Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Claims Examiner - Adjudication & Process Improvement

MedPOINT Management

Los Angeles, CA
  • Remote job

MedPOINT Management is seeking a Claims Examiner to adjudicate claims in accordance with health plan regulations and contractual obligations. This role involves reviewing Provider claims, resolving issues, and assisting staff in claims research. The ideal candidate is a high school graduate with at least one year of experience in an automated claims system, strong organizational and mathematical skills, and knowledge of ICD-10 and CPT-4 coding. This is a remote position. #J-18808-Ljbffr MedPOINT Management

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Remote Claims Examiner - Adjudication & Process Improvement in Los Angeles, CA vacancy
  •  ...insurance Wellness resources The claims examiner is responsible for the adjudication of claims, in accordance with...  ...and issues, as needed. Suggests process improvements to management and is a resource...  ...to work independently This is a remote position. #J-18808-Ljbffr... 
    Remote work
    Process improvement

    MedPOINT Management

    Los Angeles, CA
    4 days ago
  • 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 work
    Flexible hours

    First Choice Health

    Seattle, WA
    6 hours ago
  • Primerica is seeking a Life Insurance Examiner to adjudicate individual life claims. This role requires a minimum of 4 years in adjudicating Life, Health,...  ...communication and organizational skills. The position offers a remote working arrangement across the United States. Benefits... 
    Remote work

    Primerica

    New York, NY
    2 days ago
  •  ...opportunity! The purpose of the Claims Adjudicator III position is to...  ...Level III ensures claims are processed accurately according to the...  ...Identifies areas for process improvement and makes recommendations...  ...Employee Assistance Program (EAP). #LI-Remote #LI-Hybrid... 
    Remote work
    Process improvement
    Hourly pay
    Temporary work
    Work experience placement
    Work at office
    Work from home
    Monday to Friday
    Flexible hours

    UNITE HERE HEALTH

    Oak Brook, IL
    a month ago
  •  ...Description Job Title:Medical Claims Specialist Location...  ...documentation, and adjudicate critical illness...  ...Analyze, investigate, and process complex Critical...  ...and continuous process improvement initiatives. Collaborate...  ...Work Location: Hybrid remote in Minneapolis, MN 554... 
    Remote work
    Process improvement
    Contract work
    2 days per week

    Real Soft Inc

    Minneapolis, MN
    3 days ago
  • $21 per hour

     ...Claims Operations Specialist Looking to start or...  ...accurate and timely claims processing. In this position,...  ...Full-time, remote, in-person or hybrid work...  ...information needed to adjudicate claims appropriately and...  ...opportunities for process improvements, including changes... 
    Remote work
    Process improvement
    Full time
    Work at office
    Work from home
    Flexible hours

    Quartz

    Onalaska, WI
    3 days ago
  • $57.1k - $116.1k

    Fairygodboss is seeking a Claims Lead Examiner in California. This role involves assisting the Claims Manager and reviewing workers...  ...monitoring claims, resolving partner complaints, and developing processes for improvement. Benefits include medical, dental, and retirement... 
    Remote job
    Process improvement

    Fairygodboss

    San Dimas, CA
    3 days ago
  • $70k - $100k

     ...Description Job Title ~ Claims Operations Specialist...  ...days in office/2 days remote Reports to ~...  ...pre- and post-payment adjudication audits on claim...  ...to ensure financial, processing, and operational accuracy...  ...solutions for quality improvement ~ Proficiency in financial... 
    Remote work
    Process improvement
    Full time
    Casual work
    Work at office
    Monday to Friday
    Flexible hours

    DB Insurance Co., Ltd.

