Remote Claims Examiner II - Adjudication & QA
First Choice Health
A leading health insurance provider in Seattle is seeking a Claims Processor to oversee claims adjudication for various types. Responsibilities include processing Institutional, Professional, and Dental claims, while adhering to privacy and quality standards. The ideal candidate should have a High School Diploma and 1–2 years of claims processing experience. This role offers competitive benefits including health insurance, a 401(k) plan, and flexible working arrangements. #J-18808-Ljbffr
$80k - $110k
...for niche markets. Position Summary The Claims Examiner II is responsible for the accurate and... ...is necessary for claims processing and adjudication. Must be able to adapt to software changes... ...| Property & Casualty (Hybrid) Remote Insurance Customer Service Representative...Remote workFull timeFlexible hours$24.5 - $26 per hour
...Come join our amazing team and work remote from home! The Default FHA Claims QA Analyst II will work under moderate supervision, responsible for reviewing FHA mortgage insurance claims for accuracy and submitting the claim form for filing. Performs all duties in accordance...Remote workWork from home$24.5 - $26 per hour
...Carrington in Texas is hiring a Default FHA Claims QA Analyst II to work remotely. This role involves reviewing FHA mortgage insurance claims for accuracy and ensuring compliance with relevant laws and guidelines. Ideal candidates will have at least two years of mortgage...Remote workHourly pay$55k - $60k
...Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients?... ...training followed by a hybrid or 100% remote work schedule. Responsibilities... ...with plan provisions. Examine claim submissions and documentation...Remote workTemporary workWork experience placementLocal area$20 - $25 per hour
...Claims Referral Specialist II (Remote - East Coast) Bring Your Dental Claims Expertise to a Mission-Driven Organization Eastern Time Zone - Uniondale... ...accurately and efficiently. Review and adjudicate claims in accordance with plan guidelines, state regulations...Remote workWork at officeImmediate startRelocationVisa sponsorshipFlexible hours$23 per hour
W e are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Scottsdale,... ...will be a Full-Time position. This is a remote hybrid opportunity, after onsite training... ...Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure...Remote workFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work- ...Job Information Job Title Claims Representative II- General Liability (Bodily Injury focused)... ...Location: Home Office, Telecommuting, and Remote Opportunities in: CO, GA, IL, IN,... ...coverage through investigations by examining claim forms, policies, and other records...Remote workFull timeLocal areaHome officeFlexible hours
- ...Job Information Job Title Claims Representative II (Workers’ Compensation) Home Department:... ...Location: Home Office, Hybrid, and Remote Opportunities in: CO, GA, IL, IN, IA... .... Determines insurance coverage by examining claim forms, policies, and other records...Remote workFull timeLocal areaHome officeFlexible hours
- ...Guiding customers through the claims process, the full-time remote Claims Specialist II will investigate and process claims for vehicle and property damage, manage bodily injury claims, and ensure excellent customer service while working a fixed schedule of 40 hours per...Remote workFull time
- ...billing system appropriately to follow up on outstanding denied claims and all no response claims. Corrects claims in electronic billing... ...collaboration among groups. Collaborates with other claims processor II, to review and enhance existing workflows supporting training PPA...Remote workHourly payWork at officeShift work
$59.9k - $98.2k
...Claims Specialist II, Workers Compensation Zurich North America is seeking a skilled and experienced Claims Specialist II to join our dynamic... ...should use our Recruiting Agency Portal. Location: Maitland, FL; Remote Working: No; Schedule: Full Time; Employment Sponsorship...Remote workFull timeTemporary workApprenticeshipWork at officeLocal areaVisa sponsorship- ...Summary Responsible for the oversight and timely/accurate claims adjudication for all clients assigned. Claim types would include but may... ...component. Work Location This position has the option to work remotely. Responsibilities Processing the different claims...Remote workTemporary workFlexible hours
- ...Flood Claims Examiner This is an intermediary level examiner position within Allcat's Flood program. This is a predominantly Flood QA review position with desk adjusting possibilities. In this... ...Flood Claims Examiner Location: Remote Department: Flood - Quality Assurance...Remote workWork at officeImmediate startMonday to Friday
$22.84 - $27.4 per hour
...Claims Processor II The Claims Processor II is responsible for ensuring the accurate and timely processing of all UB, HCFA and Dental claims... ...with Accounting Work claims audits generated by Virtual Examiner –500-1500 weekly Work IP audits generate by Varis,...Remote workTemporary workWork at officeFlexible hours$59.9k - $98.2k
...At Zurich North America Claims we acknowledge that work life‑balance and flexibility are a... ...Compensation Litigated Claims Specialist II to join our high‑performing team. This is... ..., IL (hybrid schedule) and Indiana (fully remote). We are seeking a candidate with proven expertise...Remote workFull timeTemporary workApprenticeshipWork at officeLocal areaVisa sponsorship- ...(GTL) is currently seeking a Medical Claims Adjuster II to join our team! Since 1936, GTL has... ...most days. Everyone receives 3 flexible remote days per month. And, we offer half-day... ...: The primary responsibilities are to adjudicate claims based on variable contract provisions...Remote workContract workWork at officeFlexible hours
