Remote Medical Claims Processor
$56.37k - $90.04kErie Insurance
Division or Field Office: Casualty Claims Division Department of Position: Home & Auto Liability Dept Work from: Remote Salary Range: $56,367.00 - $90,040.00 * salary range is for this level and may vary based on actual level of role hired for *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location (State) based on ERIE's geographical differences, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment. At Erie Insurance, you’re not just part of a Fortune 500 company; you’re also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia. Benefits That Go Beyond The Basics We strive to be Above all in Service to our customers-and to our employees. That’s why Erie Insurance offers you an exceptional benefits package, including: ~ Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work. ~ Low contributions to medical and prescription premiums. We currently pay up to 97% of employees’ monthly premium costs. ~ Pension. We are among the 2% of Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of services. ~401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension. ~ Paid time off. Paid vacation, personal days, sick days, bereavement days and parental leave. ~ Career development. Including a tuition reimbursement program for higher education and industry designations. Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. Position Summary
Exercises independent discretion and judgement in claims handling involving complex liability issues, to include coverage issues and minor injury claims. ~ Candidates can live anywhere in the state of Ohio. ~ This is a remote, work from home position handling claims for the State of Ohio. Duties and Responsibilities Conducts investigations, evaluate and make recommendations regarding coverage and liability. Sets and maintains reserves. Obtains documents to establish the value of claims and negotiates settlement or declines claim. Documents files and submits final report. Identifies subrogation opportunities and initiates appropriate action. Negotiates with all parties, or their representatives, within designated authority. Completes required training. Trains and mentors. Travel for training may be required. The first five duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished. Regular and predictable attendance is an essential job function. For certain positions at ERIE, including leadership roles, regular and predictable onsite presence may also be an essential job function based on business and operational needs. This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become evident. Capabilities Values Diversity Nimble Learning Self-Development Collaborates Customer Focus Cultivates Innovation Information Management Skills Instills Trust Optimizes Work Processes (IC) Job-Specific Knowledge Ensures Accountability Decision Quality Qualifications Minimum Educational and Experience Requirements High school diploma or equivalent and two years of claims or customer service experience, preferably with casualty claims, required. Equivalent educational experience will be considered. Associate's or Bachelor's degree, preferred. Designations and/or Licenses ~ Appropriate license(s) as required by state(s) of operation. Physical Requirements Lifting/Moving 0-20 lbs; Occasional (%) Lifting/Moving 20-50 lbs; Occasional (%) Driving; Occasional (%) Manual Keying/Data Entry/inputting information/computer use; Frequent (50-80%) #J-18808-Ljbffr$18 per hour
...A global innovator in business services is seeking a Medical Claims Processor in Texas for a remote role. The position requires 2 years of healthcare claims processing and proficiency in Windows applications. Responsibilities include processing claims accurately and adhering...Remote workMedicalHourly pay- ...Duration: 3 Months KEY OBJECTIVE: Under the direction of the Claims Team Leader investigates and settles claims promptly, equitably... ...and benefit entitlement • Reviewing and approving medical bill payments or forwarding for outside review as necessary....Remote workMedicalContract workTemporary workLocal area
- ...To support a remote team, the part-time Medical Claims Processor will manage the accurate entry, review, and resolution of medical claims while ensuring compliance with CMS guidelines and client-specific policies. Key responsibilities Review medical claims to ensure completeness...Remote workMedicalPart time
- ...A health services company is seeking a Claims Processor to support the World Trade Center Health... ...be responsible for processing complex medical claims with a focus on accuracy and compliance... ...position offers the flexibility of remote work and includes a competitive...Remote workMedicalFull time
$17.34 - $21.34 per hour
...Claims ProcessorPay Range: $17.34hr - $21.34hrThe Claims Processor is responsible for examining, researching, and resolving non-adjudicated claims to ensure accurate and timely processing in accordance with medical policies, contracts, and procedures.The role involves...Remote workMedical$58.24k - $76.96k
...PIP Claims Representative CURE Auto Insurance is a leading direct writer of auto insurance... ...proper reserves for the exposure. Assign medical case managers or other experts to a case... ...per week and have the flexibility to work remotely 1 day per week. Location: Detroit, MI or...Remote workMedicalWork at officeLocal areaWork visaFlexible hours1 day per week$24 - $25 per hour
...The CWCOT Claims Processor is responsible for accurately and efficiently reviewing, processing... ...temporary role may include the following: Medical, dental & vision Critical Illness,... .... Workplace Type This is a fully remote position. About TEKsystems We...Remote workMedicalContract workTemporary work$20 per hour
...Medical Claims Specialist II (COB & Medicare Coordination) Remote Work 5-Month Contract We are seeking an experienced Medical Claims Specialist II with strong knowledge of medical claims processing and Coordination of Benefits (COB) . The ideal candidate will have...Remote workMedicalHourly payFull timeContract workWork at office- ...for continuous learning.WHO YOU ARE:The Claims Processor is primarily responsible for processing... ...or equivalent required.Two year of medical claims processing experience strongly preferred... ...:Current work environment is remote, however, some state exclusions apply.Must...Remote workMedical
- ...difference! We are looking for a new Claims Processor who will provide exceptional customer... ...off and paid company holiday schedule Medical, Dental, Vision, Life, Long-Term Disability... ...(three days in the office, two days remote) Who We Are At Great West, an Old...Remote workMedicalWork at officeMonday to Friday
