Remote Senior Claims Processor — Complex Medical Claims
Premera
- Remote job
Premera is hiring a Claims Processor IV to ensure accurate and timely review, research, and resolution of moderate to highly complex medical/dental claims. You will work across departments to improve processing quality and support Care Facilitation, Appeals, and configuration teams. The role emphasizes detailed claim analysis, cross-functional communication, and adherence to privacy while driving process improvements and high productivity. #J-18808-Ljbffr Premera
$83k - $154k
...000.00 Job Category: Claims Description Liberty... ...immediate opening on our Complex Construction Claims... ...valuable experience for senior claims leaders and litigators... ...This role is primarily remote, with a light-touch... ...SIU when appropriate, medical and causation experts,...Remote workSeniorMedicalFull timeWork at officeLocal areaImmediate startHome office- Overview This is a remote position based in California, and candidates... ...and organizations thrive. The Senior Claims Examiner will be responsible for managing complex liability claims, employment &... ...level these benefits may improve: Medical/dental/vision plans, which...Remote workSeniorMedicalLive outWork at officeLocal areaFlexible hours
$160k - $190k
...carrier seeking an experienced claims professional to join its Professional Liability Complex Claims team. This position will... ...bonus Flexible schedule with remote work capability Strong... ...position Extremely competitive Medical, Dental, Vision, and Life insurance...Remote workSeniorMedicalFlexible hours- Premera is hiring a Claims Processor III to review, research, and resolve moderate to complex claims across Medicare, DSHS, subrogation, and coordination of benefits for dental, medical and hospital claims. You will act as a technical resource, train trainees, and ensure...Remote jobMedicalTraineeship
- ...To manage complex medical malpractice claims involving severe injury and high exposure, the full-time Senior Claims Specialist will analyze and resolve technically difficult claims... ...of customer service while working remotely. Key responsibilities Analyzes and processes...Remote workSeniorMedicalFull time
- ...schedule of 4 days in office, 1 remote day per week. Also considered... .... Position Summary The Senior Claims Consultant serves as a subject... ...is responsible for managing complex claims, overseeing third-party... ...volunteer dayEmployer-paid benefits (medical, dental, vision, health...Remote workSeniorMedicalFull timeWork at office1 day per week
- Acrisure is seeking a Senior Workers' Compensation Claims Examiner to independently manage complex California workers' compensation claims... ...ability to work in a fully remote environment aligned with... ...determine compensability, review medical documentation, manage reserves...Remote jobSeniorMedical
$95k - $110k
...insurance staffing firm is seeking a Senior Workers Compensation Claims Specialist to join their remote team. The role involves handling moderate to complex California Workers Compensation... ...000 plus benefits is offered, with medical benefits effective from the first day...Remote jobSeniorMedical$105k - $120k
...Insurance Carrier is seeking a Senior Commercial General Liability Claims Specialist in Phoenix, AZ.... ...handling moderate to complex claims, requiring over 5 years... ...bonuses. The position offers remote working flexibility and competitive medical benefits. #J-18808-Ljbffr King...Remote jobSeniorMedical$80k - $95k
...leading insurance staffing agency is seeking a Senior Commercial General Liability Claims Specialist. This remote role involves managing complex claims, requiring 5-10+ years of relevant... ...with comprehensive benefits including medical, dental, and 401(k) matching. #J-18808-...Remote jobSeniorMedical- Gallagher in California is seeking a Senior Claims Examiner to manage complex liability claims and oversee coverage issues from intake to resolution. You... ..., and the ability to operate within a fast-paced, remote-friendly environment while maintaining #J-18808-Ljbffr...Remote jobSenior
- ...seasoned workers' compensation professional for a home-based role in the Midwest. You will manage litigated, loss-time, and complex medical claims and collaborate with clients to limit costs and exposure while helping injured workers return to work. The ideal candidate...Remote jobSeniorMedicalWork from home
- Liberty Mutual Insurance is seeking a Senior Workers Compensation Claims Specialist in the West Region. You... ...review, analyze and process moderately complex to complex claims, negotiate... ...month; CA/WA options may enable 100% remote work in some locations. You may be considered...Remote workSenior
- EMC is seeking an experienced casualty claims professional to manage the most complex, litigated claims on a nationwide basis. The role emphasizes strategic handling, negotiation, coverage determinations, and timely reserves with cross-functional collaboration. Responsibilities...Remote jobSenior
- Liberty Mutual Insurance is seeking a Senior Workers' Compensation Claims Specialist to join the Central... ...analyzing, and processing moderately complex to complex claims within authority limits... ...-office requirement are noted, with remote work eligibility for certain states....Remote jobSeniorWork at office
$85k - $115k
