Remote Senior Claims Advocate & Process Improvement Lead
North American Risk Services
North American Risk Services is seeking a Senior Claims Advocate in the United States. This role requires a high school diploma (higher education preferred) and over 10 years of claims handling experience. Responsibilities include acting as backup adjuster, assisting Quality Assurance, and analyzing claims. Strong interpersonal and communication skills are essential, along with a current Florida Adjusters license. The company offers comprehensive benefits and professional growth opportunities. #J-18808-Ljbffr
- Beta Search is seeking a Claims Business Analyst responsible for developing business... ...functional requirements for claims processing systems. The role involves leading initiatives, conducting user acceptance testing, and improving claims management processes. The ideal...Process improvementSeniorClaims
- W. R. Berkley Corporation in Scottsdale, Arizona is seeking a professional to lead process improvement initiatives within claims operations. The role requires at least 5 years of relevant experience and proficiency in communication and analytical skills. The ideal candidate...Process improvementSeniorClaims
$110k - $150k
Remote Jobs is looking for an Insurance Claims Specialist to manage healthcare-related claims. The ideal candidate will have a valid P&C Brokers' license... .... Responsibilities include researching policy terms, advocating for clients, and overseeing claims with carriers. The...Remote workSeniorClaims$132.4k - $198.6k
## Senior Staff Attorney, Workers' CompensationApplyremote type... ...end—partnering closely with claims professionals to set strategy... ...it counts. This role is remote in the state of Texas except... ...training and contributing to process improvements.**Compensation**The listed annualized...Remote workProcess improvementSeniorClaimsTemporary workWork from home- ...Southcarolinablues is seeking a Senior Quality Assurance Analyst for their Florence... ...quality control audits and recommending improvements to operational functions. The ideal... ...and at least 1 year of experience in claims processing or quality auditing. The position includes...Process improvementSeniorClaimsFull timeWork at office
- ...AI Process Optimization Lead This is a remote position. Our client, a mid-sized tech-driven commercial MGA and... ...directly with teams (underwriting, claims, operations, finance), map workflows... ...inefficiencies, and apply AI to improve speed, cost, and output. You'll build...Remote workProcess improvementClaimsPermanent employmentFull timeTemporary workWork from home
$51.06 - $73.9 per hour
...SCAN Group seeks a Senior Business Process Redesign Consultant in Long Beach, California. This critical... ...redesigning key processes, including Claims and Enrollment, ensuring integration... ...abilities. This position offers mostly remote work and a competitive wage ranging...Remote workSeniorClaimsHourly pay$89.5k - $130k
...Boston Medical Center is seeking an Epic/Resolute Professional Billing Claims Senior Analyst to drive technology solutions and process improvements. This remote position requires strong communication skills and extensive knowledge of Epic systems. The role involves aligning...Remote workProcess improvementSeniorClaimsFlexible hours- ...third-party payers and managing appeal processes for denied claims. The candidate will ensure timely... ...with operational trends and process improvements. Preferred qualifications include experience... ...a hybrid position, offering a mix of remote and on-site work in Galveston, Texas....Remote workProcess improvementSeniorClaims
$215k - $235k
...clinics, have allowed us to lead the change against "we... ...We are looking for a Senior Counsel - Litigation &... ..., medical malpractice claims, and employment... ...preservation, and e-discovery processes. Track and report... ...and implement process improvements that reduce exposure....Remote workProcess improvementSeniorClaimsLocal areaImmediate startFlexible hoursShift work- A leading technology consulting firm is seeking a Senior Analyst to join the Edits team. This remote role involves managing the edit development... ...accuracy, and driving process improvements. Ideal candidates will... ...in payment integrity or claims analytics, and hold an...Remote jobProcess improvementSeniorClaims
$65.41k - $85.85k
...we're Oscar. We're hiring a Senior Specialist, Coding Auditor to... ...resolution in the Oscar claim environment. You will be responsible... ...claims repayment quality, process improvement and supporting root cause... ...Work Location: This is a remote position, open to candidates...Remote workProcess improvementSeniorClaimsFull timeWork experience placementWork from homeHome office- ...The associate ensures that all processes are performed in a timely and... ..., staff support, and process improvements. Responsibilities Meets... ...payer to verify coverage, submit claims, and follow up on appeals, underpayments... ...‑on experience with Medicare Remote (FISS) DDE. Licenses,...Remote workProcess improvementSeniorClaimsFull timeContract workMonday to Friday
$51.06 - $73.9 per hour
