Remote Senior Medicare Claims Test Lead
Cognizant Technology Solutions
- Remote job
Cognizant is seeking a Senior Healthcare Claims Test Lead to drive testing for Medicare claims and healthcare payment solutions. You will independently manage test planning, execution, defect management, and testing delivery across the project lifecycle, collaborating with business analysts, developers, and upstream teams. You will apply deep healthcare payer domain expertise, lead end-to-end testing of Medicare claims, and validate reimbursement accuracy, claims edits, and payment outcomes. #J-18808-Ljbffr Cognizant
- ...Position: Senior Automation Test Lead Location: Raleigh, NC Client: State of North Carolina Duration: 12+ Months Job Description... ...tools and SQL, and have experience testing healthcare claims processing and web applications within an Agile environment...SeniorClaims
- ...Job Summary The Senior Workers' Compensation Specialist, Complex Claims, verifies workers' compensation (WC) carrier and claim information, then manages billing, follow-up, denials and appeals through to payment. In this senior-level role, the Specialist works WC and...Remote workSeniorClaims
$110k - $160k
...populations in the US (Medicare and Medicaid), drastically... ...client accounts with leading health plans and... ...meetings and presentations (remote and in-person) with cross... ...stakeholders, both senior and junior, representing... ...healthcare data (e.g., Rx claims, eligibility files,...Remote workSeniorClaimsFlexible hours- ...in establishing a Fraud Rapid Response Center, the remote Senior Healthcare Fraud Investigator will lead case development by reviewing analytics-generated leads... ...of healthcare fraud laws, including the False Claims Act and Anti-Kickback Statute Experience in developing...Remote workSeniorClaims
$160k - $225k
...Labor Law and general liability defense matters. This is a mostly remote role with a stable caseload and direct client exposure.... ...resolution Defend owners, general contractors and subcontractors in claims under Labor Law §§ 200, 240(1) and 241(6) Draft pleadings, discovery...Remote workSeniorClaimsFor contractorsFor subcontractor- ...Managing complex auto subrogation claims, the fully remote Senior Auto Claims Adjuster will investigate, evaluate, and settle high-exposure claims while exercising judgment and ensuring compliance with industry standards. Key responsibilities Investigate, evaluate, and...Remote workSeniorClaims
- ...Managing a diverse caseload of long-term disability claims, the full-time Senior Long Term Disability Claims Specialist will ensure timely and accurate... ...stakeholders to enhance the claims experience in a remote environment. Key responsibilities Oversee the entire claims...Remote workSeniorClaimsFull timeWork experience placement
- AlphaStaff, Inc. seeks a Senior Auto Adjuster- Non-Injury (Remote) to manage highly complex auto insurance claims from investigation through resolution, ensuring compliance with state laws and regulations. This remote opportunity is open to Arizona residents 60 miles or...Remote jobSeniorClaims
- ...growing personal injury law firm, the full-time Senior Case Manager will manage client communications, assist attorneys with claim handling and negotiations, and maintain accurate case documentation while working remotely from Argentina. Key responsibilities: Maintain...Remote workSeniorClaimsFull timeWork at office
- ...is seeking a professional to manage authentication hub, fraud, claims and collections applications across UNIX and Windows environments... ...and implement configurations, while supporting multiple testing environments. Required are a strong Unix background, a 4-year degree...SeniorClaims
- ...a unique culture: the biggest small company in the world. Senior Casualty Claims Examiner Construction Defect Classification: Exempt/Full-... ...• Reports to: Claims Manager • Travel: 0-10% • Location: Remote Casualty Claims Examiner with our Construction Defect Claims...Remote workSeniorClaimsFull timeWork at officeLocal area
$129.3k - $172.3k
...decision maker rather than just an advisor? Want better work-life balance? Ready for a change with an in-house opportunity? The Senior Claims Counsel position with First American Title Insurance Company provides an excellent opportunity for counsel to engage in complex...Remote workSeniorClaimsFull time- ...is seeking a dedicated Property General Adjuster to investigate, evaluate, negotiate and settle highly complex property insurance claims. This field-based role requires up to 75% travel and residence in Los Angeles or San Diego, CA. You will verify coverage, assess liability...Remote jobSeniorClaims
- Gallagher Bassett is seeking an experienced Workers' Compensation claims professional for a fully remote role in California. You will apply claims management experience to analyze exposure, design actions, and resolve claims with empathy and precision. Ideal candidates...Remote jobSeniorClaims
