Remote Medical Claims Specialist - Complex & COB
Health Care
- Remote job
Health Care Service Corporation in Nashville seeks a claims processor who will handle complex medical claims under supervision, including coordination of benefits and resolving pended claims. The role starts onsite in our Nashville office and, after about eight weeks, shifts to primarily work from home with periodic in-office training. Typical hours are Monday–Friday, 8am–5pm, with compensation in the posted range. #J-18808-Ljbffr Health Care
- Health Care Service Corporation (HCSC) in Nashville is seeking a claims processor to handle complex medical claims that require investigation and COB coordination. The role starts onsite in Nashville and, after approximately eight weeks, moves to a primarily work-from-...Remote jobWork at officeWork from homeMonday to Friday
$34.82k - $55.99k
...The Workers’ Compensation Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims under close supervision, supporting the... ...goals of the Claims Department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- ...industry player is seeking a Medical Review Nurse to join their dynamic... ...and adjudicating medical claims, ensuring compliance with industry... ..., and the ability to analyze complex medical documentation. In this... ...flexibility of a primarily remote work environment. If you are passionate...Remote work
- CorVel Corporation is seeking a Workers’ Compensation Medical Only Claims Specialist to manage non-complex medical-only claims under close supervision. The role emphasizes accuracy, reserving, and timely communication with customers and claimants. The position requires...Remote job
- Sedgwick is seeking an experienced claims professional to analyze and manage complex medical malpractice claims, including long‑term care facilities. The role focuses on resolving high exposure matters with strong analytical and negotiation skills while delivering excellent...Remote job
- ...management solutions for workers’ compensation, auto, health and disability management. This remote role supports the Claims Department as a Medical Only Claims Specialist, handling non-complex medical claims under supervision. Essential duties include confirming coverage,...Remote job
- Intercare Holdings Insurance Services is seeking a Liability Claims Adjuster III, focusing on managing medical malpractice claims. This remote role involves closely evaluating complex claims and fostering collaborative client relationships to ensure quality service and...Remote job
$115k - $125k
...professional liability coverage, is seeking an experienced Medical Malpractice Claims Adjuster to join its Claims team. This individual will... ...claims expertise, sound judgment, and experience handling complex and litigated medical malpractice matters. This role requires...Remote work- ...in the United States is seeking a Workers' Compensation Medical Only Claims Specialist to support the Claims Department. The role handles non-complex medical-only claims under close supervision and allows for remote work. Ideal candidates bring at least 1 year of claims...Remote job
$24 - $26.45 per hour
...company that collaborates with medical groups, health plans, and... ...Cycle Management, the Medical Claims Specialist (AR Manager) is responsible... ...to investigate and resolve complex claims. ~ Advanced Microsoft... ...to effectively work remotely for days not in the office...Remote workHourly payFull timeContract workWork at officeLocal areaHome office- CNA Insurance is hiring a Complex Claims Consultant in Plano, Texas. This role focuses on managing complex claims for Allied Healthcare Providers, with responsibilities including investigation, resolution, and collaboration with various stakeholders. The ideal candidate...Flexible hours
$26 per hour
...important organizational initiatives. This Remote temporary opportunity is ideal for professionals with experience in medical claims or healthcare billing who enjoy analytical... ...invoice review, including the volume and complexity of work managed. ~Strong attention to detail...Remote workContract workTemporary workWork at officeMonday to Friday- ...Join Hiscox as a Complex Claims SpecialistBuild a brilliant future with Hiscox. Put your claims... ...office locations. However, qualified remote candidates will also be considered.The... ...we offer to the market. Complex Claims Specialists are empowered to manage their claims with...Remote workPrivate practiceWork at officeLocal area2 days per week
$95.12k - $136.74k
...Complex Claims Specialist Home Office - Bel Air, MD 21014; Remote Overview Salary Range $95,120.00 - $136,735.00 Salary/year Level Experienced Position Type Full Time Job Shift Day Education Level 4 Year Degree Travel Percentage Up to 25% Category Insurance...Remote workFull timeWork experience placementWork at officeLocal areaHome officeShift work- ...client is seeking a highly skilled Claims Specialist to manage high-exposure medical professional liability claims.... ...technical expert capable of navigating complex litigation and indemnity... ...schedule (3 days in-office, 2 days remote). Benefits ~ Paid Sick Leave...Remote workTemporary workWork at officeLocal area