$50k
...Claims ProcessorsLocation: Denver, CO 80210Duration: 6-month contract... ...thereafter- but can be Remote if you perform well independently... ...want toDescriptionThe Claims Processor II is responsible for... ...collegePreferredExperience with medical billing and/or coding as well...Remote workMedicalContract workWork at office- ...Specializing in Medicare Advantage claims, the full-time Healthcare Claims Processor will manage complex medical claims processing remotely, focusing on the Inter-Plan Teleprocessing System (ITS) Home workflow and utilizing the Facets core software platform. Key responsibilities...Remote workMedicalFull time
$18k
...We are seeking a detail-oriented Claims Analyst II to join our healthcare claims team.... ...for reviewing, analyzing, and adjudicating medical claims while ensuring compliance with... ...26. Workplace Type This is a fully remote position. About TEKsystems We're partners...Remote workMedicalContract workTemporary workHome office$23 per hour
...of Employment • This position is fully remote. Candidates must be based in Maryland,... ...week. Overview Our client is seeking a Claims Processor to review and adjudicate paper/electronic... ...accurate completion according to medical policy, contracts, policies and procedures...Remote workMedicalFull timeContract work$18 per hour
Join to apply for the Medical Claims Processor - Remote role at NTT DATA North America. NTT DATA is currently seeking 20 Remote Claims Examiners to join our team. (Amisys or Xcelys experience is a plus) Must be able to work Monday to Friday 7 AM to 4 PM Central time....Remote jobMedicalHourly payMonday to Friday- ...prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical providers. The Lead Examiner is often, though not always, assigned to larger or more...Remote workMedical
$15 - $20 per hour
...individuality is noticed and valued every day. Remote Data Entry Associate Equipment Provided... ...team, you will be processing FSA and HSA claims. You will review and research the claim... ...read receipts, doctor bills, and basic medical paperwork. We have 3 different classes...Remote workMedicalPermanent employmentFull timeTemporary workWork from home- ...Pinnacol Assurance is seeking a dedicated Medical Claims Processor to review and validate workers’ compensation bills in a home-office setting. You will process CMS 1500/UB04 submissions, apply the Colorado Workers’ Compensation rules, and collaborate with providers and...Remote workMedicalHome office
$17.5 per hour
...17.50/hr + Incentive Plan As a Health Claims Specialist at Revecore, you will bill and... ...on behalf of our clients (hospitals and medical providers). You will be busy investigating... ...verification, and a background check Location: Remote Must reside in the United States...Remote workMedicalTemporary workWork at officeWork from home$17.5 per hour
...: $17.50/hr + Incentive Plan As a Health Claims Specialist at Revecore, you will bill and... ...on behalf of our clients (hospitals and medical providers). You will be busy investigating... ...verification, and a background check Location: Remote Must reside in the United States within...Remote workMedicalTemporary workWork at officeWork from home- ...commitment to accuracy in processing complex medical claims. If you are eager to make a positive... ...encourage you to apply. Work Schedule Remote Monday through Friday, 8:30 AM to 5:00... ...Mentoring Mentor and train new claims processors as needed. Requirements High school diploma...Remote workMedicalFull timeFor contractorsWork at officeMonday to FridayFlexible hours
$43k - $59k
...We’re currently seeking a Contract Claims and Appeals Processor who will be responsible for processing... ...accurate adjudication and payment of medical claims, following health plan... ...base + equity per year for all US-based remote locations. Final offer amounts are determined...Remote workMedicalHourly payContract work$18 per hour
...unverifiable information may be excluded from consideration. NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. Medical Claims Processing Specialist Location: Remote-Work From Home Pay Rate: $18.00 per...Remote jobMedicalHourly payContract workWork from homeFlexible hoursShift work- ...professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this Role the candidate will be responsible for:...Remote jobMedical
$18k
Description Job Description We are seeking a Claims Analyst II to examine and process paper... ...Certificate of Coverage, established medical policies and procedures, and plan benefit... ...3, 2026. Workplace Type This is a fully remote position. About TEKsystems We're partners...Remote workMedicalContract workTemporary workHome office$17.34 - $18.36 per hour
...position based in Milwaukie Oregon. Review claims to determine the reason the claim did not... ...end of the pay range. Benefits ~ Medical, Dental, Vision, Pharmacy, Life, &... ...internet connection required to support remote or hybrid work. Must be comfortable being...Remote workMedicalHourly payContract workWork at officeShift workAfternoon shift- ...Job Information Job Title Claims Representative II (Workers’ Compensation) Home... ...Position Location: Home Office, Hybrid, and Remote Opportunities in: CO, GA, IL, IN, IA,... ...with injured workers, employers, and medical providers, and negotiating appropriate...Remote workMedicalFull timeLocal areaHome officeFlexible hours
- ...a Casualty Evaluator to manage auto liability claims with injury exposure under $50,000, across multiple states in a remote capacity. The role emphasizes independent work... ...first and third-party cases, sometimes including Medical Payment and PIP, while supporting catastrophe-...Remote workMedical
$61k - $113k
...USD $61000.00 - $113000.00 Job Category: Claims Description At Liberty, you'll thrive... ...and growth. This approach optimizes both remote and in-person interactions, enabling you... ...Personal Injury Protection (PIP) and Medical Payment (Med-Pay) No Fault claims, determines...Remote workMedicalFull timeWork experience placementWork at officeLocal area$84.8k - $127.2k
Consultant Claims - CH08CEWe’re determined to make a difference and are proud to be an insurance... ...tort laws- Full command of issues and medicals relative to high value bodily injury... ...you tell me?This role can have a Hybrid or Remote work arrangement. Candidates who live...Remote workMedicalFull timeTemporary workPart timeWork at office3 days per week
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