Senior Medical Claims Benefit Specialist — Remote
CVS Health
- Remote job
CVS Health is seeking a Claims Adjudicator to review and adjudicate complex medical claims with precision. You will apply medical necessity guidelines, verify coverage, and resolve issues to ensure a positive member experience. You will work in a high-volume environment, handle escalations, and mentor teammates while maintaining accuracy. A High School Diploma is required, with preferred Associate’s degree or equivalent experience. #J-18808-Ljbffr CVS Health
$38.48k - $88.09k
...adjudicates complex, sensitive, and specialized medical claims in accordance with established plan... ...specified claims and those that exceed specialist adjudication authority or processing... ...valued and that they belong. Great benefits for great people We take pride in...Remote workSeniorMedicalHourly payFull timeWork experience placementLocal area- CVS Health in Hawaii is seeking a claims adjudicator to review and resolve complex medical claims, guided by plan processing guidelines. You will act as a subject matter expert, coach teammates, and support customer service by addressing inquiries to ensure a positive...Remote jobSeniorMedicalFull time
- CVS Health is seeking a Senior Claim Benefit Specialist to adjudicate complex medical claims remotely, ensuring alignment with plan processing guidelines and medical necessity rules. The role functions as a subject matter expert, offers coaching on escalated issues, and...Remote jobSeniorMedical
- CVS Health in the United States is seeking a claims adjudicator to review complex medical claims, apply guidelines, verify eligibility, and ensure compliant, accurate adjudication. You will coach colleagues and support customer service operations by resolving issues to...Remote jobSeniorMedical
- CVS Health is hiring for a full-time claims adjudicator to review and resolve complex medical claims. You will act as a subject matter expert, coach teammates, and support customer service by addressing inquiries and resolving issues to ensure a positive member experience...Remote jobSeniorMedicalFull time
$75k - $165k
...Whether you're managing claims, supporting clients, or improving... ...is eligible for fully remote work The Senior Claims Specialist within GB Specialty is... ...- Long Term Care, Medical Malpractice. Behaviors... ...Compensation and benefits At Gallagher, we believe...Remote workSeniorMedicalFull timeLocal area$76.5k - $149k
.... Whether you're managing claims, supporting clients, or improving... ...is eligible for fully remote work The Claims Specialist within GB Specialty is... ...experience within healthcare, medical malpractice, or... ...#GBSpecialtyCareers Compensation and benefits At Gallagher, we...Remote workSeniorMedicalFull timeLocal area$80k - $95k
...is seeking an experienced Senior Auto Bodily Injury Claims Specialist to join their growing... ...Phoenix office before working remotely. Responsibilities... ...responsibility. Obtain and analyze medical records, treatment... .... Salary & Benefits ~$80,000 - $95,000 annually...Remote workSeniorMedicalFull timeWork at officeFlexible hours$73.26k - $89.54k
...diverse and often complex caseload of LTD claims from initial intake through resolution,... ...RTW strategies and determine appropriate benefit eligibility and durations. · Serve as a... ...of your health and well-being including Medical, Dental, Vision, and Wellbeing Reimbursement...Remote workSeniorMedicalContract workFlexible hours$85k - $100k
...Carrier, is looking to hire a Senior Workers' Compensation Claims Specialist to their Colorado claims... ...reside in the state. Remote flexibility for... ..., employers, attorneys, medical providers, and other involved... ...required. Salary/Benefits: ~$85,000 – $100,000 annual...Remote workSeniorMedicalFull time- ...Senior Benefits Operations Specialist Zscaler accelerates digital transformation so customers... ...join our team. This is a remote role based in Ireland,... ...and tracking of insurance claims for disability and sick... ...including pregnancy or related medical conditions), age, national...Remote workSeniorMedicalWork at officeLocal area
- ...seeking an experienced Workers’ Compensation Claims Representative to support claims across Arizona. You will manage indemnity and medical-only files, including higher-exposure... ...workers, employers, providers, and attorneys. Remote work flexibility is offered. #J-18808-...Remote jobSeniorMedical
- ...this role. Job Category: Claims Description Liberty... ...with focus on Miscellaneous Medical Facilities (MMF) and Long-Term... ...Professional Liability. As a Senior Claims Specialist, you will handle a book of... ...: We will consider a remote candidate if you do not live...Remote workSeniorMedicalFull timeWork at officeLocal areaImmediate start
$61.05k - $98.33k
...The Senior Indemnity Claims Specialist handles complex and high-profile Workers' Compensation... ...$98,334 A list of our benefit offerings can be found on... ...employees and includes Medical (HDHP) w/Pharmacy, Dental,... ...with ADA regulations as applicable. #LI-Remote...Remote workSeniorMedicalMinimum wageFull timeWork at officeLocal areaFlexible hours$95k - $140k
