Claims QA & Authorisation Specialist
Remote Worker LTD.
ClaimSorted is seeking a QA & Authorisation Handler to join the Technical Claims Support Team. You will: review settlements at the authorisation stage, verify policy coverage and evidence, and authorise, pass back or elevate decisions. You will also perform QA reviews across products, identify leakage, and drive process improvements based on data. The role requires strong technical judgment, the ability to explain decisions, and comfort with fast-paced, cross-product work across insurers and #J-18808-Ljbffr Remote Worker LTD.
$20 - $30 per hour
...projects. You will review AI-generated Kannada content and trainer/QA work, evaluate output quality against project guidelines, provide... ...mistranslation, literal phrasing, unnatural tone, hallucinated claims, ambiguity, or inconsistent terminology. Experience leading or supporting...ClaimsRemote jobHourly payFor contractors$20 - $30 per hour
...projects. You will review AI-generated Gujarati content and trainer/QA work, evaluate output quality against project guidelines, provide... ...mistranslation, literal phrasing, unnatural tone, hallucinated claims, ambiguity, or inconsistent terminology. Experience leading or...ClaimsRemote jobHourly payFor contractors- A leading medical claims company based in the United States is seeking a Clinical Reviewer to evaluate and ensure the accuracy of medical billing and coding. Ideal candidates will have a CPC, APCC, CMBS, or DRG certification and previous experience in a medical office...ClaimsRemote jobExtra incomeWork at officeFlexible hours
- ...improvements. Key Responsibilities: Perform quality reviews and audit claims and workflows. Develop and maintain quality measurements for team... ...and report trends. Qualifications: 3+ years in auditing/QA or equivalent RCM experience. Experience with athenaHealth/...ClaimsRemote work
- ...To ensure the integrity of internal controls, the full-time remote Quality Assurance Specialist III will conduct in-depth audits of claims processes, identify transaction errors, and provide coaching and feedback for improvement. Key responsibilities Perform regular audits...ClaimsFull timeContract workWork at officeRemote work
$50k - $60k
...lives, you’ll feel right at home here. TITLE: Quality Assurance Specialist REPORTS TO: Project Director LOCATION: Remote – West Coast... ...not reachable or is injured or ill; (f) workers' compensation claims management; (g) employee job performance, including goals and performance...ClaimsFull timeFor contractorsSecond jobWork at officeLocal areaRemote workFlexible hours- ...of all physical damage contracts written by the companies, their various endorsements, exclusions, company procedures, and accepted claim practices. Maintain general knowledge of automobile damage causation, repairs, procedures, and accepted repair practices. Stay...ClaimsWork at office
$130k
...Claims Manager opening New York tri county area. Oversee a portfolio of active claims—ensuring timely follow-up, communication, and resolution; serve as the primary point of contact for claim status updates, both internally and externally; manage and mentor internal claims...Claims- ...Independent Insurance Claims Adjuster Join MileHigh Adjusters Houston as an Independent Insurance Claims Adjuster. This role offers flexibility, autonomy, and competitive compensation. Why This Opportunity Matters Demand for claims adjusters is growing due to increased...Claims
- ...responsibilities interest you and believe you have met the requirements, we strongly encourage you to apply! Workers' Compensation Claims Associate (Entry Level) We're looking for a detail-oriented team member to help manage workers' compensation claims from start...ClaimsHourly payFull time
$126.1k - $168.13k
A prominent title insurance company is seeking a Senior Claims Counsel to manage title insurance and escrow claims from investigation to resolution. The role demands excellent communication, negotiation, and organizational skills. The ideal candidate holds a law degree...Claims- ...A leading healthcare services provider is seeking a QA Specialist responsible for ensuring the timely completion of reviewer reports and overall report accuracy. The role requires exceptional communication skills to interact with clients and physicians, combined with critical...