    Great Neck, NY
    27 days ago
  • $47k - $67.2k

     ...time Pharmacy Post-Payment Claims Analyst to join its remote team across the United...  ...analytical, and passionate about improving healthcare operations,...  ...work with pharmacy data, adjudication systems, and client...  ...and implementation of new processes and systems to enhance claims... 
    Remote job
    Process improvement
    Permanent employment
    Full time
    Contract work
    Flexible hours

    School Result

    New York, NY
    4 days ago
  •  ...commitment to accuracy in processing complex medical claims. If you are eager to make...  ...to apply. Work Schedule Remote Monday through Friday, 8:...  ...compliance. Critical Analysis Adjudicate claims according to...  ...contribute to continuous process improvements. Audit Participation... 
    Remote work
    Process improvement
    Full time
    For contractors
    Work at office
    Monday to Friday
    Flexible hours

    BROADWAY VENTURES, LLC

    New York, NY
    4 days ago
  • SilverRock Automotive, Inc. is seeking an Ancillary Specialist for Claims Review & Adjudication focused on GAP products. The role requires reviewing and adjudicating claims, verifying documentation, and ensuring accurate financial transactions with customers. The ideal... 
    Remote job
    Work from home

    SilverRock Automotive, Inc.

    New York, NY
    4 days ago
  • $23 per hour

     ...We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Scottsdale, AZ...  ...This will be a Full‑Time position and a remote hybrid opportunity after an onsite training...  ...Specialist will adjudicate pharmacy claims, review claim responses for accuracy, ensure... 
    Remote work
    Full time
    Temporary work
    Work experience placement
    Flexible hours
    Shift work

    JobRx, Inc.

    Scottsdale, AZ
    1 day ago
  •  ...Summary The Default Foreclosure Claims Specialist is responsible for...  .... This is a fully remote position. We are looking to fill...  ...(SME) on default claims processes and property preservation requirements...  ...trends and recommend process improvements to enhance efficiency,... 
    Remote work
    Process improvement

    Flat Branch Home Loans Inc

    Columbia, MO
    8 days ago
  •  ...Reimbursement Compliance Project Manager of the RCM Team, the Claims Escalation Specialist/Team oversees stakeholder and...  ...build internal and external relationships to deliver on process and performance improvements. Responsibilities Creates, manages, and maintains... 
    Remote job
    Process improvement
    Work at office
    Local area

    BrightSpring Health Services

    Englewood, CO
    6 days ago
  •  ...Job Title: Technical Specialist- Expert (HB, PB, Claims Analyst) Job Location: North Carolina Job Type: Remote Duration: 1 year Responsibilities: Test system...  ...the system. Investigates standardization and process improvement opportunities by rounding within revenue cycle... 
    Remote work
    Process improvement
    Hourly pay
    Contract work

    Infostride

    Raleigh, NC
    1 day ago
  • $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, ensuring their accuracy, resolving rejections, and maintaining patient communication regarding... 
    Remote job
    Full time
    Relocation package

    Onco360

    Saint Louis, MO
    1 day ago
  • Onco360 is seeking a Pharmacy Claims Adjudication Specialist for their Specialty Oncology pharmacy in Columbus, OH. The role involves adjudicating pharmacy claims, resolving rejections, and providing patient outreach regarding claims. Applicants must have active Ohio Pharmacy... 
    Remote job
    Relocation package
    Flexible hours

    Onco360

    Columbus, OH
    4 days ago
  • CareMed Specialty Pharmacy is hiring a Pharmacy Adjudication Specialist in Louisville, KY. This role involves adjudicating pharmacy claims, ensuring timely responses, and communicating effectively with patients and providers. Ideal candidates have a minimum of 1 year of... 
    Remote job

    CareMed Specialty Pharmacy

    Louisville, KY
    3 days ago
  • $26 per hour

    JobRx, Inc. is seeking a Pharmacy Adjudication Specialist for its Specialty Oncology pharmacy in Hartford, Connecticut. This full-time role offers potential remote work opportunities and involves managing pharmacy claims effectively while ensuring proper patient outreach... 
    Remote job
    Hourly pay
    Full time

    JobRx, Inc.

