Remote Medical Claims Examiner Precise Adjudication
NTT Data
- Remote job
NTT DATA, Inc. seeks a claims processor to manage professional claim forms and adjudicate according to client workflows and HIPAA rules. You will review benefits, research issues, and respond to inquiries while maintaining high quality and productivity targets. Ideal candidates have 1–3 years in healthcare claims processing, strong MS Office and Excel skills, and the ability to work remotely 8:00–16:30 EST. Training is conducted on‑camera to ensure compliance and accuracy. #J-18808-Ljbffr NTT DATA
$20 - $25 per hour
...Medical Claims Examiner Join a team where your attention to detail and commitment... ...the accurate and timely adjudication of CMS 1500 and UB-04... ...off, flexible schedule, and remote work choices provided... ...a pivotal role where your precision powers patient care! Thrifty...Remote workHourly payLocal areaFlexible hours- ...Working remotely, the Medical Claims Examiner will process professional claim forms, review policies and benefits, and ensure compliance with HIPAA... ...productivity targets. Key responsibilities Process and adjudicate claims according to defined workflows and guidelines Research...Remote work
$18 per hour
...Remote Medical Claims Examiner NTT DATA is currently seeking remote medical claims examiners to join our team. Must be able to work Monday... ...research, review and act on the claims, prioritizing work and adjudicating claims as per turnaround time/SLAs, ensuring claims are...Remote workMonday to FridayFlexible hours- A leading medical professional liability insurance carrier is seeking a Senior Claims Examiner for a remote role. The ideal candidate will have over 7 years of casualty claims experience, including 2-3 years in medical malpractice. Key responsibilities include investigating...Remote work
- A leading health insurance provider in Seattle is seeking a Claims Processor to oversee claims adjudication for various types. Responsibilities include processing Institutional, Professional, and Dental claims, while adhering to privacy and quality standards. The ideal...Remote workFlexible hours
$18 per hour
...in business and technology services is looking for a Healthcare Claims Processor in Wisconsin. The role involves processing claims and... ...requires effective communication and the ability to manage time in a remote work environment. The pay rate is $18.00 per hour, and training...Remote workHourly pay- Firstsource Solutions Limited is seeking a remote Claims Examiner to analyze documents and adjudicate claims in line with client specifications. You will determine pay/deny decisions and route items for any missing information, ensuring adherence to TAT and SLA while coordinating...Remote job
- MedPOINT Management is seeking a Claims Examiner to adjudicate claims in accordance with health plan regulations and contractual obligations. This... ...mathematical skills, and knowledge of ICD-10 and CPT-4 coding. This is a remote position. #J-18808-Ljbffr MedPOINT ManagementRemote job
- Primerica is seeking a Life Insurance Examiner to adjudicate individual life claims. This role requires a minimum of 4... ...in adjudicating Life, Health, Medical, or Disability Claims, with strong... ...organizational skills. The position offers a remote working arrangement across the...Remote work
- ...NTT Data is Hiring! Medical Claims Examiner - Remote Processing of Professional claim forms files by provider Reviewing the policies and... ...research, review and act on the claims Prioritize work and adjudicate claims as per turnaround time/SLAs Ensure claims are...Remote work
- ...thinking organization, apply now. We are currently seeking a Medical Claims Examiner Remote to join our team in Plano, Texas (US-TX), United States (... ...review and act on the claims • Prioritize work and adjudicate claims as per turnaround time/SLAs • Ensure claims...Remote workFlexible hours
- Jobtailor in Houston is seeking a Claims Adjudication Assistant to help process medical, dental and vision claims, ensuring accuracy while meeting quality and turnaround goals. Ideal candidates have at least 6 months in healthcare or insurance operations, proficiency with...
- CommunityCare HMO Inc. is seeking a Claims Examiner responsible for examining claims before adjudication. The role requires strong attention to detail, the ability to work independently, and knowledge of medical terminology and claims processing procedures. The ideal candidate...
- CommunityCare HMO Inc. seeks a Claims Examiner to review and adjudicate claims using various resources and knowledge. The role requires meticulous attention... ...years of relevant experience in claims processing or medical billing. The position entails examining claims and...
