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
$24.5 - $26 per hour
...Default FHA Claims QA Analyst II 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...Remote workWork from home$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- ...Job Description Job Description Role Summary The Claims Examiner II/III is a senior-level professional responsible for managing the full... ...reserve management. Location and Work Type Work Type: REMOTE Office Presence: Regular, timely attendance in the office...Remote workWork at office
$250k
...moderate exposure Workers Compensation claims in multiple jurisdictions. The position... ...schedules of 3 days in the office and 2 days remote. #LI-Hybrid #LI-SY US Work... ...national average salary range for the Claims Examiner II is $62,400 - $85,800 with 12% incentive....Remote workFull timeWork experience placementWork at officeLocal areaWork from home$100k - $300k
...POSITION SUMMARY 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 determine insurance...Remote workWork experience placement$1,500 per month
...Obtains and analyzes information to make claim decisions and payments on LTD, Voluntary... ...pertinent data to analyze the claim. Adjudicates claims accurately and fairly in... ...opportunity for employment depends solely on your qualifications. #LI-Remote #LI-MR1Remote workContract workImmediate startFlexible hours- ...Primerica is seeking a Life Insurance Examiner to adjudicate individual life claims. This role requires a minimum of 4 years in adjudicating Life, Health... ...communication and organizational skills. The position offers a remote working arrangement across the United States. Benefits...Remote work
$25.1 - $31.37 per hour
...RESPONSIBILITIES *other duties as assigned* The Claims Examiner I obtains and analyzes data for... ...claim information. Analysis and Adjudication Fully investigates all relevant... ...opportunity for employment depends solely on your qualifications. #LI-Remote #LI-MR1Remote workHourly payTemporary workWork experience placementWork at officeImmediate startFlexible hoursShift work- A leading insurance provider is seeking a Claims Examiner I/II to review and manage claims, establish reserves, and analyze policy language. The role can be performed in Scottsdale, AZ or remotely for highly qualified candidates. Candidates must have a minimum of five...Remote jobFlexible hours
- ...Job Title: Workers Compensation Claims Adjuster - Hawaii (Hybrid or Remote) Job ID: 84810 Location: Kapolei, Hawaii - Hybrid if local, Remote if... ...Supervisor and/or Claims Manager, the Claims Adjuster/Examiner II / III manages all aspects of workers' compensation indemnity...Remote workWork at officeLocal area
$50k - $70k
...Workers Compensation Claims Examiner II (Remote) Fully Remote • Milwaukee - Waukesha, WI 53186 Salary Range $50,000.00 - $70,000.00 Salary/year Level Experienced Position Type Full Time Job Shift Day Education Level High School Diploma or GED Travel Percentage Negligible...Remote workFull timeWork at officeShift work$55k - $60k
Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If... ...followed by a hybrid or 100% remote work schedule. Responsibilities... ...accordance with plan provisions. Examine claim submissions and...Remote workFull timeTemporary workPart timeWork experience placementLocal area$55k - $60k
Aon is looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If... ...followed by a hybrid or 100% remote work schedule. Responsibilities... ...accordance with plan provisions. Examine claim submissions and...Remote workFull timeTemporary workPart timeWork experience placementLocal area$55k - $60k
AON is seeking a Claims Specialist II in San Francisco, California. This role involves reviewing and servicing claims, providing effective communication, and requires prior experience in claims adjudication. The position offers a hybrid work schedule, a comprehensive benefits...Remote job$55k - $60k
Aon is hiring a Claims Specialist II in New York, NY. This role involves reviewing and servicing... ...communicating with clients and requires claims adjudication experience. Candidates should have a... .... The position offers hybrid or remote work options. Aon's benefits include medical...Remote job- ...Hours: 40 Summary: The Account Specialist II / Insurance Claims Follow-up is primarily responsible for... ...and volume data related to claims adjudication and payment trend analyses; performs all... ...compassionate manner. Note: This is a remote position but will require 1-2 weeks of...Remote jobLive inWork at officeShift workDay shift
