named one of "Northeast Ohio's Top Workplaces" for seven consecutive years and winning ...

Claims Administrator - Remote | Wfh
By Get.It Recruit - Administrative At Pittsburgh, PA, United States

Benefits: Comprehensive benefits package, including 401(k) matching, health insurance, paid time off, pet insurance, and vision insurance. Company Overview About Us: the company is a renowned ...

Claims Analytics Manager - Remote Opportunity
By PMA Companies At Detroit, MI, United States
Oversee the production and distribution of weekly, monthly and ad hoc senior management reports and presentations
Promote effective communication among and between work groups and between management and employees.
Excellent customer service and collaboration skills gained through previous work experience
Excellent Excel and MS Access skills required; knowledge of HTML, SQL, VBA preferred
Design, plan and manage the execution of business metrics and analytics transformation initiatives
Define and manage project scope, timelines and deliverables and identify the interdependencies across projects and functions
Claims Systems Configuration Coordinator - Evicore - Remote
By The Cigna Group At United States
You'll coordinate, define, and review claims system configuration to meet change requirements as approved.
2+ years of claims and health care experience required
1+ years of experience in Claims Systems Configuration required
1+ years of Microsoft Access experience is required
Strong technical competence, proven critical thinking, and impeccable communication skills are required
Intermediate skills in MS Office Excel is required
Claims Analyst (Remote Position)
By Sun Life At , Hartford, 06101 $54,700 - $82,100 a year
Prior experience processing medical claims is essential to this position.
Basic knowledge of Stop Loss Claims and the Stop Loss Insurance industry
Excellent written and verbal communication skills
3+ years of experience processing medical claims
Determine on a timely basis, the eligibility of assigned claims
Understand where, when and how resources (both internal and external), e.g. medical, investigative and legal can add value to the process
Claims Associate Representative - Remote
By The Cigna Group At , Hartford, 06152 $17 - $22 an hour

Must be a current contractor with Cigna Healthcare, Evernorth Health Services, or one of their subsidiaries. Delivers basic technical, administrative, or operative Claims tasks. Examines and ...

Claims Service Ambassador I (Remote)
By Wawanesa Insurance At , Fort Collins, 80526, Co $21.17 - $31.76 an hour
Good time management and organizational skills with the ability to prioritize work in a fast paced, changing environment
Exceptional customer service skills demonstrating empathy and concern for customer satisfaction
Good communication skills, both written and oral
Good investigative and analytical skills
Detail oriented with a critical degree of accuracy regarding data entry
Voluntary benefit plans – accident, hospital indemnity and critical illness
Claims Manager (Remote) - Remote | Wfh
By Get It Recruit - Real Estate At Streamwood, IL, United States

At our company, we are passionate about making a real impact in people's lives through our 24/7, 365 days-a-year nationwide temporary housing solutions. For over two decades, we have been a leader in ...

Claims Analyst - Remote
By First American At California Hills, KY, United States
At least 1-2 years of previous customer service experience
Bachelors Degree or commensurate work experience
Basic mechanical, technical and contract knowledge and understanding
Possess analytical and investigative skills
Previous leadership experience desired but not required
Investigate liability complaints against First American and/or independent contractors dispatched by First American
Claims Clerk - National Remote
By UnitedHealthcare At , Dallas, 75202, Tx
2+ years of data entry experience
Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary.
Calculate other insurance and re-pricing benefits
1+ years of experience working with medical claims
Prior experience working with IDX software
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Remote Claims Analyst (Arizona Only) $19/Hr
By Forrest Solutions At Phoenix, AZ, United States
Previous Processing and Data Entry experience.
Collaborate with claims analyst and claims qc analyst on case work, data entry, and claims reissue processing.
Utilizes documented team processes to ensure compliance with departmental standards and specific data entry.
Verify data and reissue processing requirements, while making corrections as necessary.
Strong attention to detail, with critical thinking skills.
Excellent communication skills, both written and verbal.
Claims Specialist 2 - Affluent (Remote)
By Nationwide At United States
Builds and analyzes severe incident reports, reinsurance reports and other information to share with corporate office, claims management and underwriting.
3-5 years of insurance field/property claims handling or adjusting experience
Solid experience writing own estimates and handling claims start to finish
Construction background/experience - Residential, Roofing, Remodeling, Water mitigation, etc
Strong written & verbal communication skills
Maintains knowledge of other functions within subject area. This may require attending various seminars or training sessions.
Senior Claims Analyst - Remote
By Trustmark At United States
Support the management, monitoring, and tracking of performance in collaboration with the Supervisor
Determine benefit coverage based on clinical edits, plan documents/booklets, benefit reference documents, Claim Reference Manuals and claims-related memoranda, and reports
Minimum three years of medical claim processing experience
Excellent verbal and written communication skills
Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
Good leadership, organizational and interpersonal skills
Associate Claims Representative - Remote In Eastern Time Zone
By UnitedHealth Group At Tampa, FL, United States
Experience in working with multiple products and multiple levels of benefits within each product
Independently complete on a daily basis all documentation and communicate the status of claims as needed adhering to all reporting requirements
High School Diploma / GED (or higher) OR 10+ years of equivalent working experience
1+ years of previous customer service experience in a technical setting
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Communicate through correspondence with members and providers regarding claim payment or required information, using clear, simple language to ensure understanding
Claims Administrator - Remote | Wfh
By Get.It Recruit - Administrative At Conshohocken, PA, United States

