Remote Claims Rework & Projects Analyst II
Centene Corporation
- Remote job
Centene Corporation is seeking a qualified candidate for the role centered on processing complex medical claims. This position requires managing pending claims, verifying submitted information, and ensuring compliance with company practices. The ideal applicant will possess 2+ years of health insurance experience, with a preference for knowledge in Medicaid and Medicare claims. Competitive benefits are provided, including health insurance and flexible work options. #J-18808-Ljbffr Centene Corporation
$19.43 - $32.98 per hour
...perspective on workplace flexibility. This opening will support Claims Rework or Claims Projects. Anyone applying to this position will be in... ...off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will...Remote workClaimsHourly payFull timeContract workPart timeWork at officeFlexible hours$75k - $100k
...part of the recruiting process. If anyone claiming to represent X-energy directs you in a... ...analysis in support of X-energy led programs/projects. Job Profile Tasks/Responsibilities... ...Expectations: 4 days onsite, 1 day remote Travel Expectations: 5%, as needed...Remote workClaimsFull timeContract workWork at officeMonday to Friday$85k - $93k
...ASE is looking for a Project Control Analyst II to work in Suffolk, VA. To join our team of outstanding professionals, apply today! Responsibilities... ...SharePoint. Job ID 2025-19901 Work Type Remote Pay Range $85,000 - $93,000 Benefits Regular...Remote workFull timeContract workPart timeFor contractors$64k - $72k
ACS Auto Club Services, Inc. is seeking a Michigan Homeowners Claim Representative II to manage homeowner insurance claims. This role involves handling claims of varying complexity with a focus on resolving coverage questions and ensuring thorough documentation. Candidates...Remote jobClaims- Nationwide Mutual Insurance Company is seeking a Field Claims Specialist II, Material Damage for their Sacramento area. This role involves investigating and resolving insurance claims, delivering exceptional customer service, and mentoring less experienced associates....Remote jobClaims
$24.5 - $26 per hour
...Default FHA Claims QA Analyst II Come join our amazing team and work remote from home! The Default FHA Claims QA Analyst II will work under moderate supervision, responsible for reviewing FHA mortgage insurance claims for accuracy and submitting the claim form for...Remote workClaimsWork from home$100k - $300k
...POSITION SUMMARY The Catastrophe Claims Examiner II processes insurance claims for property losses based on coverage, appraisal, and verifiable damage. They interact with independent adjusters and policy holders, review claim forms and other records to determine insurance...Remote workClaimsWork experience placement$50k - $86.4k
...coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. We are seeking a Bodily Injury... ...and how to handle • Applies increased experience in the Adjuster II level or a rotation into a specialty position (Coverage, Investigation...Remote workClaims- ...Level II – Risk Adjustment Coding Specialist (Intermediate) Responsibilities:... ...diagnosis coding accuracy, completeness, and claim submission quality. Perform comprehensive... ...regional level. Keep leadership aware of project activities through written and oral updates...Remote workClaims
- Southcarolinablues is seeking a Medical Reviewer II to conduct comprehensive medical claim reviews and ensure compliance with Medicare guidelines. This role requires an active RN license and at least two years of clinical nursing experience. Qualified candidates can work...Remote jobClaimsWork from home
- ...Job Description Job Description Role Summary The Claims Examiner II/III is a senior-level professional responsible for managing the full... ...reserve management. Location and Work Type Work Type: REMOTE Office Presence: Regular, timely attendance in the office...Remote workClaimsWork at office
$63.9k - $79.8k
...Product Pricing Analyst II Posting Start Date: 6/3/26 At TE, you... ...the planning stages of a new project, and offering installation and... ...or organizations falsely claiming to represent TE Connectivity.... ...ID: 153504 Workplace Type: Remote External Careers Page: Sales...Remote workClaimsFor contractorsLocal area- Zurich 56 Company Ltd is looking for a Workers Compensation Claims Specialist II in Parsippany-Troy Hills, NJ. The role involves managing claims... ...range of $59,900.00 - $98,200.00, incentives, and benefits. Remote working is available, supporting flexibility within...Remote jobClaims
- ...RCM Specialist II The RCM Specialist II is an individual contributor role on the RCM team, responsible for AR follow-up, posting... ...internal SOPs. ~ Perform AR follow-up to resolve unpaid or underpaid claims, denials, and aged balances through appropriate action (i.e....Remote workClaims
