Medical Claims Processor
XO Health Inc.
XO Health Inc. is seeking an Operations Specialist for remote roles across the USA and India, supporting member and provider advocacy and claims operations in an omni-channel environment. The role blends real-time customer support with behind-the-scenes claims processing, research, adjudication, and adjustment work, requiring attention to detail, service mindset, and cross-functional collaboration with internal teams and vendors. #J-18808-Ljbffr
$23 per hour
...position, 40 hours per week. Overview Our client is seeking a Claims Processor to review and adjudicate paper/electronic claims. Claims... ...send pending claims to ensure accurate completion according to medical policy, contracts, policies and procedures allowing timely considerations...MedicalFull timeContract workRemote work- ...attention to detail and commitment to accuracy in processing complex medical claims. If you are eager to make a positive impact in the community... ...when necessary. Mentoring Mentor and train new claims processors as needed. Requirements High school diploma or equivalent. Minimum...MedicalFull timeFor contractorsWork at officeRemote workMonday to FridayFlexible hours
- A health services company is seeking a Claims Processor to support the World Trade Center Health Program. In this mid-senior level role, you'll be responsible for processing complex medical claims with a focus on accuracy and compliance. The ideal candidate has a high...MedicalRemote jobFull time
- Responsibilities Review hospital claims and determine action needed to resolve pended claims Process and evaluate hospital claims manually... ...two (2) years experience entering and updating hospital or medical claims in a health insurance or benefits environment required...Medical
$22 - $28 per hour
...and affordable benefits, join us! We’re currently seeking a Claims Processor who will be responsible for processing insurance claims in a... ...Ensure the timely and accurate adjudication and payment of medical claims, following health plan policies and procedures, consulting...MedicalRemote jobHourly pay$17 per hour
Job Title Claims Processor - Work from Home Overview Sagility, through its subsidiary BroadPath, is seeking experienced medical Claims Processors to join our remote team. In this role you will be responsible for the accurate and timely entry, review, and resolution of medical...MedicalHourly payWeekly payTemporary workRemote workWork from homeMonday to FridayFlexible hours$116k - $165k
...pharmacists, massage therapists and more than 100 other categories of medical service providers. This role will support the business and... ...key customers. In this Medical Malpractice focused Complex Claims Consultant position, you will be responsible for the overall investigation...MedicalFull timeWork experience placementWork at officeLocal areaFlexible hoursShift work- ...Responsible for active case management of Life claims Ensures claims are processed accurately within regulatory and company guidelines... ...commitments and deliverables are achieved Review and interpret medical records, utilizing resources as appropriate Complete financial...MedicalContract work
$72k - $141k
...potential. This individual contributor position works under general direction, and within broad authority limits, to manage commercial claims with high complexity and exposure for a specialized line of business. Responsibilities include the coordination of all claim...MedicalFull timeWork experience placementWork at officeLocal areaShift work- ...Position Overview The Claims Examiner I is responsible for the data entry and system adjudication of provider claims. The incumbent... ...manner. Scope Of Role & Responsibilities Process claims involving medical and/or surgical services; screens for complete member/provider...Medical
$100 per hour
...Claims Specialist | $100/hr Remote | Mercor This range is provided by Crossing Hurdles. Your actual pay will be based on your skills... ...Review: Review third-party documentation including police reports, medical records, and vendor estimates. Claims Drafting: Draft coverage...MedicalHourly payContract workFor contractorsRemote workFlexible hours$130k - $170k
...weekends, or holidays) ~ Competitive pay + generous PTO ~ Medical, dental & vision starting day one ~401(k), tuition reimbursement... ...is seeking a Trucking Specialist to join our P&C Casualty Claims team. Reporting to the Director of Claims, this role is responsible...MedicalWork at officeRemote workWeekend work- ...The ideal candidate will have experience processing healthcare claims in a high-volume Claims Department. Must be computer literate and... ...are essential. In-depth knowledge of adjustment processing, medical terminology, CPT, ICD‑P, and revenue codes is required. Proficiency...MedicalWork at office
$32.3k - $65.7k
...Responsible for daily administrative tasks to support the Claims Department. Functions include answering phones, scanning to (IMAGERIGHT... ...Utilize the MCS portal to submit HIPAA authorizations for medical records, cancel requests, and import records received into the...MedicalWork at officeNight shift- ...Description *** CA, OR, NV and/or NY workers' compensation claims experience are preferred but not required. *** *** Candidates residing... .... Knowledge of legal liability, insurance coverage and medical terminology preferred. Licensing may be required in some states...MedicalWork at officeLocal area
