Remote Medical Claims Specialist — Complex Claim Resolution
HCSC Group
- Remote job
Health Care Service Corporation (HCSC) seeks a Claims Technician to start onsite in Richardson, TX, handling complex medical claims and coordinating benefits. The role shifts to primarily remote work after approximately six weeks, with in-office training as needed. Typical hours are Monday–Friday, 8am–5pm. Requirements include a high school diploma or GED, data entry or typing experience, and strong written and verbal communication skills, plus experience processing medical claims. #J-18808-Ljbffr HCSC Group
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$115k - $135k
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...00.00 Job Category: Claims Description Liberty... ...opening on our Complex Construction Claims Team... ...driving timely, defensible resolutions for our Construction... ...This role is primarily remote, with a light-touch office... ...SIU when appropriate, medical and causation experts,...Remote workClaimsFull timeWork at officeLocal areaImmediate startHome office$160k - $195k
...seeking an experienced claims professional to join... ...Professional Liability Complex Claims team. This position... ...inception through resolution. Handle claims... ...Flexible schedule with remote work capability Strong... ...Extremely competitive Medical, Dental, Vision, and...Remote workClaimsFull timeFlexible hours- ...Claims Resolution Specialist The Claims Resolution Specialist plays a critical role in the healthcare... .... ~2+ years of experience in medical billing, claims follow-up, or revenue... ...Detail-Oriented: Accurately manages complex data and payer requirements. Persistent...Remote workClaimsWork at office
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$20 - $25 per hour
...(4 days in-office / 1 day remote) Schedule: Monday – Friday... ...-directed, detail-oriented Medical Claims Specialist to join their revenue cycle... ...accurate reimbursement for complex diagnostic and laboratory services... ...& Appeals: Manage denial resolution, submit corrected claims,...Remote workClaimsHourly payPermanent employmentFull timeTemporary workWork experience placementWork at officeMonday to FridayFlexible hoursShift work$28 - $35 per hour
...Claims Resolution Specialist The Claims Resolution Specialist is responsible for... ...efficiently. *This is a remote role. We are only hiring in... ...history, payer correspondence, medical records, authorizations,... ...outstanding claims. Escalate complex reimbursement, coding, or...Remote workClaimsHourly pay$125k - $155k
...Our partner is looking for a Complex Claim Specialist, Excess & Surplus based in... ..., reserving, and resolution strategies to achieve strong... ...employment. ~ Potential for remote work, with the role also eligible... ...in a claims office. ~ Medical and dental plans. ~ Life...Remote workClaimsFull timeWork at officeFlexible hours$125k - $155k
...Join Our Dynamic Claims Team Build a brilliant... .... However, qualified remote candidates will also... ...West Hartford, CT Complex Claims Specialist-Miscellaneous Professional... ...from inception to resolution. This includes, but... ...dental and FSA plans (medical, limited purpose, and...Remote workClaimsTemporary workWork at office2 days per week$107.6k - $161.4k
Specialist Claims - CH07DE We’re determined to make a difference and are... ...we help shape the future. COMPLEX CLAIMS UNIT ENVIRONMENTAL -... ...legal analysis, and strategic resolution. As part of a specialized team... ...role can have a Hybrid or Remote work arrangement. Candidates...Remote workClaimsTemporary work3 days per week- ...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 workClaims
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- ...investigate and maximize insurance payments, the full-time remote Claims Resolution Specialist will research auto accident details, confirm payer... ...bills to ensure timely payments for client hospitals and medical providers. Key responsibilities Research and investigate...Remote workClaimsFull timeWork at office
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...CNA Financial Lines has an opening for a Complex Claims Consultant handling Employment Practice... ...investigations, develop and employ resolution strategies, and authorize disbursements... ...California Street; Wauwatosa, WI, USA; Remote - CO; US- CA73 - Los Angeles-633 West 5...Remote workClaimsFull timeWork experience placementWork at officeLocal areaShift work$17.69 - $23.56 per hour
...contractors to analyze and resolve Home Warranty claims in a timely manner while maintaining a... ...the investigation of the claim through resolution Make decisions and authorize work... ...~ Fluent bilingual Spanish a plus Pay Range: $17.69 - $23.56 Hourly, Remote...Remote workClaimsHourly payContract workFor contractorsWork at office$114k - $160k
...insurance company, is seeking a Complex Claim Specialist. This position can be... ...the possibility of working remotely. The successful candidate will... ...for formulating proper resolution strategy to ensure best claim... ...opportunities. Our benefits include: Medical & Dental Plans, Life...Remote workClaimsFlexible hours$18 - $20 per hour
...client, Digitech Computer, is seeking a Health Insurance Claims Resolution Specialist to work remotely full time. Digitech is seeking a Health Insurance... ...distributor of health care products in emergency medical services (EMS) and respiratory markets and is the industry...Remote workClaimsFull time- ...with four days in the office; and one day remote where it makes sense to do so.... ..., #LI-LD1 Responsibilities As a Complex Claims Legal Consultant, you will serve as the... ...Demonstrate problem-analysis and problem-resolution skills.Excellent interpersonal and communication...Remote workClaimsFull timeWork at officeLocal area
- Digitech is seeking a detail-oriented Insurance Account Resolution Specialist to manage and resolve insurance claims after submission to commercial carriers. This remote role requires reviewing pending/denied claims and following through to payment, with strong analytical...Remote jobClaimsMonday to Friday
- Digitech is hiring a detail‑oriented Insurance Account Resolution Specialist to manage claims after submission to Medicare HMOs, Medicaid MCOs, and facilities... ...with thorough documentation in billing systems. This remote position operates Monday through Friday during standard...Remote jobClaimsMonday to Friday
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$80k - $95k
...is seeking a Senior Commercial General Liability Claims Specialist. This remote role involves managing complex claims, requiring 5-10+ years of relevant experience... ..., along with comprehensive benefits including medical, dental, and 401(k) matching. #J-18808-Ljbffr King...Remote jobClaims$60 - $80 per hour
We are seeking a fully remote Medical Malpractice Complex Claims Associate:Description1)Manages an inventory of highly complex professional liability... ...coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority...Remote workClaimsContract workTemporary workWork at officeLocal area- Sovereign Insurance Group is seeking a Claims Specialist to manage the claims lifecycle from notice to resolution. The role collaborates with customers and carriers to ensure... ...work options are available in Berwyn, PA, with remote opportunities in PA/NJ. #J-18808-Ljbffr...Remote jobClaims
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$75k - $120k
...Hybrid schedule: 2 days remote / 3 in‑office... ...Competitive pay + generous PTO Medical, dental & vision... ...Companies is seeking a Complex Liability Adjuster to... ...Business Owners Policy (BOP) claims in New York, including... ...and support claim resolution Qualifications Experience...Remote workClaimsWork at officeWeekend work- Job Summary The Elite Job is looking for a detail-oriented and highly organized Medical Coding and Healthcare Claims Resolution Specialist to join our remote healthcare operations team. This role involves analyzing medical records, assigning accurate diagnostic and procedural...Remote workClaimsFull timePart timeCasual workLocal areaWork from homeFlexible hoursAfternoon shift
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