$115k - $135k
...Join Hiscox as a Complex Claims Specialist Build a brilliant future with Hiscox. Put your claims skills... ...office locations. However, qualified remote candidates will also be considered.... ...insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care)...Remote workTemporary workPrivate practiceWork at officeLocal area2 days per week$125k - $155k
...Join Our Dynamic Claims Team Build a brilliant future with... ...locations. However, qualified remote candidates will also be... ...West Hartford, CT Complex Claims Specialist-Miscellaneous Professional... ...vision, dental and FSA plans (medical, limited purpose, and dependent...Remote workTemporary workWork at office2 days per week$25 - $26.45 per hour
...company that collaborates with medical groups, health plans, and... ...timely processing of all assigned claims. This role includes promptly addressing... ...to investigate and resolve complex claims Advanced Microsoft... ...Technical Requirements (for remote workers only, not applicable for...Remote workHourly payFull timeContract workTemporary workWork at officeLocal areaHome officeNight shift$115k - $135k
...with Hiscox Put your claims skills to the test and join... ...Insurers in the Industry as a Complex Claims Specialist ! **Please Note:... ...locations. However, qualified remote candidates will also be... ...vision, dental and FSA plans (medical, limited purpose, and...Remote workPermanent employmentTemporary workPrivate practiceWork at officeLocal area2 days per week- Selective Insurance is seeking an E&S Complex Claims Specialist to handle highly complex and challenging claims. This fully remote role requires evaluating coverage issues, investigating claims, and coordinating with experts and reinsurers. The candidate should have strong...Remote job
- Selective Insurance is seeking an E&S Complex Claims Specialist to handle the company's most complex and challenging claims in a fully remote position. Responsibilities include coverage analysis, investigation, evaluation, negotiation, and disposition, with travel up to...Remote job
- ...Hathaway GUARD Insurance Companies is seeking a Complex Liability Adjuster to handle Commercial... ...(CGL) and Business Owners Policy (BOP) claims in New York, including litigated files.... ...a hybrid schedule with in-office and remote work options. Ideal candidates have experience...Remote workWork at office
$87k - $109k
...Specialty Coverages, LLC (ISC) is seeking a Complex Loss Specialist for Allied Health claims to adjust high-exposure, technically... ...the United States is $87,000-$109,000 USD, with comprehensive benefits including medical, dental, vision, #J-18808-Ljbffr Remote JobsRemote work- ...seeking a Senior Workers' Compensation Claims Specialist to join the Central Region. The role involves... ..., analyzing, and processing moderately complex to complex claims within authority... ...in-office requirement are noted, with remote work eligibility for certain states. The...Remote jobWork at office
- AmTrust Financial Services seeks a Complex Claim Specialist to handle complex professional liability claims with emphasis on legal malpractice. This role can be based in one of our claims offices with remote work options, and requires evaluating coverage, managing litigation...Remote jobWork at office
- ...Senior Technical Claims SpecialistLiberty Mutual has an immediate opening... ...claims professional to join our Complex Energy Team as a Senior Technical Claims Specialist! This role manages commercial... ...these locations, this is a fully remote role. (Please note this policy is...Remote workFor contractorsWork at officeImmediate startHome office
- ...Senior Complex Construction Claims SpecialistLiberty Mutual's Specialized Claims group has an immediate... ...structure. This role is primarily remote, with a light-touch office cadence -... ...defense counsel, SIU when appropriate, medical and causation experts, accident reconstructionist...Remote workWork at officeLocal areaImmediate startHome office
$90k - $125k
...Job Summary: We are looking for a Complex Casualty Claim Specialist, experienced in handling Homeowners casualty/bodily injury claims. This position... ...company guidelines and state regulations. This is a remote position. Our customers are located in the Northeast so...Remote workFull time$100k - $400k
...Selective Insurance is seeking an E&S Complex Claims Specialist to handle the company's most complex and... ...challenging claims. This is a fully remote position. Responsibilities Effectively... ...contributory or comparative negligence. Assign medical or other experts to case and arrange...Remote job- ...is seeking a Senior Workers Compensation Claims Specialist in the West Region. You will review, analyze and process moderately complex to complex claims, negotiate settlements,... ...twice a month; CA/WA options may enable 100% remote work in some locations. You may be...Remote work
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