$75k - $85k
...Claims Examiner | No Fault- PIP | Lit Required | New York page is loaded## Claims Examiner | No Fault- PIP | Lit Required | New Yorklocations... ...negotiates, and resolves personal injury protection (PIP) and medical payments (Med Pay) claims in accordance with policy provisions,...MedicalLocal areaFlexible hours$60 - $65 per hour
...Data Quality Analyst / Claims Operations Specialist Location: Hybrid Schedule: Monday-Friday | 9:00 AM-5:00 PM (35 Hours/Week) Start... ...including overpayments and underpayments. Coordinate with Claims, Medical Management, Provider Relations, and Member Services to resolve...MedicalMonday to Friday- ...Description Currently, Chubb is seeking a Workers Compensation Lost Time Claims Examiner in our Alpharetta office. Major Duties &... ...status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age...MedicalWork at officeLocal areaImmediate start
$85k - $145k
...or any basis prohibited by the laws that govern its operations. Claims Specialist – Employment Practices Liability & Ancillary Lines... ...comprehensive and competitive benefits package which includes medical plans for you and your family, health and wellness programs, retirement...MedicalWork at officeShift work3 days per week$55k - $60k
...Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you... ...documentation to confirm coverage and assess claims. Review medical records, itineraries and other documentation to make determinations...MedicalFull timeTemporary workPart timeWork experience placementLocal areaRemote work$100k - $400k
...occurs. Overview Selective Insurance is seeking an E&S Complex Claims Specialist to handle the company's most complex and challenging... ...into consideration contributory or comparative negligence. Assign medical or other experts to case and arrange for medical examinations...MedicalRemote work$20 - $26 per hour
...Claims Specialist Remote | Full-Time Base pay range $20.00/hr - $26.00/hr About Zaya Zaya Care is a venture‑backed startup... ...), ensuring all documentation aligns with each insurer’s medical policies and guidelines. Verify that all patient and claim information...MedicalFull timePrivate practiceRemote workShift work- Sedgwick is seeking a remote Claims Adjuster - Liability to analyze and manage general liability claims. The ideal candidate will hold... ...schedule and a comprehensive benefits package that includes medical, dental, vision, and a 401(k) plan from day one. #J-18808-Ljbffr...MedicalRemote jobFlexible hours
- A community-focused medical practice in New Jersey is seeking a Workers' Compensation and Motor Vehicle Scheduling/Support Specialist. This full-time role emphasizes managing appointments, verifying insurance, and providing excellent patient service for work-related and...MedicalFull time
$10k
...Strategic Comp is hiring a Senior Medical Only Claims Representative to work from home in the United States. The role focuses on investigating and managing medical-only claims with authority to reserve up to $10,000. Must handle claims across MD, NJ, and PA, with PA being...MedicalWork from home- Responsibilities To examine, adjust, defend, claims and lawsuits against our insureds Review and verify coverage for each claim, includes... ...documents, the insured’s business records, public records, medical records, property damage scopes, etc. Setting proper reserves...Medical
- ...with a wide range of health professionals to provide extensive medical and diagnostic services. We have an opening for an Eligibility... ...responsible for providing member/customer service in the areas of claims & eligibility. Following departmental workflows and policies/...MedicalTemporary workWork at office
- Managing indemnity claims remotely, the full-time Iowa Licensed Lost Time Claims Specialist will evaluate and determine compensability... ...Evaluates and establishes action plans for managing medical and indemnity benefits associated with claims Decides claim outcomes...MedicalFull timeRemote work
$48.2k - $80.75k
...Claim Representative Summary: This position includes entry, intermediate, and advanced levels of claim handling. The roles involve handling medical and indemnity benefits, determining compensability, negotiating settlements, and mentoring team members. Responsibilities...MedicalContract workTraineeshipWork at office$80k - $95k
...Sr. Commercial General Liability Claims Specialist | Remote This range is provided by King's Insurance Staffing. Your actual pay will... ...plus 10-20% bonus Ability to work remotely Extremely competitive Medical, Dental, Vision and Life plans Employer matching 401(k) plan...MedicalFull timeRemote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Claims Processor. Be the first to apply!
- claims specialist remote New York, NY
- claims assistant workers compensation New York, NY
- medical insurance claims specialist New York, NY
- medical claims analyst New York, NY
- senior claims specialist New York, NY
- claims analyst work from home New York, NY
- claims resolution specialist New York, NY
- claim specialist New York, NY
- claims processor New York, NY
- claims analyst New York, NY

