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Claims Adjudicator – Remote Jobs in Arkansas

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 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
Hra Sr Claims Analyst (Remote)
By Trustmark At United States
Build HRA benefit plans in the Defined Care Platform
Research, analytical and problem-solving skills
Strong organizational skills and the ability to meet deadlines
3-5 years claims paying experience
Working knowledge of Operating System(s)used by the Claims Area
Administer HRA claim payments in accordance with policy provisions.
Claims Analyst - Remote ($19.65 - $34.19 / Hour)
By Talentify.io At United States
Investigate, analyze, and respond to complaints from various sources, including Consumer Protection Agencies, Regulatory Agencies, Attorneys, and Upper Management
1-2 years of previous customer service experience
Bachelor's Degree or equivalent work experience
Basic mechanical, technical, and contract knowledge
Previous leadership experience desired but not required
Comprehensive benefits package including medical, dental, vision, 401k, PTO/paid sick leave, and employee stock purchase plan
Remote Claims Analyst ($18.00 / Hour)
By Talentify.io At United States
A minimum of 1 year of prior claims experience
A professional degree or equivalent experience
Strong communication skills, both written and verbal
Sharp critical thinking skills with sound judgment
Perform data entry and verification
Verify data and processing requirements and make corrections as necessary
Claims Support Associate (Us Remote)
By Swyfft At United States
You have excellent organizational skills, attention to detail, and strong ability to multitask.
Proven working experience with 1-3 years in the insurance, customer service, or related field.
Basic math skills are required to understand, analyze, and process payments to service providers.
Experience using video and chat technology (MSTeams & Slack)
Designated quiet work from home space.
Key Responsibilities: (What you'll be asked to do)
Claims Professional - Dallas, Tx (Remote)
By Mastech Digital At United States
Six (6) years' experience with a bank that required explaining deposit insurance regulations to depositors.
A working knowledge of data processing systems
Knowledge of deposit insurance regulations and claims policies
Skill in the preparation of routine reports and forms
Ability to calmly, accurately and effectively communicate with individuals at all levels in a highly charged environment,
Ability to accurately follow oral and written instructions.
Claims Clerk - Remote Near Any Uhc Office ($16.00 - $23.13 / Hour)
By Talentify.io At United States
2+ year's 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
Experience working in office environment
1+ years' experience working with medical claims
Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
Project Manager - Adjudicator Hiring And Onboarding | Remote
By Sciprex At United States

Job Title: Contract Project Manager - Adjudicator Hiring and Onboarding Location: Remote Contract: 12 Months Company A is seeking an experienced Contract Project Manager to lead the process ...

Remote Claims Adjustor 1 Jobs
By Coventry Workers' Comp & Auto Networks At United States
Completes all state required forms pursuant to applicable jurisdiction requirements.
Prepares and provides medical bills for repricing to the approved MCO (Managed Care Organization) vendor, where applicable.
This position is remote, however, you must be located under the Eastern Time Zone
1-2 Years Workers' Compensation Claims Experience
Contacts employees when required and provides timely and accurate information to employer.
Determines if the claim is compensable in accordance with the applicable legal jurisdiction.
Claims Analyst - Remote
By Trustmark At United States
1 year of health insurance experience or medical terminology knowledge is a plus
Determine benefit coverage based on clinical edits, plan documents/booklets, benefit reference documents, Claim Reference Manuals and claims-related memoranda, and reports.
Effective verbal and written communication skills
Review, analyze and interpret claim forms and related documents.
Appropriately investigate, pend and refer claims based on claim procedures and guidelines.
Accurately handle correspondence, claims, and referrals in the established timeframes and/or performance guarantees.
(Remote) Claims Assistant - Contents Evaluation
By Talentify.io At United States
Oral and written communication skills
Good comprehensive decision making skills
Applies limitations and/or exclusions on claims based on coverage afforded by the policy.
Tracks time and log file notes for daily field activity.
Performs other duties as assigned.
Supports the organization's quality program(s).
Trainer Cs & Claims I (Remote) For Or & Wa
By Moda Health At United States
Bachelor's degree in Education, Healthcare, or another relevant field. One (1) year of directly related experience may be substituted.
Experience in using Facets and other Moda software preferred.
Demonstrated knowledge of adult learning theories and methodologies.
Excellent reading, oral, and written communication skills, and ability to interact courteously, professionally, and patiently with all persons internally and externally.
Strong interpersonal and diplomacy skills; adept in conflict resolution, group dynamics, and team building.
Excellent presentation skills in a variety of settings.
Remote - Claims Specialist Iii - R6269
By CareSource At United States
Managed Care Organization or related healthcare industry experience preferred
Intermediate level data entry skills
Adhere to all HIPAA, State, and Federal requirements and regulations at all times in existing and future lines of business
Minimum of one (1) year of experience in claims environment or related healthcare operations experience required
Previous experience in an HMO or related industry preferred
Previous Medicare/Medicaid dual eligible claims experience is preferred
Remote Claims Research Associate ($16.50 / Hour)
By Talentify.io At United States
1-2 years prior customer facing experience required
Excellent verbal and written communication skills
Establish fair market value of vehicles assisting insurers in claim settlement
Update vehicle information and determine the availability and price of new or used vehicles
Some outbound calling (non-sales related) required to automobile dealerships and adjusters
Maintain relationships with dealers and claim adjusters
(Remote) Claims Assistant - Contents Evaluation ($16.00 - $18.00 / Hour)
By Talentify.io At United States
Oral and written communication skills
Good comprehensive decision making skills
Applies limitations and/or exclusions on claims based on coverage afforded by the policy.
Tracks time and log file notes for daily field activity.
Performs other duties as assigned.
Supports the organization's quality program(s).
Claims Assistant- In Office Or Remote ($22.00 - $24.00 / Hour)
By Talentify.io At United States
Prepares benefit notices, schedules and processes benefit and medical payments on claim files as directed by the Claims Examiner.*
Prepares and prints letters, benefit notices and labels.*
Proficient keyboarding skills (type 45 wpm).
Working knowledge of medical/legal terminology.
Excellent verbal and written communication skills.
Documents all work product and claim activity in the electronic claim file.*
Claims & Disputes Specialist 2-Remote
By U.S. Bank At United States
Two or more years of related work experience, or a relevant combination of education, training, and experience
Well-developed research and analytical abilities
Proficient computer navigation skills using a variety of software packages including Microsoft Office applications
Competent clerical skills and strong attention to detail is necessary for all roles
High school diploma or equivalent
Ability to follow defined procedures, policies and precedents
Absence Claims And Customer Liaison - Remote
By Symetra At United States
5 years of absence management service delivery and claim support
Certified Leave Management Specialist (CLMS) preferred
7+ years of STD and absence management service delivery and claim support preferred
On occasion, service touchpoints may include Life/LTD/Workforce Benefits
Provide team training and education
Claims Project & Capabilities Support

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.