Remote Disability Claims Clinical Specialist
Sedgwick
Sedgwick is seeking a Telecommuter Clinical Claims Reviewer to perform standard clinical evaluations on claims requiring complex medical review. You will consult with providers, ensure medical information substantiates the need for employee absence, and support claims decisions with clinical rationale.
Role involves remote work across multiple states; strong communication, analytical, and teamwork skills are essential. BA/BS and CRC license required, with CEUs to maintain licensure.
#J-18808-Ljbffr- ...Sedgwick is seeking a clinical reviewer to perform standard evaluations on disability claims, consult with providers, and ensure medical information substantiates employee... ...are required. The role offers full-time remote work with opportunities to contribute across multiple...Remote workDisabilityFull time
- ...Clinical Claim Editing SpecialistUPMC Health Plan has an exciting opportunity... ...a Clinical Claim Editing Specialist position in the Claim... ...While you'll primarily work remotely, you'll come into the office... ...: Act 34UPMC is an Equal Opportunity Employer/Disability/Veteran...Remote workDisabilityFull timeWork at officeLocal area
$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... ...identity, religion, age, disability, veteran's status, pregnancy,...Remote workDisabilityFull timeWork experience placementWork at officeLocal area- ...Moda Health seeks a detail-oriented Claims Reviewer to support the Medical Management team in reviewing, researching and triaging post-service claims. You will apply utilization review knowledge and work on retrospective reviews in a full-time work-from-home role.Responsibilities...Remote workFull timeWork from home
$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... ...identity, religion, age, disability, veteran's status, pregnancy,...Remote workDisabilityFull timeWork experience placementLocal area$75k - $140k
...- $140000.00 Job Category: Claims Description If you're looking... .... The Senior Claims Specialist works within a Claims Team navigating... ...who may work in office or remote depending on their location.... ...identity, religion, age, disability, veteran's status, pregnancy,...Remote workDisabilityFull timeContract workFor contractorsFor subcontractorWork at officeLocal area- ...Sedgwick invites you to join a team performing standard clinical evaluations on disability-related claims, partnering with providers and employees to ensure medical information supports absence decisions. The role requires CRC licensure and a Bachelor's degree, with an...Disability
$110k - $120k
...Our collaborative, high-impact team works across innovation, clinical evidence, education , and access. Together, we’re helping bring... ...religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected...Remote workDisabilityContract work$86.82k - $129.96k
...Health is currently recruiting for a Clinical Respiratory Specialist to work at Sentara Northern VA... ...Backup Care• Long-Term, Short-Term Disability, and Critical Illness plans• Life Insurance... ...For positions that are available as remote work,Sentara Health employs...Remote workDisabilityFull timeTemporary workPart timeShift workDay shift$83k - $154k
...- $154000.00 Job Category: Claims Description Join a Growing... ...of Senior Technical Claims Specialist, you will exercise significant... ...consider highly qualified remote candidates who do not reside... ...gender identity, religion, age, disability, veteran's status, pregnancy,...Remote workDisabilityFull timeWork at officeLocal areaWork from homeHome officeFlexible hours- ...Symetra Financial Corporation is seeking a Disability Intake Specialist to support the call center with timely, accurate claim information for STD and LTD products. The role... ...of claim details. You will work in a remote-first setting with flexible full-time or hybrid...Remote workDisabilityFull timeFlexible hours
$94k - $174k
...- $174000.00 Job Category: Claims Description Join Liberty... ...has a Senior Technical Claims Specialist II opening. This is a senior... ...also consider highly qualified remote candidates who do not reside... ...gender identity, religion, age, disability, veteran's status, pregnancy,...Remote workDisabilityFull timeWork at officeLocal areaHome officeFlexible hours$60k
...Clinical Criminal Legal SpecialistAre you a licensed clinician looking... ..., sexual orientations, and disabilities to apply.We are seeking a Clinical Criminal Legal Specialist for our Harlem NCS team, who will... ...days that can be partially remote, e.g., being able to draft notes...Remote workDisabilityFull timeSummer workWork at officeTrial periodMonday to FridayFlexible hoursShift workDay shift- ...focused care. New England Life Care currently has a Remote Clinical Review Specialist opportunity available. This is a remote position with an... ...Company paid: Life insurance, Short- and long‑term disability insurance Paid Time Off And much more! Primary Responsibilities...Remote workDisabilityTemporary workLive inLocal areaMonday to Friday
$90k - $125k