    Hartford, CT
    2 days ago
  • CareMed Specialty Pharmacy is seeking a Pharmacy Adjudication Specialist for a remote hybrid opportunity. The successful candidate will adjudicate pharmacy claims, resolve third-party rejections, and provide support to health care providers and patients. Qualifications... 
    Remote job
    Hourly pay
    Relocation package

    CareMed Specialty Pharmacy

    Saint Louis, MO
    3 days ago
  • Pharmacy Solutions Group (PSG) is looking for a Claim Adjudication Department Specialist to manage real-time insurance claims while providing excellent customer service. This full-time remote position requires close communication with various pharmacy departments and the... 
    Remote job
    Full time

    Pharmacy Solutions Group (PSG)

    Glen Burnie, MD
    3 days ago
  • $26 per hour

    Onco360 is seeking a Pharmacy Claims Adjudication Specialist in Hartford, CT. This full-time position involves adjudicating pharmacy claims, ensuring accuracy, and resolving third-party rejections. Candidates must possess active Connecticut Pharmacy Technician credentials... 
    Remote job
    Hourly pay
    Full time
    Relocation package

    Onco360

    Hartford, CT
    4 days ago
  • JobRx, Inc. is seeking a Pharmacy Adjudication Specialist for their Scottsdale, AZ location. This Full...  ...position offers the potential for hybrid remote work after training. Successful candidates will adjudicate pharmacy claims, ensuring accuracy and compliance with... 
    Remote job
    Full time

    JobRx, Inc.

    Scottsdale, AZ
    2 days ago
  • $25 per hour

    JobRx, Inc. is hiring a Pharmacy Adjudication Specialist based in Columbus, Ohio. The role involves adjudicating pharmacy claims, resolving third-party rejections, and ensuring accurate...  ...position offers the possibility to work remotely. A starting salary of $25.00 an hour is... 
    Remote job
    Full time
    Relocation package

    JobRx, Inc.

    Columbus, OH
    2 days ago
  • $91k - $152k

     ...Supplement Large Loss, Complex Claims Reinsurance Specialist in...  ...Global Claims unit to work remotely based out of our Stamford,...  ...is responsible for adjudicating high-value and complex Medicare...  ...excellence through training and process improvement. Key Responsibilities Large... 
    Remote work
    Process improvement
    Worldwide

    General Re

    Stamford, CT
    19 hours ago
  • $47k - $67.2k

     ...Professional Claims Analyst - Remote US Date: Mar 18, 2026 Location: Any city, TX, US, 99999 Work Mode: Virtual (Exception...  ...practices, and identify opportunities to improve claims systems and operational processes. This position requires strong analytical expertise... 
    Remote work
    Process improvement
    Full time
    Work at office
    Flexible hours

    Gainwell Technologies

    Wausau, WI
    1 day ago
  • Evry Health is seeking a dedicated claims examiner to review and process medical claims based on contractual agreements. The ideal candidate...  ...a minimum of 3 years’ experience in medical claim adjudication. This remote role requires strong attention to detail, excellent... 
    Remote job
    Flexible hours

    Evry Health

    Dallas, TX
    2 days ago
  • $58 per hour

     ...hours a week Monday-Friday, 2 days remote CONTRACT TERM 1 year contract with...  ...extension POSITION OVERVIEW – The Property Claims Specialist supports key business...  ...analysis, reporting, risk assessment, and process improvement initiatives. The role works cross-... 
    Remote work
    Process improvement
    Contract work
    Work at office
    Monday to Friday

    West Coast Logistics

    Andover, MA
    19 days ago
  •  ...you! What will the Liability Claims Specialist do? Coterie is evolving...  ...Coterie team members on process, product, project, insurance,...  ...Assurance (QA), Continuous Process Improvement (CPI), User Experience (UX/UI...  ...We offer the following: 100% remote Health insurance through... 
    Remote work
    Process improvement
    Full time
    Work experience placement
    Work at office
    Immediate start
    Visa sponsorship
    Monday to Friday
    Flexible hours

    Coterie Insurance

    New York, NY
    4 days ago
  • $18 per hour

     ...leading healthcare provider is hiring a Senior Claims Examiner to work from home, ensuring accurate adjudication of complex claims for SCCIPA contracted plans. The...  ...diploma and two years of experience in claims processing. Responsibilities include adjudicating claims, resolving... 
    Remote work
    Hourly pay
    Full time
    Work from home

    Broadpath Inc

    New York, NY
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Claims Examiner - Adjudication & Process Improvement. Be the first to apply!