- ...Purple, Rock, Scissors (PRPL) is seeking a QA UX (Visual) Specialist to support one of our large tech clients on a product excellence initiative focused on addressing underlying quality issues and establishing a scalable visual QA approach aligned to design system nuances...Full timeContract workRemote work
- ...AI Trainer Jobs is seeking a Dialect and Accent Specialist Operations reviewer for remote contractor work. You will evaluate AI outputs against workflows, playbooks, and policy, grading tone, escalation, and stakeholder fit on a structured rubric. You will flag gaps,...Hourly payFor contractorsRemote work10 hours per week
$120k - $150k
...class cybersecurity technology, At-Bay offers end-to-end prevention and protection for the digital age. With 98% of cyber insurance claims in the past five years coming from small and mid-size businesses with revenue under $2B, providing an integrated solution to help...Claims$50k - $65k
...A growing technology company is seeking a full time QA Specialist to join its Williamsburg office. This role is responsible for testing software, reviewing new features and updates, identifying errors, and making sure everything works properly before it goes live. Prior...Full timeWork at office$1,800 - $2,150 per month
...find purpose and growth in their work. We’re currently looking for top talent to fill the role below: Role: Quality Assurance (QA) Specialist Monthly Rate: $1800-2150 Availability: Full-time - 40 hours/week Time Zone: 9:00 AM to 5PM EST RequirementsExperience Needed/Responsibilities...Full timeRemote work- ...and dietary supplement sector to recruit a Quality & Regulatory Specialist.This is a broad, hands on role covering quality assurance, quality... ...and materials.* Review product documentation and support QA/QC approval prior to product release.* Review third party laboratory...
- ...If the responsibilities interest you and believe you have met the requirements, we strongly encourage you to apply! Claims Verification Specialist (Entry Level) We're looking for someone detail-oriented to help make sure patient and insurance information is...ClaimsFull time
- ...A remote-first tech company is seeking a Manual QA Specialist to ensure the quality and reliability of web and mobile applications. You'll collaborate closely with developers and product managers, execute test plans, document defects, and advocate for high quality standards...Contract workPart timeRemote work
- ...Company We're exclusively partnering with a high-growth, venture-backed InsurTech that is transforming how commercial insurance claims are managed through AI-powered technology. Following strong early customer adoption, the business is entering its next phase of...ClaimsFull time
- ...About the Company FinPro is partnering with a fast-growing, venture-backed business using AI to transform insurance claims operations. About the Role We’re looking for a Director of Sales to build and lead its enterprise sales team. Working closely...ClaimsFull time
- ...opportunities across the US insurance market, developing relationships with senior stakeholders across insurers, carriers, MGAs and claims organisations. You'll manage the full sales cycle — from identifying strategic accounts and creating opportunities through...ClaimsFull time
- ...based in either its New York or Hartford offices on a hybrid basis. The practice acts for insurance carriers across a broad range of claims arising under M&A, tax liability, and contingent risk insurance policies, and this hire comes as the group continues to expand its...ClaimsWork from homeFlexible hours
$26 - $28.5 per hour
...- $28.50 Job Description: A member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, posting all types of payments, and updating patient accounting systems...ClaimsHourly payFull timeShift work- ...required ~ Specialty pharmacy experience preferred ~ Experience with insurance processing, prior authorizations, and pharmacy claims is a plus ~ Strong attention to detail and organizational skills ~ Excellent communication and customer service skills ~ Ability...Claims
$25 - $30 per hour
...hr Position Overview The Medical Biller will be responsible for the accurate submission, tracking, and resolution of medical claims. This position plays a critical role in ensuring timely reimbursement, maintaining billing accuracy, and supporting the overall financial...ClaimsHourly payRemote work- ...Job DescriptionJob DescriptionCompany Info:Daniel J. Hannon & Associates, Inc. (DJH) is a Long Island-based insurance claims adjusting/investigating firm which works on behalf of insurance companies, TPAs, law firms and municipalities primarily in the NYC tri-state area...ClaimsFull timeImmediate startFlexible hours
- BetterHelp is expanding its billing function to streamline insurance claim submission and follow-up workflows. You will be a key member of a newly formed team focused on payer interactions and cash posting accuracy. Your responsibilities include investigating and resolving...Claims
- Tanner Health in Georgia seeks a billing specialist to manage day-to-day follow-up of Medicare, Medicare Advantage, Medicaid, CMOs, and commercial claims, and review aging reports to identify and resolve problem areas. You will prioritize work, analyze results, communicate...Claims
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