- Allied Benefit Systems is seeking a Senior Refund Specialist to review, analyze, and determine... ...solicited refunds based on specific claim guidelines and plan benefits. The role involves... ..., and proficiency with Excel and Word. Remote work is supported. #J-18808-Ljbffr...Remote jobSeniorClaims
- Argo Group is seeking a highly capable Senior Construction Technical Claims Specialist Team Lead to join our team in an in-office role. The position involves adjudicating... ...and leading a team across multiple offices or remote options, with an emphasis on strong client service...Remote jobSeniorClaimsWork at office
- Great American Insurance Group is seeking a Senior Medical Only Claims Representative to investigate, manage and resolve workers’ compensation medical... ...-only claims across multiple Midwest states in a fully remote role. You will communicate with injured workers, employers...Remote jobSeniorClaims
- Berkley One is hiring a Senior Casualty Claim Adjuster to lead high-value and complex casualty claims. The role includes guidance on large losses, complex... ..., AZ with a hybrid schedule (4 days in office, 1 day remote). Expect opportunities for internal mobility, leadership...Remote workSeniorClaimsWork at office
$10k
Great American Insurance Group seeks a Senior Medical Only Claims Representative to investigate, manage, and resolve workers' compensation medical-only claims across MN, IA, NE, SD, KS, and MO in a fully remote role. You will verify coverage, communicate with injured workers...Remote jobSeniorClaims- Remotebridge is seeking a Senior Cargo and Parcel Claims Examiner to work remotely on a contractor basis. You will review air cargo and parcel claims, analyze evidence such as air waybills, photos, and delivery records, and draft clear custody and liability rationales...Remote jobSeniorClaimsFor contractors
- Centene Corporation is seeking a Senior Manager of Analytics to oversee data-related reporting across provider... ...with technical oversight to drive critical claims analytics and reporting. The position allows remote work from anywhere in the United States with a focus...Remote jobSeniorClaims
$95k - $110k
...sponsorship. Who We Are Strategic Comp is a leading provider of workers' compensation... ...Comp is seeking an experienced Senior Claims Specialist to manage Pennsylvania and Delaware... ...to bring claims to resolution. This is a remote position that requires working Eastern...Remote workSeniorClaimsFull timePart timeSeasonal work- Argo Group is seeking a Senior Construction Technical Claims Specialist Team Lead to adjudicate highly complex construction defect claims from offices in Albany... ...Angeles, New York City, Omaha, or Richmond (VA). A fully remote option is possible except in AK, DE, HI, KY, MI, MS...Remote jobSeniorClaimsWork at office
- A reputable consulting firm is seeking a Project Manager with expertise in HealthRules Payer claims system to lead complex healthcare projects. The role involves stakeholder engagement, ensuring deliverables are met, and managing project teams effectively. Ideal candidates...Remote jobSeniorClaimsFlexible hours
- Gallagher Bassett seeks a skilled Claims Adjuster in Texas, responsible for investigating, evaluating, and resolving complex workers'... ...5 years of claims experience, active TX adjuster license, and ability to work remotely are required. #J-18808-Ljbffr Gallagher BassettRemote jobSeniorClaims
- TDIC, the Dentist Insurance Company, is seeking a Claims Representative II, Professional Liability. This remote-first role requires evaluating coverage, coordinating with adjusters and counsel, and negotiating resolutions while traveling as needed. Ideal candidates have...Remote jobSeniorClaims
- The Hartford. Senior Staff Attorney—remote role serving clients in New York. 7-10 years of litigation experience in motor-vehicle, premises liability... ..., strong writing, research, and collaborative teamwork with Claims customers and co-counsel. #J-18808-Ljbffr The HartfordRemote jobSeniorClaims
- CVS Health Corporation is seeking a Manager, Encounter Data & State Submission Operations for a remote-based role. Lead end-to-end submission of encounter and claims data to state agencies, ensuring accuracy and timeliness while partnering with Claims, IT, Compliance, and...Remote workSeniorClaims
- ...Lorber, Greenfield & Olsen, LLP Senior Associate Attorney – Tacoma, WA ⚖️ Civil Litigation Defense Remote / Hybrid Tacoma, WA AV® Rated Firm ️ About Us... ...contractors in complex construction defect and casualty claims — and our AV® Peer Review Rating from...Remote workSeniorClaimsFor contractorsWork at office
- A leading technology firm is seeking a Senior Automation Test Lead to drive cloud migration testing and automation within life sciences environments. The role includes developing test strategies, overseeing automated testing frameworks, and leading validation for AWS migrations...Remote jobSenior
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