$60k - $80k
...Overview Workers' Compensation Claim Representative II Location: Irvine, CA - reporting remotely Schedule: 8:00am - 4:30pm (PST) Salary Range: $60,000 - $80,000 (depending on experience) Build Your Career With Purpose at CCMSI At CCMSI, we partner...Remote workWork at office$36.92 - $41.85 per hour
...Claims Examiner II Burlingame, CA 94010 Overview Salary Range $36.92 - $41.85 Hourly Description The MSO Claims Examiner is responsible... ...for the daily review, audit, examination, investigation and adjudication of hospital and professional claims. Must exceed qualitative...Hourly payWeekly payFull timeContract workWork experience placement$100k - $300k
...Catastrophe Claims Examiner II The Catastrophe Claims Examiner II processes insurance claims for property losses based on coverage, appraisal, and verifiable damage. They interact with independent adjusters and policy holders, review claim forms and other records to...Remote jobWork experience placement$24 - $29 per hour
...(GTL) is currently seeking a Medical Claims Adjuster II to join our team! Since 1936, GTL has... ...most days. Everyone receives 3 flexible remote days per month and 6 additional Friday... ...Responsibilities The primary responsibilities are to adjudicate claims based on variable contract...Remote workHourly payContract workTemporary workWork at officeFlexible hours$24 - $29 per hour
...(GTL) is currently seeking a Medical Claims Adjuster II to join our team. Work Arrangement: The... ...most days. Employees receive 3 flexible remote days per month and 6 additional Friday... ...The primary responsibilities are to adjudicate claims based on variable contract provisions...Remote workHourly payFull timeContract workTemporary workWork at officeFlexible hours$56.7k - $94.9k
SUMMARY Claim Representative I: This is the entry level professional claim handler. Handles medical only and indemnity benefits. Exercises... ...and settles claims within given authority. Claim Representative II: This is the intermediate level of the claim handler career path....Remote jobContract workTraineeshipWork at office$25 - $27 per hour
A mortgage services company is seeking a Loss Mitigation Underwriter II to work remotely. The role involves underwriting applications while ensuring compliance with guidelines, conducting thorough analyses, and assessing borrowers' fitness for workout options. Applicants...Remote workHourly pay- ...intended solution. The Quality Assurance Analyst II candidate should exhibit a desire to grow... .... ** This position is primarily WFH / Remote but all candidates must be located in... ...automation scripts as requirements evolve Assist QA Automation Engineer with mentoring QA team...Remote workFull timeTemporary workWork at officeWork from homeFlexible hoursShift work
$25 - $27 per hour
...Come join our amazing team and work remote from home! The Loss Mitigation Underwriter II will be responsible for underwriting loss mitigation applications in accordance with Treasury, Company and Investor guidelines while following company’s policies and procedures under...Remote workHourly payWork from home$18 per hour
A leading healthcare provider is hiring a Senior Claims Examiner to work from home, ensuring accurate adjudication of complex claims for SCCIPA contracted plans. The ideal candidate will have a high school diploma and two years of experience in claims processing. Responsibilities...Remote workHourly payFull timeWork from home$69.62k - $95.75k
...Commercial Lines Underwriter II Umialik Insurance Company, a member of the Western National Insurance Group, is seeking a Commercial... ...work environment, which includes a variety of hybrid and remote work arrangements designed to balance individual, job, department...Remote workFull timeWork at officeLocal areaFlexible hours$21 - $23 per hour
...Overview NTT DATA seeks a Claims Examiner on a project basis to work remote, from home . This is a full-time, temporary role. Must have TPA experience... ...is responsible for registering, processing, and adjudicating claims accurately and efficiently....Remote workHourly payFull timeTemporary workImmediate startWork from home$18 per hour
...in business and technology services is looking for a Healthcare Claims Processor in Wisconsin. The role involves processing claims and... ...requires effective communication and the ability to manage time in a remote work environment. The pay rate is $18.00 per hour, and training...Remote workHourly pay$18 per hour
...A global innovator in business services is seeking a Medical Claims Processor in Texas for a remote role. The position requires 2 years of healthcare claims processing and proficiency in Windows applications. Responsibilities include processing claims accurately and adhering...Remote workHourly pay
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Claims Examiner II - Adjudication & QA. Be the first to apply!
- medical insurance claims specialist Seattle, WA
- claim specialist Seattle, WA
- claims consultant Seattle, WA
- claims processor Seattle, WA
- claim examiner Seattle, WA
- insurance claims processor Seattle, WA
- remote medical claims processor Seattle, WA
- claims analyst Seattle, WA
- claims assistant Seattle, WA
- remote clinical Seattle, WA