$23 per hour
W e are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Scottsdale, AZ... ...will be a Full-Time position. This is a remote hybrid opportunity, after onsite... ...Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy....Remote workFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work$20.36 - $24.97 per hour
UNITE HERE HEALTH is looking for a Claims Adjudicator II in Oak Brook, IL, to efficiently manage medical claim processing. You will handle various... ...coding. The salary range is $20.36 to $24.97 hourly, with remote work options after initial training. #J-18808-Ljbffr UNITE...Remote jobHourly pay- ...Nationwide Mutual Insurance Company is seeking a Field Claims Specialist II, Material Damage for their Sacramento area. This role involves investigating and resolving insurance claims, delivering exceptional customer service, and mentoring less experienced associates....Remote work
$70k - $73k
...AvonRisk LLC is seeking a General Liability and Auto Claims Adjuster II to work fully remotely. The ideal candidate will investigate and evaluate insurance claims while managing a diverse caseload. AvonRisk emphasizes a supportive culture with opportunities for career...Remote work$24 - $26 per hour
...Stop Loss Claims Specialist II-Specific Fully Remote • Allied Benefit Systems Overview Salary Range $24.00 - $26.00 Hourly Position Type Full Time Category Claims Description POSITION SUMMARY The Stop Loss Claim Specialist II (Specific) is responsible...Remote workHourly payFull timeWork experience placementWork at officeWork from home- ...Job Information Job Title Claims Representative II- General Liability (Bodily Injury focused) Home Department... ...: Home Office, Telecommuting, and Remote Opportunities in: CO, GA, IL, IN, IA,... ...coverage through investigations by examining claim forms, policies, and other records...Remote workFull timeLocal areaHome officeFlexible hours
$17.24 - $29.57 per hour
...Elevance Health is seeking a Claims Representative II for processing health claims with a focus on efficiency and accuracy. The role offers virtual work flexibility and requires a strong grasp of claims policies. Candidates should have at least one year of claims experience...Remote work- ...Casualty Claims Representative II Position Responsibilities: Handles casualty claims and interacts with customers that are filing these claims. Researches and applies knowledge of policies, procedures, laws, statutes, and insurance regulations. Completes...Remote workWork at office
- ...Claim Representative II This is the intermediate level of the claim handler career path. Handles moderate difficult claims. Exercises progressively more discretion in the determination of compensability of claims. Considers many factors in the determination claim reserves...Remote workContract workWork at office
- ## Auto Field Claims Consultant I,II or SeniorApplyremote type: Hybridlocations: USA - TX (Remote)time type: Full timeposted on: Posted Todaytime left to apply: End Date: June 15, 2026 (2 days left to apply)job requisition id: R31295National General is a part of The Allstate...Remote workHourly payContract workWork at officeWork from homeVisa sponsorshipWork visa
- ...Nationwide Mutual Insurance Company is seeking a Claims Specialist II to manage workers' compensation claims in a remote position. The role involves investigating claims, providing exceptional customer service, and ensuring compliance with state regulations. The ideal...Remote work
- ...Veterinary Claims Specialist II At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when... .... Location(s): AM - Schaumburg, AM - Addison, AM - New York Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered...Remote workHourly payFull timeTemporary workWork at officeLocal areaVisa sponsorship
$20 - $32 per hour
...Claims Examiner I-III Location: Pasadena, CA (Remote/Hybrid available) Schedule: Monday - Friday, Full-Time Pay Rate... ...multiple long-term openings at Level I, II, and III. Candidates must have prior healthcare claims adjudication experience, preferably within a...Remote workHourly payFull timeContract workMonday to Friday$74.5k - $102.3k
...Claims Examiner Purchase, NY (Hybrid) About TMHCC Tokio Marine HCC (TMHCC) brings... ...Responsibilities: Claims Examiner II is responsible for accomplishing the following... ...For candidates working in person or remotely in the following location, the...Remote workWork experience placementWork at officeLocal areaWorldwide
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