Remote Medical Claims Adjudication Specialist
Evry Health
- Remote job
Evry Health is seeking a dedicated claims examiner to review and process medical claims based on contractual agreements. The ideal candidate will have a minimum of 3 years’ experience in medical claim adjudication. This remote role requires strong attention to detail, excellent communication skills, and familiarity with medical terminology. Benefits include a competitive salary, comprehensive insurance, and flexible work arrangements. #J-18808-Ljbffr Evry Health
$23 per hour
...We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in... ...a Full‑Time position and a remote hybrid opportunity after an... ...00 an hour and up. Benefits Medical, Dental, Vision 401(k) with... ...Specialist will adjudicate pharmacy claims, review claim responses for...Remote workMedicalFull timeTemporary workWork experience placementFlexible hoursShift work- ...Inc. is seeking a Pharmacy Adjudication Specialist for their Scottsdale, AZ location... ...the potential for hybrid remote work after training.... ...candidates will adjudicate pharmacy claims, ensuring accuracy and... ...resolution. Benefits include medical, dental, vision, and a 401(k...Remote jobMedicalFull time
$25 per hour
...Position: Pharmacy Claims Adjudication Specialist Location: Burlington, VT Job ID: 5256 # of Openings:... ...of Vermont. This position may work remotely. Shift times currently available: 9:... ...notification regarding any delay in medication delivery due to insurance claim rejections...Remote workMedicalFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work- ...seeking a Life Insurance Examiner to adjudicate individual life claims. This role requires a minimum of 4 years in adjudicating Life, Health, Medical, or Disability Claims, with strong communication... ...skills. The position offers a remote working arrangement across the United...Remote workMedical
$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 workMedicalHourly pay- ...Job Title: Claim Specialist Location: Primarily remote - Must be in a commutable distance to the Bloomfield, CT... ...Disabilities Act (ADA), Family and Medical Leave Act (FMLA), Paid Family and... ...continuity, etc. • Reviewing and adjudicating leave and/or accommodation requests...Remote workMedicalWork at officeWork from homeHome office
$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... ...and assess claims. Review medical records, itineraries and other...Remote workMedicalFull timeTemporary workPart timeWork experience placementLocal area- ...Trupanion is a leading provider of medical insurance for cats and dogs... .... Job Description As a Claims Specialist, you will combine veterinary... ...workplace! This is a remote position for candidates in Germany... ...supporting patient care, claims adjudication, or insurance operations is...Remote workMedicalFull timeCasual workWork at officeFlexible hours
- Holmes Murphy is seeking a Liability Claims Specialist for our Creative Risk Solutions team, offering a remote role based in West Des Moines, Iowa. You will review and adjudicate claims, negotiate settlements, and maintain necessary reserves to ensure top quality service...Remote job
- ...established industry player is seeking a Medical Review Nurse to join their dynamic... .... This role involves reviewing and adjudicating medical claims, ensuring compliance with industry standards... ...the flexibility of a primarily remote work environment. If you are passionate...Remote workMedical
$100k
...the unique coverage and claims-handling needs of... ...Defect Technical Claims Specialist Employment Type: Full-... ...Location: In-Office or Remote Summary: We are looking... ...VT. This role will be adjudicating our most complex... ...denial of family and medical care leave, disability...Remote workMedicalFull timeLocal area- SilverRock Automotive, Inc. is seeking an Ancillary Specialist for Claims Review & Adjudication focused on GAP products. The role requires reviewing and adjudicating claims, verifying documentation, and ensuring accurate financial transactions with customers. The ideal...Remote jobWork from home
$100k
...the unique coverage and claims-handling needs of... ...Defect Technical Claims Specialist Employment Type: Full... ...Location: In-Officeor Remote Summary: We... ...VT. This role will be adjudicating our most complex construction... ...denial of family and medical care leave, disability...Remote workMedicalFull timeLocal area$21 per hour
...healthcare? Join Quartz as a Claims Operations Specialist and play an essential role... ...environment Full-time, remote, in-person or hybrid work... ...gather information needed to adjudicate claims appropriately and... ...3+ years of experience in medical or dental claims processing...Remote workMedicalFull timeWork at officeWork from homeFlexible hours$55k - $60k
...review and processing of claims within the claims... ...procedures related to claim adjudication. Audit auto-... ...a minimum of 3 years' medical claim adjudication/examination... .... Certified Coding Specialist (CCS) or Certified... ...Requirements This is a remote position. Our whole company...Remote jobMedicalLive inWork at officeFlexible hoursWeekday work$28 - $32 per hour