Are you ready to embark on an exciting journey with a dynamic industry leader in the world of pet insurance? We're looking for a Claims Administrator to join our exceptional team at a company renowned ...

Claims Consultant - Remote | Wfh
By Get It Recruit - Hospitality At Dallas, TX, United States

Are you passionate about making a positive impact on people's lives? Do you thrive on challenges and believe in creating a culture of care and continual improvement? If you're someone who cares deeply ...

Claims Assistant (Open To Remote)
By The General® At Nashville, TN, United States
Assist adjusters through the management of designated technology to support goals and guidelines:
Assist staff with the resolution of complex salvage sales and rental management.
Self-motivated with great organizational skills
Proficient in a PC with knowledge of Microsoft applications
Good communication skills including listening with compassion and understanding.
Call center experience, a plus
Remote Head Of Claims Compliance
By LaSalle Network At Buffalo-Niagara Falls Area, United States
Provide leadership and vision to create a claims compliance management department
Remote Head of Claims Compliance Responsibilities:
Remote Head of Claims Compliance Requirements:
Handle any claims compliance escalation issues and resolve within a timely manager
10+ years of experience in a claims compliance
Excellent interpersonal and communication skills, both oral and written
Remote Vp Of Claims
By LaSalle Network At Buffalo-Niagara Falls Area, United States
Provide leadership and vision to create a claims management department
Handle any claims escalation issues and resolve within a timely manager
10+ years of experience in a claims leadership role
Excellent interpersonal and communication skills, both oral and written
Maintain a customer-focused mindset in handling all claims
Hire and lead a high-performing claims team
Remote Head Of Claims Compliance
By LaSalle Network At New York, NY, United States
Provide leadership and vision to create a claims compliance management department
Remote Head of Claims Compliance Responsibilities:
Remote Head of Claims Compliance Requirements:
Handle any claims compliance escalation issues and resolve within a timely manager
10+ years of experience in a claims compliance
Excellent interpersonal and communication skills, both oral and written

Are you looking for a job that allows you to work from the comfort of your own home? We are looking for an experienced Claims Adjudicator to join our team and help us process and adjudicate insurance claims. You will be responsible for reviewing and evaluating claims, determining coverage and liability, and making decisions on the payment of claims. If you have a keen eye for detail and a passion for helping people, this could be the perfect job for you!

Overview Claims Adjudicator – Remote is responsible for reviewing and processing medical claims for payment. This position requires a high level of accuracy and attention to detail. The Claims Adjudicator must be able to work independently and have excellent communication and customer service skills. Detailed Job Description The Claims Adjudicator – Remote is responsible for reviewing and processing medical claims for payment. This position requires a high level of accuracy and attention to detail. The Claims Adjudicator must be able to work independently and have excellent communication and customer service skills.

What is Claims Adjudicator – Remote Responsibilities?

• Review and process medical claims for payment
• Ensure accuracy of claims information
• Investigate and resolve discrepancies
• Respond to customer inquiries
• Maintain accurate records
• Follow up on claims status
• Monitor and report on claims trends
• Adhere to all applicable laws and regulations

What is Skills and Qualifications?

• High school diploma or equivalent
• Previous experience in medical claims processing
• Knowledge of medical terminology
• Excellent customer service and communication skills
• Ability to work independently and meet deadlines
• Proficiency in Microsoft Office Suite
• Knowledge of HIPAA regulations
• Ability to maintain confidentiality
• Attention to detail and accuracy

What is Claims Adjudicator – Remote Experience?

• Previous experience in medical claims processing is preferred.