Remote Claims Resolution Specialist
University of California
- Remote job
CalOptima Health is seeking a Claims Resolution Specialist (Customer Service) to join the Claims Administration team. This role supports providers on claims payments and resolutions, with telework options and California-based on-site needs for partial telework arrangements. The position emphasizes fast-paced, accurate processing, collaboration with providers and stakeholders, and a commitment to equitable health care delivery within CalOptima Health’s mission. #J-18808-Ljbffr University of California
- ...Job Description Overview Digitech is seeking a Claims Resolution Specialist (Insurance Biller) to work claims after they’ve been submitted to commercial... ...and finding resolutions. Responsibilities This role is a remote, work from home position. The Claims Resolution Specialist...Remote workWork from homeMonday to Friday
- ...Reserv is an insurtech focused on AI-driven claims processes and remote-first operations. We seek a Resolution Specialist to educate customers, triage claims, and drive efficient resolution across transportation-related claims. The role collaborates with product, engineering...Remote work
- ...Working remotely, the full-time Claims Resolution Specialist will investigate and resolve claim rejections, denials, and reimbursement issues while collaborating with various teams to ensure accurate and timely claim processing within a multi-specialty healthcare organization...Remote workFull time
$28 - $35 per hour
...Claims Resolution Specialist The Claims Resolution Specialist is responsible for the day-to-day investigation and resolution of claim rejections... ...are processed accurately and efficiently. *This is a remote role. We are only hiring in the following states: AZ, CA,...Remote workHourly pay- ...Claims Resolution Specialist 1 The Claims Resolution Specialist I is responsible for the timely and accurate submission, follow-up, and resolution... ...Building 13220 USF Laurel Dr Tampa 33612 Eligible for Remote Work: Hybrid Remote Job: Patient Financial Services Organization...Remote workFull timeWork experience placementWork at officeMonday to FridayShift work
- ...Digitech is seeking an Insurance Account Resolution Specialist to manage and resolve insurance claims after submission to commercial carriers. The role requires... ...the ability to handle a high-volume workload in a remote work environment. The position operates Monday through...Remote workMonday to Friday
- ...First American Home Warranty is looking for a Claims Advocate to resolve highly complex or escalated claims. You will investigate, analyze... ...communication of claim options and efficient processing while remote work is available. The position requires a Bachelor’s or...Remote work
$35k - $50k
...Medical Claims Resolution Analyst - Remote US Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions...Remote workFull timeWork at officeMonday to FridayFlexible hours- ...Orthodontic Claims Resolution Representative The Orthodontic Claims Resolution Representatives' primary role is to resolve high volumes of... ...of Monday, Tuesday, Thursday in office and Wednesday/Friday remote. Ability and self-confidence to communicate effectively, and...Remote workWork at office
$80k - $95k
A leading insurance staffing agency is seeking a Senior Commercial General Liability Claims Specialist. This remote role involves managing complex claims, requiring 5-10+ years of relevant experience and an active adjuster’s license. The position offers a competitive salary...Remote job$35k - $50k
...Medical Claims Resolution Analyst - Remote US Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions...Remote jobFull timeWork at officeMonday to FridayFlexible hours$67k - $126k
...- $126000.00 Job Category: Claims Description Are you looking... ...Workers Compensation Claims Specialist within the West Region!... ...and may be eligible for 100% remote work. Please note that this policy... ...a timely and cost-effective resolution; attends trials as a representative...Remote workFull timeWork experience placementLocal area$61k - $113k
...- $113000.00 Job Category: Claims Description Are you looking... ...Workers Compensation Claims Specialist within the West Region! As... ...and may be eligible for 100% remote work. Please note that this... ...a timely and cost-effective resolution; attends trials as a representative...Remote workFull timeWork experience placementLocal area$23 per hour
...seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in... ...-Time position. This is a remote hybrid opportunity, after onsite... ...will adjudicate pharmacy claims, review claim responses for accuracy... ...0... Practices first call resolution to help health care providers...Remote workFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work$120k - $150k
...Sr. Claims Specialist, Cyber – Salary Grade H This is your opportunity to join AXIS Capital – a... ...investigate assigned claims and develop resolution strategy. Attend mediation, arbitration... ...a plus Attain expert comfort level in remote and work from home virtual working practices...Remote workWork at officeWork from homeFlexible hours3 days per week$69.4k - $111.6k