- ...Dates: 1/5/2026 or 2/2/2026 What is your impact? As a Claim Examiner, you will handle processing and adjudication for healthcare claims. This will include claims... ...accounts: Responsible for processing of claims (medical, dental, vision, and mental health claims) Claims...Full timeTemporary workPart timeWork experience placementWork at office
- ...Medical Claims Examiner Under general supervision from the Director of Operations, the responsibility... ...of processing claim data and adjudicating medical and inpatient claims received... ...position is 100% Onsite and NOT open for Remote. Medical Claims Examiner...Full time
$85k - $105k
...Services & Insurance Workers Compensation Claims Examiner | CA Jurisdiction Knowledge Required |... ...Apply your knowledge and experience to adjudicate complex customer claims in the context... ...) PRIMARY PURPOSE To process future medical workers compensation claims to determine...Contract workWork at officeFlexible hours$21 per hour
...Claims Examiner – San Antonio, TX ($21/hr, Mon–Fri 8am–5pm) Adecco is hiring a Claims Examiner responsible... ...inquiries. Key Requirements Recent medical claims experience REQUIRED Experience with medical claims adjudication Knowledge of Medicaid and Medicare guidelines...Hourly payTemporary workWork at officeLocal area$48k - $52k
...Salary $48-$52K Employment Type Direct Responsibilities Review pending claims for billing errors. Correct system errors prior to final claims adjudication. Review and process medical, dental, vision, and Flexible Spending Accounts claims. Complete claim exception reports...Flexible hours- ...The Claims Examiner & Support Specialist Level I is responsible for accurately processing health... ...aligns with established guidelines. Adjudicating claims according to the policies and... ...needed to complete projects. Travel to medical offices may be necessary for the...Work at officeMonday to FridayFlexible hours
- Humana Inc. is recruiting for a Claims Processing Representative 2 in Louisville, KY. The role involves reviewing and adjudicating complex or specialty claims, performing computations, and determining whether to return, deny, or pay claims according to policy. Training...Remote job
- ...is looking for a full-time Ancillary Specialist who will review and adjudicate claims for the GAP product while ensuring accuracy in processing and customer satisfaction. This role is performed remotely. The ideal candidate will possess a High School diploma, knowledge...Remote jobFull time
- Visa Hunt is seeking an experienced claims adjudication specialist to review and process medical claims in a remote team. You will apply plan benefits, COB rules, and contractual terms to approve, pend, or deny claims while maintaining quality standards. This role supports...Remote job
$80k - $98k
...company is seeking a Workers Compensation Claims Examiner based in California. The role involves analyzing... ...experience preferred. The position offers remote work flexibility and a comprehensive benefits package, including medical and retirement plans. The salary ranges...Remote job$25 per hour
...We are seeking a Pharmacy Adjudication Specialist for our Specialty Oncology... ...in the State of Missouri; remote work available. Shift times... ...before July 31 2026. Benefits Medical, Dental, Vision 401k with a... ...Responsibilities Adjudicate pharmacy claims, review claim responses for...Remote workFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work- ...position is intended to provide billing and claims management support to Alivi Specialty... ...Outsourcing (BPO) Services. The Medical Claims Examiner will ensure all claims received... ...Responsible for accurate and timely adjudication of professional and institutional claims...Contract workWork experience placementFlexible hours
$18 - $22 per hour
Job Description Are you an experienced Medical Claims Adjuster in the Annapolis, MD area seeking a great career opportunity? Have you recently... ...Responsibilities: Responsible for the accurate and timely adjudication of all claims in accordance with applicable contracts, state...Hourly pay$63.4k - $88.77k
The Hispanic Alliance for Career Enhancement is seeking a Claims Examiner for Workers Compensation. The role is remote, focusing on analyzing and processing claims within Southeast States jurisdictions. The ideal candidate will have experience in claims management, strong...Remote job- ...Oncology Pharmacy in Columbus, OH is looking for a Pharmacy Claims Adjudication Specialist to work full-time. Candidates must have active Ohio... ...5,000 sign-on bonus and various health perks. Flexibility to work remotely is offered. #J-18808-Ljbffr Onco360 Oncology PharmacyRemote jobFull timeRelocation package
$25 per hour
Onco360 is seeking a Pharmacy Claims Adjudication Specialist based in St. Louis, MO with opportunities to work remotely. This full-time role involves adjudicating pharmacy claims... ...patient communication regarding their medication deliveries. The ideal candidate will have...Remote jobFull timeRelocation package
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