Hill Physicians Medical Group is hiring for multiple remote positions primarily focused on adjudicating full risk claims for Medicare Advantage. Candidates should have a minimum of 3 years of experience and a high school diploma or GED. The role includes ensuring accurate...Remote jobMedicalHourly pay- ...Owners Insurance in Northville, Michigan, is offering a rewarding claims position. You will review claims files, assist in coverage... ...initial training, along with a robust benefits package that includes medical, 401(k) matching, and generous paid time off. #J-18808-Ljbffr...Remote workMedicalWork from homeFlexible hours
$70k - $100k
...Description Job Title ~ Claims Operations Specialist Location ~1010... ...– 3 days in office/2 days remote Reports to ~ Senior... ...conduct pre- and post-payment adjudication audits on claim matters to... ...a plus Benefits ~ Medical (PPO), dental (PPO), vision...Remote workMedicalFull timeCasual workWork at officeMonday to FridayFlexible hours- ...) specializing in innovative claims management solutions. At CRS,... ...Workers’ Compensation Claims Specialist to join our team. Experience... ...Generates checks for indemnity and medical payments daily. Develops and... ...procedures; ability to adjudicate lost time claims across multiple...Remote jobMedical
$45.8k - $78.8k
...Administrator specializing in innovative claims management solutions. CRS is... ...Workers’ Compensation Claims Specialist. Essential Responsibilities... ...checks for indemnity and medical payments daily. Develops and... ...accounts as requested. Adjudicates lost time claims. Participates...Remote jobMedical$45.8k - $78.8k
Workers' Compensation Claims Specialist (Remote - MN, SD, WI, PA, IA) Creative Risk Solutions (CRS),... ...Generates checks for indemnity and medical payments daily. Develops and monitors... ...accounts, as requested. Ability to adjudicate lost time claims. Participates in claim...Remote jobMedicalFull timeWork experience placement- ...Reimbursement Compliance Project Manager of the RCM Team, the Claims Escalation Specialist/Team oversees stakeholder and executive relationships by... ...(s) to ensure all working practices are compliant with medical policies and regulatory requirements Emergency and storm...Remote jobMedicalWork at officeLocal area
$26 per hour
...Position Pharmacy Claims Adjudication Specialist Location Waltham, MA – must be located within driving distance to our pharmacy with a hybrid... ...overrides when appropriate, and ensure timely shipping of medications. Conduct patient outreach notifications regarding delays...MedicalTemporary workWork experience placementFlexible hours$63.4k - $95k
...Job Title: Claims Examiner – Workers Compensation, CA (Remote) Primary Purpose of the Role We are looking for driven... ...benefits due, while ensuring ongoing adjudication within service expectations,... ...comprehensive benefits offering including medical, dental, vision, 401K on day one....Remote workMedicalFlexible hours$61k - $113k
...0 - $113000.00 Job Category: Claims Description At Liberty, you'll... ...This approach optimizes both remote and in-person interactions,... ...tasks and projects. The Claims Specialist works within a Claims Team,... ...claims investigation techniques, medical terminology and legal aspects...Remote workMedicalFull timeWork experience placementWork at officeLocal area- ...Valid8 Financial, Inc. is looking for a Claims Resolution Specialist to ensure timely and compliant resolution of medical claims. The role involves analyzing claims, investigating... ...claims processing is essential. This remote position requires excellent communication skills...Remote workMedical
$63.4k - $85k
...Claims Examiner - Workers Compensation (Remote) Primary Purpose of the Role We are looking for driven individuals... ...due, while ensuring ongoing adjudication of claims within service expectations... ...benefits offering including medical, dental, vision, 401K on day one....Remote workMedicalFlexible hours$18.5 - $42.35 per hour
Position Summary Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions... ...Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise....Remote jobMedicalHourly payFull timeWork experience placementLocal area$95k - $120k
...Financial Services is seeking an experienced Claims Specialist to manage litigated and non-litigated... ...with potential flexibility for remote work. The successful candidate will have... ...culture and excellent benefits including medical and dental plans. #J-18808-Ljbffr...Remote workMedical$63.4k - $85k
...technically difficult workers' compensation claims to determine benefits due; to work with... ...and rehabilitation; to ensure ongoing adjudication of claims within service expectations,... ..., cost containment principles including medical management practices and Social Security...Remote workMedicalWork at officeFlexible hours
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