Benefits Specialist with HR Operations Salary: $95,000 - $140,000 DOE Location: Fully Remote We are partnering with a high growth technology business... ...function. This is a senior individual contributor role... ...benefits programmes including medical, dental, vision, 401k and...Remote workSeniorMedical$85k - $100k
...Insurance Staffing is seeking a Senior Workers' Compensation Claims Specialist for a Colorado-based team. You... ...law and company guidelines. Remote flexibility for qualified candidates... ...15% target bonus, and a full benefits package including medical, dental, vision and life...Remote jobSeniorMedical$61.05k - $98.34k
...The Senior Liability Claims Specialist manages mid to complex Auto and/or General Liability... ...practices. This is a remote position ESSENTIAL FUNCTIONS... ...hour A list of our benefit offerings can be found on... ...employees and includes Medical (HDHP) w/Pharmacy, Dental,...Remote workSeniorMedicalHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- RAS Companies is seeking a seasoned workers' compensation Claims Representative IV to work with clients to control costs and help injured... ...to work. The role handles litigated, loss-time and complex medical claims, with a strong emphasis on accurate reporting and proactive...Remote jobSeniorMedicalFull timeWork from home
- AI-native claims software for casualty claims, starting with workers' comp. Small technical team, backed by Y Combinator. The Role: Adjudicate... ...for casualty claims, starting with workers' compensation medical-legal review. The team is small and technical, backed by Y...Remote jobSeniorMedical
- ...CRC Group could be the place. The Senior Claim Specialist is responsible for investigating, evaluating... ... General Description of Available Benefits for Eligible Employees of CRC Group:... ...full-time teammates enjoy access to medical, dental, vision, life, disability, and...Remote workSeniorMedicalFull timeTemporary workWork at officeShift workDay shift
- Aflac, Incorporated, a Fortune 500 company, is seeking a remote Long-Term Disability claims professional in the United States. You will manage... ...Qualified candidates will have 5+ years in LTD/claims, strong medical terminology knowledge, and the ability to work...Remote jobSeniorMedical
$75k - $95k
...Overview Senior Multi-Line Claims Specialist (Commercial Auto Liability & Physical Damage) Location: 100% Remote (U.S.) Schedule: Full-Time Salary... ...damages, injury exposure, medical documentation, and litigation... ...~ Comprehensive benefits : Medical, Dental, Vision...Remote workSeniorMedicalFull timeWork at office- ...the United States seeks an Insurance Claims Adjuster to manage and investigate workers... ...maintain detailed claim files. This remote-in-Illinois role requires a bachelor’s... ..., and timely settlements, with benefits including medical, dental, vision, 401(k) matching, and...Remote jobSeniorMedical
- Great American Insurance Group is seeking a Senior Medical Only Claims Representative to investigate, manage and resolve workers’ compensation medical... ...-only claims across multiple Midwest states in a fully remote role. You will communicate with injured workers, employers...Remote jobSeniorMedical
- Great American Insurance Group, via Strategic Comp, seeks a Senior Medical Only Claims Representative to investigate, manage, and resolve workers’ compensation medical-only claims. This fully remote role covers Minnesota, Iowa, Nebraska, South Dakota, Kansas and Missouri...Remote jobSeniorMedical
- Great American Insurance Group is seeking a Senior Medical Only Claims Representative to investigate, manage, and resolve workers’ compensation medical... ...covers Texas, Arkansas, and Oklahoma and is fully remote, requiring a self-motivated professional who can manage priorities...Remote jobSeniorMedical
- Great American Insurance Group is seeking a Senior Medical Only Claims Representative to investigate, manage, and resolve workers’ compensation medical... ...-only claims with a strong customer focus. This fully remote role covers MN, IA, NE, SD, KS and MO, requiring self-...Remote jobSeniorMedical
- CVS Health is hiring for a claims adjudication specialist to review complex medical claims and support customer service by resolving issues for a positive member experience. The role involves coaching teammates, ensuring compliance, and applying medical necessity guidelines...Remote jobSeniorMedical
- Great American Insurance Group is seeking a Senior Medical Only Claims Representative to investigate, manage, and resolve workers’ compensation medical... ...The role covers Texas, Arkansas and Oklahoma and is fully remote, requiring self-motivation and the ability to prioritize...Remote jobSeniorMedical
- The Hartford is seeking a Sr Representative Claims to lead investigations and disposition of workers'... ...exceptional customer service while coordinating with medical and legal resources to support claim outcomes. Hybrid or remote work is available. Some offices require in-...Remote jobSeniorMedical
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