Hybrid Pharmacy Claims Adjudication Specialist
Onco360 Oncology Pharmacy
A leading oncology pharmacy is seeking a Pharmacy Claims Adjudication Specialist. The role involves adjudicating claims, resolving insurance issues, and ensuring timely medication delivery. Required skills include pharmacy claims resolution and excellent communication. This full-time position offers a hybrid work model based in Scottsdale, AZ, with benefits including 401k matching and paid time off. #J-18808-Ljbffr Onco360 Oncology Pharmacy
- Providence Health Plan Group in Renton, WA is seeking a Claims Processor to adjudicate claims for its capitated population. You'll be responsible for complex claims adjustments and act as a primary resource in specific areas like EDI and Health Plan Repricing. Join us...Suggested
- Philadelphia Insurance Companies in Seattle is looking for a Senior Claims Specialist - Commercial Auto BI to manage complex insurance claims. This... ...a Bachelor's degree and 15 years of related experience. A hybrid work model is available, offering flexibility while...SuggestedRemote job
- 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...SuggestedRemote workFlexible hours
$25.92k - $113.85k
Cambia Health Solutions is hiring Underwriters I, II, and III for a hybrid role based in Renton. Candidates will evaluate risks and ensure accurate rate assessments. Responsibilities include managing group renewals, auditing, and supporting internal teams. The ideal candidates...Suggested$80k - $100k
...Successful candidates will ideally have a Bachelor's degree or equivalent experience in the insurance industry. The role offers a hybrid work model with a salary range of $80k - $100k annually, along with various teammate benefits focusing on total well-being. #J-1880...Suggested$78.4k - $117.6k
Foreman & Associates is looking for an Ocean Marine Underwriter to join their innovative team in Seattle. This hybrid role involves underwriting marine liabilities, hull & machinery, and cargo while collaborating with industry leaders. The ideal candidate will have strong...$21.55 - $33.53 per hour
Description The Claims Specialist ensures patient account and claim information contains comprehensive and accurate data to provide for timely billing and optimal reimbursement for services. Monitors daily electronic claims transmission to research and resolve system and...Remote jobMinimum wageWork experience placementLocal areaShift work- ...Claims Specialist The Claims Specialist ensures patient account and claim information contains comprehensive and accurate data to provide for timely billing and optimal reimbursement for services. Monitors daily electronic claims transmission to research and resolve...Remote jobWork experience placement
$58.33k - $81.66k
Primary Purpose To provide clients with professional care handling losses or claims regionally unassisted, with the ability to address most complex adjustment issues pertaining to damages and coverage and to assist on large losses with the ability to manage smaller and...Work from homeFlexible hours$102.15k - $120.18k
...50 and rated A++ by A.M.Best. We are looking for a Senior Claims Specialist – Commercial Auto BI to join our team! JOB SUMMARY Investigate... ...applicant experience and geographic location. • We offer a hybrid work model that provides flexibility to work remotely while...Work at officeRemote work$100k
...designed to meet the unique coverage and claims-handling needs of businesses. The Argo... ...Construction Defect Technical Claims Specialist Employment Type: Full-Time FLSA... ..., MT, ND, SD, or VT. This role will be adjudicating our most complex construction defect claims...Full timeLocal areaRemote work- Jonus Group in Seattle is seeking experienced Personal Lines Production Binding Underwriters to join their growing team. This role is focused on producing new business and developing strong relationships with clients. Ideal candidates will bring a strong sales ability and...Flexible hours
$80k - $105k
The Jonus Group, located in Seattle, is seeking experienced Personal Lines Production Binding Underwriters to drive new business and build a book of business. Candidates should excel in marketing, have proven sales abilities, and a passion for cultivating client relationships...Flexible hours- A leading insurance service provider is seeking an Underwriting Assistant in Seattle. This full-time, in-office role includes preparing marketing information for business, monitoring reports, and assisting in accounting. Ideal candidates will have at least 1 year of office...Full timeWork at office
- ...and enjoy work-life balance. There’s no limit to what you can achieve. Position Claims Adjuster – Workers Compensation Job Highlights Apply your adjuster knowledge and experience to adjudicate complex customer claims in an energetic culture. Deliver innovative customer‑...Work from home
- Providence Health & Services is seeking a skilled claims adjudicator to manage claims for their capitated population. The role involves complex claims processing and customer service for problem resolution, requiring a Bachelor's degree and significant experience in managed...
