Senior Supplemental Health Claims Specialist - Remote
Pacific Life
Pacific Life is seeking a Senior Supplemental Health Claims Specialist to join our Workforce Benefits team in Omaha, NE or remotely in Tennessee. You will administer complex supplemental health claims and contribute to evolving benefits workflows.
You will lead cross-functional collaboration, stay current with regulations, and mentor peers while delivering accurate adjudication and customer-focused outcomes. This role emphasizes integrity, discretion, and continuous improvement.
#J-18808-Ljbffr$69.39k - $84.81k
...positive impact on the future – including your own. We’re actively seeking a talented Senior Supplemental Health Claims Specialist to join our Team in Omaha, NE or remote in Tennessee. As a Senior Supplemental Health Claims Specialist you'll move Pacific Life...Remote workSeniorFull timeFlexible hours- ...Rep in Plano, Texas. The role centers on processing professional claim forms, reviewing benefits, and ensuring HIPAA compliance while... ...skills, and a track record of accurate, timely adjudication. Hybrid/remote options may apply based on client needs. #J-18808-Ljbffr NTT...Remote jobSenior
- Elevance Health is seeking an eCOB Specialist II to research and coordinate coverage determinations for members and groups. The role requires navigating complex COB rules, reconciling claims, and documenting results across systems. Strong communication is essential for...Remote jobSenior
$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 jobSenior- 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 jobSenior
- Great American Insurance Group is seeking a Senior Medical Only Claims Representative to investigate, manage, and resolve workers’ compensation medical... ...covers Texas, Arkansas, and Oklahoma and is fully remote, requiring a self-motivated professional who can manage priorities...Remote jobSenior
- Great American Insurance Group is seeking a Senior Medical Only Claims Representative to investigate, manage, and resolve workers’ compensation medical... ...The role covers Texas, Arkansas and Oklahoma and is fully remote, requiring self-motivation and the ability to prioritize...Remote jobSenior
$10k
Great American Insurance Group is seeking a Senior Claims Representative focused on medical-only workers' compensation. This fully remote role serves injured workers, employers, and providers across Texas, Arkansas, and Oklahoma, handling claims from initial report to resolution...Remote jobSenior- Sedgwick is actively seeking a Sr. Claims Specialist to analyze complex medical malpractice claims and manage high exposure cases with strong... ...timely resolutions and outstanding client service in a remote-capable setting. You will coordinate investigations, set reserves...Remote jobSenior
- ...American Insurance Group's Strategic Comp unit is seeking a Senior Medical Only Claims Representative to investigate, manage, and resolve workers'... ..., efficiency, and a strong customer focus. This fully remote role handles claims primarily in Texas, Arkansas, and Oklahoma...Remote jobSenior
$70k - $87k
...liability, landlord, and other claims. Job Responsibility • Conducts... ...or general liability. This is a Remote Role Expected Pay Range: $70,00... ...Available benefit programs include health insurance coverage options, a variety of supplemental programs, 401(k) Savings Plan,...Remote workSeniorFull timeTemporary workSeasonal workWork at officeRelocationShift work$65k - $80k
Great American Insurance Group, a member of American Financial Group, is seeking a Senior Medical Only Claims Representative for a fully remote role primarily handling Texas, Arkansas, and Oklahoma workers’ compensation medical-only claims. This position requires independence...Remote jobSeniorFull time$65k - $80k
...our customers and one another. Position Overview The Senior Medical Only Claims Representative is responsible for investigating, managing,... ...claims primarily in Texas, Arkansas, and Oklahoma. As a fully remote role, this position requires a self-motivated professional...Remote workSeniorFull timePart timeSeasonal work$120k - $160k
Location: Fully Remote - U.S. (Must have experience... ...California construction defect claims) Claims | General... ...Defect Claims Specialist to manage complex, litigated... ...What you'll do as a Senior Construction Defect Claims... ..., Dental, Vision, Supplemental Life Insurance, LTD, and...Remote workSeniorFlexible hours$84.38k - $135k
...Work from Home Work Arrangement:Remote : Work at home employee... ...Underwriter on the Specialty Health team, you will underwrite new... ...existing business for Lincoln's Supplemental Health (Accident, Critical Illness... ..., benefit design, claims experience, and other underwriting...Remote workSeniorWork experience placementWork at officeWork from homeRelocation package- WPS—A health solutions company is hiring a Claims Examiner III LPN to protect MVH program integrity. The role blends clinical knowledge with data analysis... ...for internal and external oversight partners. Remote work options are available for multiple states, with a...Remote jobSeniorFlexible hours
