Remote Claims Adjudication Specialist
Highmark Health
Highmark Health is seeking a remote Claims Processor to screen, review, and adjudicate online and paper claims. You will verify data, resolve edits, determine eligibility, and ensure timely, accurate processing per policy.
You may support benefits coordination and respond to inquiries while maintaining HIPAA compliance. The role requires a high school diploma or GED, with preferred experience in claim billing/processing and familiarity with claim processing systems.
#J-18808-Ljbffr- ...Jobgether, acting on behalf of a partner, seeks a Claims Adjudication Specialist in the United States. You will evaluate complex claims, investigate... ...plus experience with claims systems and Google Workspace. Remote work is available for qualified US-based candidates. #J-...Remote work
- ...Highmark Inc. is seeking a Claims Processor to screen, review, and adjudicate online and paper claims, ensuring accuracy and adherence to policies. You will... ...customers while maintaining timely, compliant processing. Remote work options are available. This role requires strong...Remote work
- ...Highmark Health is seeking a remote Claims Adjudicator responsible for screening, reviewing, and final adjudication of claims. You will verify data, resolve edits, and determine eligibility and payment levels in accordance with policies. The role also involves research...Remote work
- ...Highmark Health is seeking a Remote Claims Adjudicator to screen, review, and finalize online and paper/electronic claims. You will determine pay/deny decisions, verify data, and coordinate with customers while upholding HIPAA and privacy practices. Responsibilities include...Remote work
- ...Highmark Health Remote position in the United States seeks a claims processing specialist to screen, review, and adjudicate online and paper claims. You will verify data, resolve edits, determine eligibility, and adjust payments following policies and procedures. You...Remote work
- ...Highmark Inc. is seeking a dedicated claims processing specialist to screen, review, and adjudicate online entries and paper claims. You will perform quality control... ...record keeping, and coordination with customers. Remote work option with HIPAA/privacy compliance;...Remote work
$23 per hour
...Onco360 is seeking a Pharmacy Adjudication Specialist in Scottsdale, AZ. This full-time role offers a remote hybrid model after an initial onsite training period, with shift times between 8am and 8pm. Starting salary is $23.00 per hour, plus a $5,000 sign-on bonus for...Remote workHourly payFull timeRelocation packageShift work- ...JobRx, Inc. is seeking a Pharmacy Adjudication Specialist to work full-time in St. Louis, Missouri, with options for remote work. Responsibilities include adjudicating pharmacy claims and resolving third-party rejections.The ideal candidate should have a High School Diploma...Remote workFull timeRelocation package
- Highmark Health is seeking a remote Claims Processor to screen and adjudicate online claims, review processing history, and coordinate with customers to resolve inquiries. You will ensure timely completion of adjustments and maintain accurate records. The role emphasizes...Remote job
$25 per hour
...Onco360 Oncology Pharmacy in the United States is seeking a Pharmacy Adjudication Specialist for our specialty oncology operations. This full-time role may work remotely but requires active Indiana Pharmacy Technician credentials. Starting salary is $25.00 per hour with...Remote workHourly payFull timeRelocation package- Highmark Inc. is seeking a claims processing professional for remote work in Georgia. You will screen, review, and adjudicate claims, correcting errors and ensuring accuracy according to policies. The role involves coordinating benefits, communicating with customers, and...Remote job
- Highmark Inc. is seeking a Claims Processor to screen, review, and adjudicate online and paper/electronic claims. You will determine pay or denial decisions,... ...entry, verification, and adherence to policies, with remote work options and compliance with HIPAA and privacy policies...Remote job
- Highmark Inc. is seeking a claims processor to screen and review online entries, correct errors, and adjudicate claims following policy. You will coordinate benefits, interact with customers, and support timely, accurate claim adjustments across various inquiries. Essential...Remote job
$19.39 - $24.19 per hour
Highmark Health is seeking a remote claims processor to review and adjudicate online and paper/electronic claims, ensuring accuracy and compliance with policies. The role involves processing claims data, verifying information, and determining eligibility and payment levels...Remote jobHourly pay- Highmark Health in the United States is seeking a claims processor to screen, review, and adjudicate claims, correct errors, and ensure compliance with organizational policies. You will work remotely, process claims data, verify completeness, determine eligibility, and...Remote job
$23 per hour
...Oncology Pharmacy in Scottsdale, AZ is seeking a Pharmacy Adjudication Specialist for a full-time, hybrid role with initial onsite training.... ...comprehensive company-paid coverage. The specialist will adjudicate claims, ensure COB accuracy, engage with insurers, manage #J-1880...Remote jobHourly payFull timeRelocation package$80 per hour
