Health Insurance Claims Specialist - Adjudication & Analysis
Insurance Administrative Solutions
Insurance Administrative Solutions, L.L.C. is seeking a Health Insurance Claims Adjuster in Idaho. The role involves analyzing claims to determine insurance carrier liability and interpreting benefits according to guidelines. The ideal candidate will have at least 1 year of claims adjudication experience, strong research and communication skills, and familiarity with medical claims. Competitive benefits include medical insurance, a 401(k) plan, and paid time off. #J-18808-Ljbffr
$140k - $170k
...Senior Complex Claims Specialist Build a brilliant future... ...opportunity to learn multiple insurance products and interact... .... This person adjudicates assigned claims... ...complex technical coverage analysis and letters; Acts... ...~ Comprehensive health insurance, vision, dental...Health InsuranceInsurance claimsTemporary workWork at office2 days per week$60 - $90 per hour
...professionals experienced in insurance claims handling, claims operations... ...structured claims workflow analysis. This role supports... ...steps Coverage, Reserving & Adjudication Support Review coverage... ...adjuster, claims operations specialist, claims examiner, claims...Insurance claimsRemote jobHourly payWeekly payJob sharingContract workPart timeFor contractorsFlexible hours$56.03k
...Health Research Inc. is seeking an Insurance and Claims Specialist I in Menands, NY. This role involves processing claims for uninsured care programs related to HIV/AIDS and providing support to both providers and participants. The ideal candidate will have relevant education...Health InsuranceInsurance claims$130k - $160k
...Private Company Senior Claims Specialist Everest Insurance Company Claims About Everest: Everest... ...drafting, reporting claim trends, data analysis and risk assessment Extensive... ...of benefits to employees, including health insurance coverage, an employee...Health InsuranceInsurance claimsFull timeWork at officeImmediate startRemote work$86k - $150k
...Job Description Senior Claims Specialist - Employment Practices Liability (EPL)... ...match ~ Benefits Include: ~ Health, dental, and vision insurance ~ Life and disability insurance... ...limits. Conduct thorough coverage analysis, assess exposure, establish appropriate...Health InsuranceInsurance claimsPrivate practiceWork at office- ...based approach, Coterie helps insurance professionals unlock... ...you! What will the Liability Claims Specialist do? Coterie is evolving its... ...counsel's opinion letters and analysis Develop and implement strategy... ...the following: 100% remote Health insurance through Aetna (we...Health InsuranceInsurance claimsFull timeWork experience placementWork at officeImmediate startRemote workVisa sponsorshipMonday to FridayFlexible hours
$130k - $160k
...Professional Liability Senior Claims Specialist Everest is a global... ...candidate will be able to analyze insurance coverage issues and resolve... ...claim trends, data analysis and risk assessment Extensive... ...benefits to employees, including health insurance coverage, an...Health InsuranceInsurance claimsFull timeWork at officeImmediate startRemote work$116k - $162k
...wider world. Position Details Title: Claims Specialist II Company: Everest Insurance Company Job Category: Claims... ...drafting, reporting claim trends, data analysis, and risk assessments Extensive... ...benefits to employees, including health insurance coverage, an employee...Health InsuranceInsurance claimsFull timeImmediate start- ...Fetch Pet Insurance is seeking a Veterinary Technician to adjudicate claims remotely. This role involves reviewing medical records and ensuring compliance with policy conditions. The ideal candidate should have at least five years of experience, superior communication...Insurance claimsRemote work
$17.05 per hour
...Millennium 1 Solutions is hiring a Claims Analyst on a 3-month contract for a Work from Home position in Nova Scotia, Canada. The role is responsible for efficiently adjudicating health and dental claims using a specific processing system. Ideal candidates should have...Insurance claimsHourly payContract workRemote workWork from homeMonday to Friday- ...Weekday AI is looking for an Insurance Claims Management AI Expert to enhance the claims lifecycle using AI and analytics. The role demands... ...processes such as claims intake, investigation, and adjudication. The ideal candidate will have 2-8 years of experience in claims...Insurance claimsPart timeRemote workWeekday work
$88k - $164k
...(JD) is preferred. Prior claims file handling experience: Including... ..., managing and resolving insurance coverage and claims, we want... ...claims. As a Claims Specialist, you'll investigate, evaluate... ...provide comprehensive coverage analysis and claim resolution...Health InsuranceInsurance claimsFull timeTemporary workPart timeCasual workWork at officeWork from home2 days per week- ...ID: 419891 Practice area:- Insurance Defense - General,Personal Injury... ...defense,third-party claims,bodily injury defense,property... ...• Legal research and case analysis • Negotiation and settlement... ...including: • Comprehensive health insurance coverage • Retirement...Health InsuranceInsurance claimsPermanent employmentPlacement yearWork at office
$90k - $150k