$110k
...Description About Highlight Health If you have spent time in payment... ...enough. We review high-dollar claims before they are paid, reprice... ...area preferred, but remote work is possible for a highly... ...right before they pay it. As our Senior Claims Analyst, you will build...Remote workSeniorFull timeTemporary workWork at officeWork from home2 days per week$83k - $154k
...000.00 - $154000.00 Job Category: Claims Description Join a Growing Team... ...customer advocacy. In this role of Senior Technical Claims Specialist, you will exercise significant judgment... ...will also consider highly qualified remote candidates who do not reside near a...Remote workSeniorFull timeWork at officeLocal areaWork from homeHome officeFlexible hours$94k - $174k
...000.00 - $174000.00 Job Category: Claims Description Join Liberty Mutual'... ...comes next! Liberty Mutual has a Senior Technical Claims Specialist II opening. This is a senior individual... ...will also consider highly qualified remote candidates who do not reside near a...Remote workSeniorFull timeWork at officeLocal areaHome officeFlexible hours- ...Managing a diverse caseload of long-term disability claims, the full-time Senior Long Term Disability Claims Specialist will ensure timely and accurate decisions while... ...to enhance the claims experience in a remote environment. Key responsibilities Oversee the entire...Remote workSeniorFull timeWork experience placement
$105k - $125k
...Position Summary Strategic Comp is seeking an experienced Senior Claims Specialist to manage California and Oregon workers' compensation... ...developing strategies to bring claims to resolution. This is a remote position that requires working Pacific Time Zone business hours...Remote workSeniorFull timePart timeSeasonal work$85k - $121k
...doing it well. Whether you're managing claims, supporting clients, or improving processes... ...designated timeframe) - Location: Remote How you'll make an impact Independently... ...retaining the advice of outside specialists. Handle claims consistent with clients...Remote workSeniorFull timeLocal area$101k - $146.8k
...- Great American Insurance Group The Specialty Human Services Division is currently looking for a Senior Casualty Claims Specialist. This position is fully remote with some expectations of travel. Essential Job Functions and Responsibilities Manages a large inventory...Remote workSeniorFull timePart timeSeasonal work$61.05k - $98.34k
...The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following... ...Department and CorVel. This is a remote position ESSENTIAL FUNCTIONS & RESPONSIBILITIES... ...for the workers’ compensation, auto, health and disability management industries....Remote workSeniorHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- ...If you want to work for a company where employees are valued and growth is encouraged, CRC Group could be the place. The Senior Claim Specialist is responsible for investigating, evaluating, and resolving moderately complex claims within established guidelines and...Remote workSeniorFull timeTemporary workWork at officeShift workDay shift
- TEKsystems is seeking a Remote Customer Service Representative to support the Supplemental Health team. This contract-to-hire role suits candidates who excel in fast-paced... ...attention to detail. You will provide accurate claim information, document activity, and deliver...Remote jobPermanent employmentContract workTemporary work
$53.12k - $78.54k
...Responsibilities: Evaluates health record documentation and... ...Coder (CPC), Certified Coding Specialist (CCS), and/or Certified Inpatient... ...(CIC) FTE: 1 Possible Remote/Hybrid Option: Remote... ...disability insurance, along with supplemental options to fit your needs. We...Remote workSeniorFull timeLocal areaWork from homeFlexible hoursShift workWeekend work- ...Senior Construction Contracts and Claims Specialist U.S. Heavy Civil and Infrastructure Projects Remote | Part-time independent contractor Initial engagement: 3-4 months, with potential extension About The Client U.S.-based civil engineering and construction...Remote workSeniorHourly payContract workPart timeFor contractors
- Our client, a nationally recognized A+ rated insurance carrier, seeks a Sr. Construction Liability Claims Specialist to manage complex New York Labor Law and Construction Liability claims from inception to resolution. Responsibilities include investigating coverage, evaluating...Remote jobSenior
- ...important mission: improve the health of millions by unleashing the... ...growing accounting team. The Senior Accountant will play a... ...functional teams and managing remote/offshore relationships. A continuous... ...dental insurance, group and supplemental life insurance, 401k...Remote workSenior
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