Remote Medicaid & Medicare Claims Examiner II
HealthEdge
New York, NY
- Remote job
HealthEdge seeks a Claims Examiner II to adjudicate healthcare claims in a remote US setting. You’ll review claims, apply client guidelines, and determine eligibility and payment per policy. You will also mentor junior staff and collaborate on special projects to improve processes and accuracy. The role requires 1–3 years of claims experience, strong data analysis, and a readiness to learn in a fast-paced environment. #J-18808-Ljbffr HealthEdge
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Medicaid & Medicare Claims Examiner II in New York, NY vacancy
$42.77k - $61.55k
...Pay Plan Title: Claims Specialist II Working Title: Claims Specialist II FLSA Status: Non... ...$42,765 - $61,546 Office Location: Remote within North Carolina POSTING DETAILS... ...policies established by CMS, and NC Medicaid as well as Trillium policies and procedures...Remote workWork at officeLocal areaImmediate startWork from homeFlexible hours- Markel seeks a Claims Examiner II to resolve construction claims of moderate complexity across multiple jurisdictions. The role requires a 2-... ...The position offers a hybrid work model (3 days in office, 2 remote) with competitive salary and incentives. US work authorization...Remote workWork at office
- Markel Group seeks a Claims Examiner II in Chicago to resolve moderate complexity construction claims across jurisdictions. The role includes... ...decisions. The position offers a hybrid schedule (3 in-office, 2 remote) and a competitive base with incentives. Requires a bachelor’...Remote workWork at office
- MSI is seeking a Claims Examiner II to manage high-complexity insurance claims for policyholders remotely in the US. The role requires technical claims handling knowledge, strong communication with clients, carriers, and colleagues, and a strategic yet tactical approach...Remote job
- HealthEdge Software, Inc. is seeking a Claims Examiner II to join our remote team in the United States. You will adjudicate healthcare claims using policy guidelines, review data in the processing system, and determine if services meet coverage criteria. You will pay attention...Remote job
$250k
...complexity and moderate exposure Construction claims in multiple jurisdictions. The position... ...of 3 days in the office and 2 days remote. US Work Authorization US Work Authorization... ...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$61k - $113k
...USD $61000.00 - $113000.00 Job Category: Claims Description At Liberty, you'll thrive... ...and growth. This approach optimizes both remote and in-person interactions, enabling you to... ...Specialist I (grade 11) or Claims Specialist II (grade 12) depending on candidate...Remote workFull timeWork experience placementWork at officeLocal area- ...curiosity and file ownership over high-volume "churn." As a Claims Examiner II, you will manage and resolve complex Commercial Auto, No-Fault... ...Familiarity with multi-jurisdictional claims handling requirements. Remote Proficiency: Ability to work productively and independently...Remote jobFull time
- ...challenges and let us show you how we build insurance better. The Claims Examiner II is considered an expert in managing insurance claims for our... ...Must have Property & Casualty Insurance License #LI-JW1 #LI-REMOTE Click here for some insight into our culture! The...Remote workFull time
$80k - $110k
...customized insurance products for niche markets. Position Summary The Claims Examiner II is responsible for the accurate and timely processing of... ...00-$108,900.00 Claims Manager | Property & Casualty (Hybrid) Remote Insurance Customer Service Representative (Unlicensed) Sr....Remote workFull timeFlexible hours- Job Description: Summary: The Claims Examiner resolves a wide variety of claims transactions that... ...as assigned by management. Level II (in addition to Level I Accountabilities... ...Information: Please note: The opportunity for remote work may be possible for all jobs posted...Remote workLive in
- MSI seeks an experienced Claims Examiner II to manage complex property claims with technical underwriting knowledge and a service-focused approach. You will analyze policies, determine coverage, and work with carriers, counsel and SIU to resolve claims efficiently. With...Remote job
- ...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
- ...Under general supervision assures accurate and timely insurance claim processing to include resolving claim edits and paper claims for... ...collaboration among groups. Collaborates with other claims processor II, to review and enhance existing workflows supporting training PPA...Remote workHourly payWork at officeShift work
$74.2k - $92.7k
...Job Title: Claims Representative II, Professional Liability Pay Information: Non Exempt, $74,200 - $92,700 per year Location: Remote first work environment with occasional travel and in office meetings. Preference for candidates in California, Oregon, Washington...Remote workTemporary workNight shift$60k - $92k