...Property Field Inspection Claim Specialist Being good neighbors helping people, investing in... ...concerns about ongoing inspections or claim resolutions Provide exceptional customer service... ...0657, 60659, 60660, 60827 This is a remote-field position in which you will work...Remote workWork experience placementWork at officeLocal areaWork from homeFlexible hours- ...reinsurance process, the full-time Claims Ceded Reinsurance Specialist will manage workload, review claims,... ...management for the Claims team in a remote setting. Key responsibilities Leads... ...triaging and tracking responses for timely resolution and communication Required...Remote workFull time
$56.27k - $69.9k
...Pay Plan Title: Claims Specialist III Working Title: Claims Specialist III FLSA Status:... ...$56,270 - $69,898 Office Location: Remote within North Carolina POSTING... ...information regarding claim issues and relay the resolution and/or summary of these issues to the...Remote workWork at officeLocal areaImmediate startWork from homeFlexible hours- ...Position Title: Claims Specialist Department: Claims Reports To: Claims Manager or Director of Claims Location: Florida (Hybrid/Remote as applicable) Role Description Mangrove Property Insurance... ...management, and complex loss resolution. This role partners closely with leadership...Remote work
- ...looking for a dedicated Workers Compensation Claims Specialist to join our fast‑growing Claims Team in... ...and may be eligible for 100 % remote work. This policy is subject to change.... ...claims, ensuring timely and cost‑effective resolution; attend trials as a company...Remote workWork experience placement
$69.6k - $92.4k
...you turn to when you need a specialist who not only knows workers’ comp... ...Manages an inventory of claims to evaluate compensability/liability... ...flexibility to work one day remotely. Core in-office days are... ...prioritize caseloads, ensuring timely resolution of claims. Excellent...Remote workFull timePart timeSeasonal workWork at office- ...Old Republic BITCO is seeking a Sr. Claims Specialist to join our branch office located in Dallas... ...gas. This position is open to a hybrid/remote work arrangement, blending flexibility... ...partners to ensure timely and effective claim resolution. Primary Responsibilities Review,...Remote workTemporary workWork at officeFlexible hours
$100k - $125k
...Financial Services & Insurance. Overview Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL | Remote Primary Purpose To analyze complex or... ..., and directors and officers claims; to provide resolution of highly complex nature and/or severe injury claims...Remote workWork at officeLocal areaFlexible hours- Sedgwick is hiring for a Claims Adjuster - Workers Compensation, remote. The role involves analyzing mid- to high-level workers compensation claims, determining... ...adjudication, subrogation, and client communication with a focus on accuracy and timely resolution. #J-18808-LjbffrRemote work
$59.9k - $98.2k
...Claims Specialist II, Workers Compensation Zurich North America is seeking a skilled and experienced... ...the coverage. Work to have a timely resolution to claims by developing case strategy;... ...Agency Portal. Location: Maitland, FL; Remote Working: No; Schedule: Full Time; Employment...Remote workFull timeTemporary workApprenticeshipWork at officeLocal areaVisa sponsorship$49.5k - $81k
...America is seeking a driven claims professional looking to grow... ...organization. As an Auto Claims Specialist, you will work alongside a... ...including alternative approaches to resolution Excellent organizational and... ...Park, AM - Schaumburg Remote Working: Hybrid Schedule: Full...Remote workFull timeTemporary workApprenticeshipWork at officeLocal areaVisa sponsorship$69.92k - $133.62k
...spouses. USAA roles may offer remote or hybrid flexibility for... ...dedicated Property Adjuster Specialist , you will work within established... ...complex property insurance claims presented by or against our members... ...to facilitate complex claims resolution. May also involve external...Remote workHourly payFull timeH1bLocal areaRelocationAfternoon shift- ...Huntsville, AL. This role entails providing exceptional customer service by conducting inspections, investigating claims, and ensuring timely resolutions. Candidates should possess strong communication and negotiation skills, with experience in using estimating software...Remote job
$75.8k - $124.1k
...Sr. Claims Specialist, Workers Compensation Zurich North America is looking for an exceptional... ...within the coverage. Work to have a timely resolution to claims by developing case strategy;... ...Portal. Location: Maitland, FL (AM). Remote Working: Hybrid. Schedule: Full Time. Employment...Remote workFull timeTemporary workApprenticeshipWork at officeLocal areaVisa sponsorship$107.6k - $161.4k
...Specialist Claims - CH07DE We’re determined to make a difference and are proud to be an insurance... ...focus and a clear strategy for resolution. The Claim Specialist must also be willing... ...parts; This role can have a Hybrid or Remote work arrangement. Candidates who live near...Remote workTemporary work3 days per week
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