- Adjudicates all claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts complex claims for advanced processing needs. Responds to Customer Service Requests and resolves problem claim situations. Assists...
$102.15k - $120.18k
...rated A++ by A.M.Best. Description We are looking for a Senior Claims Specialist - Commercial Auto BI to join our team! Job Summary... ...as applicant experience and geographic location. We offer a hybrid work model that provides flexibility to work remotely while maintaining...Work at officeRemote work- Pacific Medical Centers Corp in Renton, Washington, seeks a Claims Adjudicator to manage claims for enrolled capitated populations. The role involves adjusting complex claims, problem resolution, and serving as a resource for key areas in managed care operations. Ideal...
- ...will manage, investigate, and resolve assigned Property Contents Claims that present high exposure or more complex under limited... ...where necessary, and act as technical resource for other Contents Specialists. Training is a critical component to your success and that...Contract workFor contractorsLocal area
$81.4k - $98.35k
...National believes in supporting balance between work and life by providing a flexible work environment, which includes a variety of hybrid and remote work arrangements designed to balance individual, job, department, and company needs. Applicants must be authorized...Full timeWork at officeLocal areaRemote workWork visaFlexible hours$30 - $35 per hour
...time doing it. Join our Amwins Access team in Seattle, WA! This is a full-time, in office position in our Seattle, WA office with a hybrid schedule once training is complete. We are looking for people with: 1 year experience as support staff in an office environment or...Full timeSummer workWork at office- Providence is looking for a skilled claims adjudicator in Renton, WA. You will manage claims for our enrolled capitated population, providing excellent customer service while resolving complex situations. Our culture fosters patient-focused care, where your contributions...
$64.97k - $99k
...matter most. Grow Your Skills, Grow Your Potential Responsibilities Join our team as a Property Field Inspection Claim Specialist and showcase your expertise in handling accident and weather-related claims for homeowners, commercial properties, and large...Work experience placementWork at officeLocal areaRemote workWork from homeFlexible hours$82.8k - $97.3k
...We are looking for a Claims Specialist - Auto to join our team! Job Summary Investigate, evaluate and settle more complex first and third party commercial insurance auto claims. Job Responsibilities Evaluates each claim in light of facts; affirm or deny coverage; investigate...- ...Summary Responsible for the oversight and timely/accurate claims adjudication for all clients assigned. Claim types would include but may... ...regarding benefits, providers, claims, referrals, eligibility, pharmacy, etc. Other projects as assigned. Qualifications ~...Temporary workRemote workFlexible hours
$65k - $150k
...Hours: 8:30-5:00 Local Time Location: Remote or hybrid, depending on your area Compensation: $65,000 - $150,000 Who We Are: Welcome to USG, a distinguished national wholesale broker and managing general agent (MGA) with a prominent presence across the nation...Contract workTemporary workLocal areaRemote workFlexible hours$64.33k - $113.14k
...position entails frequent communication with claims, customer service, policyholders, agents... ...(API), Agribusiness & Farm Insurance Specialist (AFIS), or Associate in Commercial... ...: Pay Range:$64,334-$113,138Flexible hybrid work schedule (2 days per week in Seattle...Part timeWork at officeImmediate startNight shift2 days per week$176k - $238k
...comply with verification procedures may result in:* Disqualification from the recruitment process* Withdrawal of a job offer* Termination of employment and other criminal and/or civil remedies, if fraud is discovered#LI-Hybrid #J-18808-Ljbffr Symetra Financial CorporationRemote jobWork at officeImmediate startWork from homeFlexible hours$85k - $125k
...degree and a minimum of 3 years in personal insurance underwriting. The benefits include a competitive salary ranging from $85,000 to $125,000, flexible and hybrid work options, and employer-funded education courses for career advancement. #J-18808-Ljbffr Burns & WilcoxPrivate practiceFlexible hours
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