...West Hartford, CT US Claims Compliance And Quality Assurance... ...role suited for an experienced insurance claims compliance... ...executive reporting, trends analysis, and regulatory insights... ...company matching ~ Comprehensive health insurance, vision, dental and...Health InsuranceInsurance claimsTemporary workWork at officeRemote workFlexible hours2 days per week- ...Job Title: Insurance Claims Specialist Job Type: Full-Time, Remote Working Hours: US Hours (9am-5pm EST) Key Responsibilities Serve as the main point of contact for clients, providing guidance and updates throughout the claims process Review and submit claims documentation...Insurance claimsFull timeRemote workWork from home
- ...Aquent is seeking a dedicated customer service representative in New York, specializing in insurance claims. This role demands attention to detail, excellent organization, and the ability to handle multiple tasks. Candidates must possess strong data entry skills and a...Insurance claims
- ...Freelanceshop is looking for a Remote Claims Processor to join our General Insurance Hub. This full-time role involves ensuring timely and accurate processing of insurance claims with a focus on customer service and operational efficiency. The ideal candidate will have...Insurance claimsFull timeRemote work
$59 - $111 per hour
...A leading insurance training company is seeking an Insurance Claims and Policy Processing Clerk – AI Trainer to remotely handle insurance claims and document processing. This role involves preparing documents, calculating claims, and providing feedback to AI teams to enhance...Insurance claimsHourly payRemote work10 hours per week- ...Sarnova HC, LLC is looking for a motivated Insurance Account Resolution Specialist for a remote position. The role involves managing and resolving insurance claims after submission and requires excellent analytical skills, attention to detail, and the ability to manage...Insurance claimsWork at officeRemote work
$8 - $65 per hour
...Insurance Specialist - Freelance AI Trainer Project United States of America... ...live and breathe policy analysis, claims management, risk... ...policy interpretation, claims adjudication, risk modeling, insurance... ...sponsored benefits such as health insurance and PTO do not apply...Health InsuranceHourly payContract workFor contractorsFreelanceImmediate startRemote work- A national insurance services provider seeks a Full‑Time Field Claims Representative for virtual assignments in Pennsylvania. The role involves managing on-site insurance property claim inventory and ensuring excellent customer relations. Key qualifications include strong...Insurance claimsFull timeWork at officeLocal areaNight shift
- ...A leading insurance consultancy is seeking an Insurance Claims Specialist to handle client interactions and manage the claims process. The role requires at least 2 years of experience in Property & Casualty insurance claims, strong communication skills, and the ability...Insurance claimsRemote workWork from home
- ...Our client, a major Life Insurance carrier is seeking a Life Insurance Claims Specialist for a long term (2 year minimum) contract position. This job can be worked... ...no material misrepresentation with the original health history that was used at the time of the policy issue...Insurance claimsLong term contractRemote work
- ...Entrepreneur Cooperative is looking for detail-oriented Health Insurance Specialists to manage insurance claims for personal injury cases. The role involves opening claims, verifying medical liens, and maintaining accurate records. Ideal candidates have experience in health...Health InsuranceInsurance claimsRemote workFlexible hours
$18.5 - $42.35 per hour
CVS Health is seeking a Medical Claims Specialist to review and adjudicate complex medical claims. The role requires minimum 18 months of experience in medical claim processing within a health insurance payor environment. Candidates should have excellent attention to detail...Health InsuranceHourly payFull time- ...Insurance Claims Specialist We are seeking an experienced and independent Insurance Claims Specialist with 7+ years of multi-line claims experience to manage and resolve claims across Marine Cargo, Property & Casualty, Automobile, Workers' Compensation, and Liability...Insurance claimsContract work
- ...Supplemental Products Team Lead (Health Insurance) Join to apply for the TPA... ...supports the management, analysis, and optimization of supplemental... ...products insurance claims to ensure that claims are processed... ...accuracy, compliance, adjudication turnaround times, and payment...Health InsuranceInsurance claimsFull timeWork at officeRemote workWork from homeHome office
- ...outcomes for its clients. About the Role We are seeking detail-oriented and highly organized Health Insurance Specialists to support personal injury cases by managing health insurance claims, liens, documentation, and related follow-ups. This role is ideal for someone with...Health InsuranceInsurance claimsFull timeFor contractorsRemote work
- ...Knowtion Health is looking for a Revenue Recovery Specialist to manage motor vehicle and health insurance claims. This position is remote and requires efficient management of medical payments and communication with various payers. Candidates should have 1 to 3 years of...Health InsuranceInsurance claimsRemote work
$72k - $141k
...Claim Professional You have a clear vision of where your career can go. And we have... ...premier providers of professional liability insurance. We are currently seeking a claim... ...range. Insurance litigation and/or coverage analysis experience is preferred. The qualified...Insurance claimsWork experience placementWork at officeLocal areaShift work
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