...Jack Dorsey . Position: Disability Claims & Underwriting Specialist Type: Contract Compensation: $80/hour Location: Remote Commitment: 20–40 hours/week... ...professional experience in disability claims adjudication, disability underwriting, vocational...Remote workHourly payWeekly payContract workTemporary workFor contractorsSummer workImmediate start$23 per hour
Position: Pharmacy Claims Adjudication Specialist Location: Salt Lake City, UT Job Id: 5447 # of Openings: 1 We are seeking a Pharmacy Adjudication... ...Time Zone.This will be a Full-Time position. This is a remote/hybrid opportunity, Full-Time position may work remotely but...Remote workFull timeTemporary workWork experience placementRelocation packageFlexible hours- ...Trillium Health Resources seeks a Claims Specialist II to analyze and audit claims per NC Medicaid guidelines. The role supports providers... ...availability within NC, is expected. The position offers remote work within North Carolina, standard hours, and benefits. A high...Remote work
- ...Highmark Health is seeking a claims adjudication specialist responsible for screening, reviewing, and final adjudication of claims, ensuring accurate processing and timely action. You will correct errors, review inquiries, and coordinate benefits while adhering to organizational...Remote work
- ...TEKsystems seeks a Claims Analyst II to examine and process paper and electronic claims... ...or pay in line with policies. You will adjudicate, resolve issues, verify completeness, and... ...while handling professional and facility claims in a remote setting. #J-18808-LjbffrRemote work
- ...Highmark Inc. is seeking a Claims Processor to screen, review, and adjudicate paper and electronic claims. The role emphasizes accuracy, timely processing, and adherence to policies while handling inquiries and adjustments.You will verify data, resolve edits, determine...Remote work
- ...Highmark Inc. is seeking a Claims Processor to screen, review, evaluate, and adjudicate online entry and paper claims, correcting errors and determining pay/deny... ...required; prior claim billing or processing experience is preferred. This is a remote position. #J-18808-LjbffrRemote work
$61k - $113k
...- $113000.00 Job Category: Claims Description At Liberty, you... ...This approach optimizes both remote and in-person interactions,... ...and projects. The Claims Specialist analyzes complex Personal Injury... ...benefits owed, manages and adjudicates highexposure claims to meet...Remote workFull timeWork experience placementWork at officeLocal area- A leading health insurance provider in Seattle is seeking a Claims Processor to oversee claims adjudication for various types. Responsibilities include processing Institutional, Professional, and Dental claims, while adhering to privacy and quality standards. The ideal...Remote jobFlexible hours
- Highmark Inc. is seeking a claims processor to screen, review, evaluate online entry, correct errors, and perform quality control review and final adjudication of paper and electronic claims. You will determine whether to return, deny, or pay claims following policies...Remote job
$61k - $113k
...- $113000.00 Job Category: Claims Description At Liberty, you... ...This approach optimizes both remote and in-person interactions,... ...and projects. The Claims Specialist analyzes complex Personal Injury... ...benefits owed, manages and adjudicates highexposure claims to meet...Remote workFull timeWork experience placementWork at officeLocal area$53.81k - $80.72k
...We are hoping you will join us as a Claims Resolution Specialist, Covered California and help shape... ...and procedures that apply to claims adjudication and adjustment of claims. You will work... ...at the 500, 505 Building or a remote work location: Work is typically...Remote workTemporary workWork at officeLocal areaFlexible hoursWeekend workAfternoon shift2 days per week- ...AI-native claims software for casualty claims, starting with workers' comp. Small technical team, backed by Y Combinator. The Role: Adjudicate claims on our platform and shape how it works. Correct AI summaries to train the system. What You'll Do: Manage a caseload from...Remote work
$42.77k - $61.55k
...Pay Plan Title: Claims Specialist II Working Title: Claims Specialist II FLSA Status:... ...$42,765 - $61,546 Office Location: Remote within North Carolina POSTING DETAILS... ...data analysis, auditing and finalizes adjudication results for claims designated for pre-...Remote workFull timeWork at officeLocal areaImmediate startWork from homeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Claims Adjudication Specialist. Be the first to apply!
- claims assistant United States
- claim examiner United States
- general liability claims adjuster United States
- medical claims analyst United States
- remote medical claims processor United States
- senior claims specialist United States
- claims assistant workers compensation United States
- medical insurance claims specialist United States
- claims analyst United States
- claims processor United States