...is seeking an experienced Claims Specialist or Senior Claims Specialist to manage... ...claims to resolution. This is a remote position that requires... ...resolution. Partner with medical case managers, surveillance... ...adjusting experience, including complex or high-exposure claims....Remote workSeniorMedicalFull timePart timeSeasonal work$80k - $95k
...experienced Workers' Compensation Claims Examiner to join their growing... ...a caseload of moderate to complex Texas Workers' Compensation claims... ...Coordinate and oversee medical treatment while promoting timely... ...Generous Paid Time Off package Remote work flexibility and flexible...Remote workSeniorMedicalFlexible hours- ...Senior Claims Specialist At Liberty, you'll thrive in a hybrid setting... ...This approach optimizes both remote and in-person interactions,... ...characterized as moderately complex to complex within assigned authority... ...experts and independent medical examiners. Refers to claim...Remote workSeniorMedicalWork experience placementWork at office
- ...Mutual Insurance in Plano, TX is seeking a Senior Claims Specialist to join our Claims Team in a... ..., analyze and process moderately to complex commercial property and casualty claims,... ...management, while enjoying the flexibility of remote work for focused tasks. #J-18808-Ljbffr...Remote workSenior
- ...Senior Claims Specialist, Vertical As a Senior Claims Specialist, Vertical... ...standards are met (e.g. Medical or Licenced). Claims Processing... ...and fraud thresholds. Complex Claims Handling: Manage more... ...Environment - our teams are remote working. • Global company,...Remote workSeniorMedicalLocal areaFlexible hours
$100.74k - $166.24k
...products liability for medical technology and life sciences... ...can be hybrid or fully remote (in the continuous... ...some product liability claims experience (medical/life... ...responsibility of the Senior Claims Examiner position... ...management of assigned complex claims including claims...Remote workSeniorMedicalContract workWork at office$80k - $100k
...next steps. Our partner is looking for a Senior Complex Claims Adjuster based in the United States.... ...challenging circumstances. Working remotely within a collaborative claims environment... ...of eligible earnings. ~ Multiple medical insurance plan options, plus dental and...Remote workSeniorMedicalFull timeTemporary workFlexible hoursShift workWeekend work- A leading insurance company is seeking a Complex Cyber Claims Specialist in New York City. This role involves investigating and evaluating complex... ...competitive salary, a bonus of 10-20%, and benefits such as medical and retirement plans. Join a team of dedicated professionals...SeniorMedicalFlexible hours
- Pacific Medical Centers in Renton, Washington is looking for an experienced claims adjudicator to manage and resolve complex claims. The ideal candidate will have a Bachelor's Degree in a related field and at least 4 years of Managed Care operations experience. This role...SeniorMedical
$85k - $100k
...client is seeking to add a Senior Workers' Compensation Claims Examiner to their Midwest team. This would be a fully remote position and will consist of handling mid to complex Workers' Compensation Lost Time... ...Extremely competitive Medical, Dental, Vision and Life plans...Remote workSeniorMedicalFlexible hours$18.5 - $42.35 per hour
...health care one person, one family and one community at a time. Position Summary Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing...Remote workSeniorMedicalHourly payFull timeWork experience placementLocal area$150k
..., we help clients navigate complexity, support recovery, and deliver... .... Whether you're managing claims, supporting clients, or... ...role is eligible for fully remote work The Senior Claims Specialist within GB... ...Liability - Long Term Care, Medical Malpractice. Behaviors: Ability...Remote workSeniorMedicalLocal area$61.05k - $98.33k
...WC Senior Claims Specialist The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following... ...This role is available for both remote and hybrid work arrangements.... ...employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision...Remote workSeniorMedicalMinimum wageFull timeWork at officeLocal areaFlexible hours- CorVel Corporation is seeking a Liability Claims Specialist for a remote role. You will handle non-complex medical and minor liability claims under supervision, acknowledge claims, assess validity, and communicate status with clients and claimants. You will reserve and...Remote jobMedical
$64.5k - $86.1k
Claims Senior Subrogation Specialist Job Summary The Senior Subrogation... ..., and settlement of complex subrogation files regardless... ...in an in-office environment, remote/work-from-home, or according... ...benefits: • Health coverage for medical, dental, vision • 401(K) saving...Remote workSeniorMedicalFull timeWork at officeWork from homeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Senior Claims Processor — Complex Medical Claims. Be the first to apply!
- claims assistant Seattle, WA
- claims processor Seattle, WA
- claim specialist Seattle, WA
- claims analyst Seattle, WA
- medical claims analyst Seattle, WA
- insurance claims processor Seattle, WA
- remote medical claims processor Seattle, WA
- medical insurance claims specialist Seattle, WA
- claims consultant Seattle, WA
- claims assistant workers compensation Seattle, WA