## Senior Business Process Redesign Consultant - SCAN TempApplylocations... ...dedicated to improving care for older adults... ...successful re-design of the Claims, Enrollment, Provider... ...success in leading cross functional initiatives... ...* Work Mode: Mostly Remote* Medical Benefits*...Remote workProcess improvementSeniorClaimsHourly payTemporary workWork at office$30 per hour
...Senior Pharmacy Prior Authorization Specialist – CareMed... ...local to the area. Remote work possible after... ...adjudicate test or live claims to review rejections,... ...escalated cases to assist in processing prescription orders.... ...workflow/process improvement ideas to leadership. Practice...Remote workProcess improvementSeniorClaimsFull timeTemporary workLocal areaRelocation package- ...About the job Senior Assistant Customer Support (Remote) ~ Provide service to annuity customers... ...; for example, status of claims, policy provisions,... ...basic procedures, etc. ~ Process transactions and fund... ...in a team environment to improve the delivery of service to...Remote workProcess improvementSeniorClaims
$90k - $120k
...Job Title: Senior Specialist, Benefits,... ...Billerica, MA or remote within the U.S.... ...leave of absence processes across designated... ...administering leave claims, and partnering with... ...implement process improvements What makes you... ...Work at Entegris Lead. Inspire. Innovate...Remote workProcess improvementSeniorClaimsH1bWork at office- ...Customer Care Advocate Location: Milwaukee, WI - HQ Remote Type: Hybrid (3 days... ...is responsible for processing orders, advising on... ...pricing, delivery, lead-time, terms and... ...Process customer claims Complete daily... ...action on continuous improvement opportunities Actively...Remote workProcess improvementClaimsWork at office
- ...McLean, VA, seeking a Senior Consultant... ...in Appian Connected Claims . This is a remote consultant position.... ...role responsible for leading end-to-end implementations... ...trusted advisor on claims process transformation and... ...articulate process improvement opportunities...Remote workProcess improvementSeniorClaims
- ...Senior Pharmacy Patient Advocate The Senior Pharmacy Patient Advocate serves as the... ...accordingly. Review, process, and complete patient enrollment... ...verification, pharmacy claims billing, and reimbursement... ...: Work location: Remote, hybrid, or onsite...Remote workSeniorClaimsWork at officeFlexible hours
- ...Type: Full time Worker Type: Employee Senior Claims Specialist- Accident & Health (Medical... ..., GA Work Arrangement: Hybrid or Remote The salary range for this role... ...encourage partner relationships. Support process improvement through negotiation and dispute...Remote workProcess improvementSeniorClaimsFull timePart timeWork experience placementWork at officeWork from home
$40 - $50 per hour
...Senior Human Resources Generalist We are currently... ...relations, and HR operational processes. This position will... ...days on-site and 1 day remote/week . Candidates must... ...opportunities to improve efficiency and standardize... ...Compensation reporting, claims administration, and...Remote workProcess improvementSeniorClaimsContract workLocal areaImmediate start1 day per week$115k - $145k
...Senior Manager Revenue Cycle Operations... ...Cycle Operations leads a team of Business... ...leakage, strengthening process controls, and accelerating... ...process payments, improve cash flow, deliver... ...gaps in the claims lifecycle to... ...is selected. #LI-Remote #LI-MV1 #LI-senior...Remote workProcess improvementSeniorClaimsFull timeWork at officeImmediate start- ...* Proactively monitor and support quality assurance and process improvement initiatives. * Monitor performance of production processes... ...various sources (e.g., curation workflows, EHRs, lab systems, claims, research datasets). * Experience working with modern ELT...Remote workProcess improvementSeniorClaims
$80k - $98k
...Our client is a leading, rapidly growing organization... ...The Senior Total Rewards Specialist... ..., and continuous improvement to complex... ...Workers’ Compensation claims administration ,... ...to ensure smooth processes and timely case resolution... ...three (3) days remote. Qualified candidates...Remote workProcess improvementSeniorClaimsFull timeTemporary workWork experience placementLocal area- ...A leading U.S. homebuilder is seeking a Claims Counsel to manage and resolve title insurance claims and provide legal guidance on related disputes. The... ...competitive salary, flexible benefits, and may be performed remotely from select states including Texas. #J-18808-Ljbffr...Remote workSeniorClaimsFlexible hours
- ...Company EmblemHealth Location REMOTE Summary of Position Develop/gather... ...vendor payment data. Utilize pre/post claim editing, auditing, and claim recovery programs... ...overpayments, as well as to drive process improvements and cost containment. Leverage data...Remote workProcess improvementSeniorClaims
$120k - $180k
About the Role As the Senior Process Transformation Lead, you will be at the forefront of redefining how we... ...performance metrics, and continuous improvement mechanisms Build and develop capability... ..., whilst our industry‑leading claims service provides them with additional...Process improvementSeniorClaimsTemporary workWork at officeLocal areaWorldwideFlexible hours3 days per week$90k - $105k
...Judi , the industry's leading proprietary Enterprise... ...consolidates all claim administration-related... ...NYC or Denver areas) or Remote-US Position Summary... ...documents for business processes, reports, data extracts... ...used to drive process improvements. Collaborates with internal...Remote workProcess improvementSeniorClaimsLocal areaFlexible hoursShift work$68k - $90.11k
...healthcare ecosystem for the better, improving both outcomes and economics.... ...position is designated as remote. However, employees who... ...customer requirements and business processes for configuring applications;... ...; Knowledge of Billing (claims and remittance) and Revenue Cycle...Remote workSeniorClaimsH1bWork at office2 days per week
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