- ...Analyst, EDI II Working Location: McLean, VA (Fairfax County) Employment Status: Full Time Required Education: Bachelor's degree... ...related role. Requires three years of experience in Healthcare IT claims processing, HIPAA regulations, FHIR, EDIFECS Specbuilder, SQL...Remote workClaimsFull timeVisa sponsorship
- Mercury Insurance Company is looking for a Claims Specialist II to join their team in Los Angeles, California. This position involves guiding... ...offers extensive benefits including competitive compensation, remote work flexibility, and educational assistance. Join a team...Remote jobClaims
$50k - $75k
A company providing insurance solutions is seeking a Workers’ Compensation Claims Adjuster II for a fully remote position. The ideal candidate will manage workers' compensation claims effectively while adhering to laws and regulations. Responsibilities include evaluating...Remote jobClaims$43.89k - $65.64k
...stakeholders. This role is available for remote, hybrid and onsite work arrangements.... ...working closely with Workers' Compensation Claims Specialists or Liability Claims Specialists... ...modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be...Remote workClaimsMinimum wageFull timeWork at officeLocal areaFlexible hours$100k - $231.54k
CVS Health Corporation is seeking a Lead Director, Medicare Rework Reduction to enhance the effectiveness of Medicare claims operations. This role emphasizes leadership in reducing rework and improving operational performance. Ideal candidates will have 10-15 years of...Remote jobClaims- ...Job Information Job Title Claims Representative II- General Liability (Bodily Injury focused) Home Department: Claims Employment... ...Position Location: Home Office, Telecommuting, and Remote Opportunities in: CO, GA, IL, IN, IA, MN, TN, TX, & WI...Remote workClaimsFull timeLocal areaHome officeFlexible hours
- ...Full-time Description GENERAL SUMMARY The Insurance Accounts Receivable Specialist II is responsible for managing more complex insurance claim follow-up and resolution activities. This includes working denials related to medical necessity, bundling...Remote workClaimsFull timeWork at officeImmediate start
$66.94k - $101.26k
...Description The Payment Integrity Analyst is responsible for accurately... ...completing pre- and post pay claim audits based on client, policy... ...CMS guidelines. This is a remote position. ESSENTIAL... ...time. For leveled roles (I, II, III, Senior, Lead, etc.) new...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours$55k - $60k
AON is seeking a Claims Specialist II in San Francisco, California. This role involves reviewing and servicing claims, providing effective communication, and requires prior experience in claims adjudication. The position offers a hybrid work schedule, a comprehensive benefits...Remote jobClaims- SaviLinx LLC is looking for a Customer Service Representative II Phones to deliver exceptional service from home. The role involves resolving customer inquiries, coordinating claims, and maintaining CRM documentation. Candidates should have a strong background in customer...Remote jobClaims
- ...a Technical Denials Management Specialist II within its Revenue Cycle Department. This... ...on reviewing, researching, and resolving claim denials and appeals across various insurance... ...recovery. The position offers flexibility with remote work opportunities but requires candidates...Remote jobClaims
- ...Companies, Inc. is searching for a Utilization Management Representative II to manage benefit investigations in a fully virtual role.... ...Responsibilities include determining contract eligibility, managing service claims, and conducting clinical screenings. Benefits include a...Remote jobClaimsContract work
- ...recruiting for a Reimbursement Specialist II - Collections position. Candidates must reside... ...one hour of Temecula, CA, and will manage claim follow-up and payment resolution for a... ...excellent communication skills. This primarily remote role supports reimbursement activities for...Remote jobClaims
$26.44 - $33.17 per hour
...Legal, based in Rocklin, California, is hiring for a Workers' Compensation Resolution Specialist II who is responsible for managing accounts related to workers' compensation claims. The role requires a strong understanding of applicable regulations and superior negotiation...Remote jobClaimsHourly pay- ...Systems Analyst II Rising Medical Solutions has an opening for a Systems Analyst II, and... ...system by reducing the cost of healthcare claims through bill review, case management,... ...with developers, QA analysts, and other project team members to implement or enhance systems...Remote workClaims
- ...Title - Medical Coder II, Certified Shift - (Remote working after on-site training (2-4 weeks). Must be... ...position will ensure accurate coding and claim submission and conformity to... ...to include complex coding issues and project work as assigned reviews within work...Remote workClaimsPermanent employmentFlexible hoursShift work
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