Workers’ Compensation Claims Adjuster - California | 100% Remote Join EMPLOYERS, America’s small business insurance specialist! We’re seeking an experienced Workers’ Compensation Claims Adjuster II to manage moderate‑complexity claims—including medical, indemnity, and litigation...Remote work$26.92 - $40.38 per hour
Inside Claims Representative II Job Summary The Inside Claims Representative II contributes to W Insurance's goal of delivering an exceptional... ...• 401(K), Roth 401 (k) saving plan with company match • Remote work opportunities • Tuition assistance • Employee appreciation...Remote workHourly payFor contractorsLocal areaWork from home- ...and growth. This approach optimizes both remote and in-person interactions, enabling you to... ...work for focused tasks and projects. The The Claims Specialist analyzes complex Personal... ...Specialist I (grade 11) or Claims Specialist II (grade 12) depending on candidate experience...Remote workWork experience placementWork at officeLocal area
$65k - $75k
Claim Representative II - REMOTE The Liability Claim Representative II handles property damage claims and low to mid-range bodily injury claims. Essential functions include investigating and adjusting claims, directing independent adjusters, interacting with field and...Remote jobFull time$65k - $75k
Claim Representative II - REMOTE The Liability Claim Representative II handles property damage claims and low to mid-range bodily injury claims. Essential functions include investigating and adjusting claims, directing independent adjusters, interacting with field and...Remote jobFull time- TDIC is seeking a remote-first Claims Representative II to investigate, adjust, and resolve professional liability claims for a dentist-focused portfolio. You will collaborate with supervisors, outside adjusters, and attorneys to establish case values, reserves, and defense...Remote job
- Ahold Delhaize USA is seeking an Analyst II to manage a caseload of Workers' Compensation claims across multiple jurisdictions. The role emphasizes timely, compliant... ...schedule (1 day in‑person at a core location, 4 remote days) and requires applicants to be authorized to...Remote workFull time
- Mercury Insurance Co. is seeking a Claims Specialist II to guide customers through the claims process, explain coverage, and manage vehicle and... ...claims adjusting experience, and a background suitable for remote work in a nationwide capacity. #J-18808-Ljbffr Mercury...Remote job
- Blue Cross Blue Shield of Michigan is seeking an intermediate Claims Representative II to manage a Michigan No-Fault PIP caseload with moderate to... ...with providers, claimants, and attorneys. This fully remote opportunity is available for candidates residing in Michigan...Remote job
- Gainwell Technologies is seeking a Business Analyst - Medicaid Claims to support clients in a fully remote capacity nationwide. You will analyze, design and document business processes, bridge between clients and technical teams, and help ensure requirements are delivered...Remote job
- Gainwell Technologies is seeking a Senior Business Analyst for Medicaid Claims & Eligibility to apply expertise in Medicaid programs, business analysis, and process improvement on critical healthcare initiatives for clients and their members. The role includes coordinating...Remote job
$56.7k - $94.9k
Claim Representative II This is the intermediate level of the claims handling career path responsible for managing a caseload of Michigan No-Fault... ...timely, accurate, and compliant claim handling. This fully remote opportunity is available for candidates residing in...Remote workContract workWork at office- California Dental Association is seeking a Claims Representative II, Professional Liability for a remote-first role with occasional travel. The position focuses on evaluating coverage, investigating liability, and managing litigation workflow with TDIC and outside partners...Remote job
- The University of Rochester is seeking a Claims Resolution Representative II for the United Business Office. This remote role supports the professional fee organization across open accounts receivable, focusing on maximum revenue through diligent follow-up and accurate...Remote jobWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medicaid & Medicare Claims Examiner II. Be the first to apply!
Related searches
- claims assistant workers compensation New York, NY
- claims processor New York, NY
- claims consultant New York, NY
- claim representative (remote) New York, NY
- claim specialist New York, NY
- claims analyst work from home New York, NY
- claims analyst New York, NY
- claims resolution specialist New York, NY
- medical insurance claims specialist New York, NY
- insurance claims processor New York, NY