...than 750,000 patients worldwide. The Clinical Field Specialist, CT is responsible for optimizing customers... ...for improvement. This is a remote position with up to 80% travel. Ability... ...origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic...Remote workDisabilityWork experience placementLocal areaWorldwideRelocation$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 works within a Claims Team,... ...gender identity, religion, age, disability, veteran's status, pregnancy,...Remote workDisabilityFull timeWork experience placementWork at officeLocal area- ...possibilities. Job DescriptionJob Summary:The Clinical Safety Specialist is responsible for delivering high... ...flexibility and work-life balance. Remote or field-based positions will have... ...identity or expression, genetics, disability, military eligibility or veteran status...Remote workDisabilityFull timeContract workWork at office
$76k
...Position Summary The Clinical Reviewer Specialist is responsible for performing... ..., short- and long-term disability coverage, paid time off, employee... .... Position is fully remote only in the state of... ...for the appeal. Review claim and service appeals for reconsideration...Remote workDisabilityPermanent employmentTemporary workLive inImmediate startRelocationFlexible hours$128k
...our team. While this is a remote position not located at a physical... ...:As a Robotics Clinical Specialist you will be responsible for... ...to enable individuals with disabilities to perform the essential functions... ...a suspicious message claiming to be from Medtronic, do not...Remote workDisabilityFull timeH1bWork at officeLocal areaImmediate startRelocationFlexible hoursShift work$72k - $90k
...pacing, defibrillation, and remote monitoring solutions. CRM's... ...patients greater confidence. Clinical impact and innovation come together... ...customer accounts. Clinical Specialists must be available to support... ...to enable individuals with disabilities to perform the essential...Remote workDisabilityWork experience placementH1bWork at officeLocal areaFlexible hoursWeekend work$71.39k - $132.79k
...Our partner is looking for a Clinical Denials Management Specialist based in the United States. In this fully remote role, you will leverage... ...denied hospital insurance claims across a healthcare system.... ...vision insurance. Life and disability insurance: Coverage options...Remote workDisabilityFull timeHome office$185k
...our team. While this is a remote position not located at a physical... ...for this role. The Clinical Specialist serves as the primary technical... ...to enable individuals with disabilities to perform the essential... ...receive a suspicious message claiming to be from Medtronic, do...Remote workDisabilityFull timeH1bWork at officeLocal areaImmediate startFlexible hoursWeekend workAfternoon shift$100k - $140k
...team working in a fun, diverse atmosphere. Summary: The Clinical Specialist is a focused individual who has a passion for patient care... ...expression, sexual orientation, national origin, genetics, disability, age, veteran status or any other applicable legally...Remote workDisabilityFull timeLive inWork at officeShift work- ...Sedgwick is seeking a Disability Clinical Specialist who will evaluate medical claims requiring additional review and coordinate with providers to substantiate employee absence from work. The role emphasizes high-quality clinical assessments and clear communication with...Remote workDisability
- ...Sedgwick is seeking a Disability Clinical Specialist to perform standard clinical evaluations on claims requiring review based on medical condition, client requirements,... ...resource to claims examiners while working remotely across telecommuter states. #J-18808-LjbffrRemote workDisability
$55.3k - $110.7k
...general direction, the CRM Associate Clinical Specialist provides comprehensive engineering, sales... ...: United States of America : Remote ADDITIONAL LOCATIONS: WORK SHIFT... ...of Minorities/Women/Individuals with Disabilities/Protected Veterans.EEO is the Law link...Remote workDisabilityWork at officeWorldwideShift work$55.3k - $110.7k
...general direction, the CRM Associate Clinical Specialist provides comprehensive engineering, sales... ...: United States of America : Remote ADDITIONAL LOCATIONS: WORK SHIFT:... ...of Minorities/Women/Individuals with Disabilities/Protected Veterans.EEO is the Law link...Remote workDisabilityWork at officeWorldwideShift work- ...Aflac, a Fortune 500 company, is seeking a remote claims professional to manage disability claims with empathy and precision. You will work from home within the continental US, handling STD and AM decisions and coordinating with medical, vocational, and employer information...Remote workDisabilityWork from home
$55.3k - $110.7k
...direction, the CRM Product Support Specialist provides comprehensive... ...Key Responsibilities: Clinical Interface : Acts as a senior... ...United States of America : Remote ADDITIONAL LOCATIONS:... ...Minorities/Women/Individuals with Disabilities/Protected Veterans.EEO is the...Remote workDisabilityWork at officeWorldwideShift work- NCD in Dallas is seeking a Clinical Research & Escalation Specialist to research negative online reviews and escalated claim issues. You will review clinical details of dental/vision claims, interpret denial rationales, and explain decisions clearly to members. Ideal candidates...Remote job
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