Remote Claims Review Specialist III
Humana Inc
- Remote job
Humana Inc is seeking a Claims Review Representative 3 to make informed claim decisions based on claims procedures and regulations. The role involves advanced administrative and customer support duties and requires strong experience in claims processing. Ideal candidates will have technical aptitude, experience with medical claims adjudication, and proficiency with Microsoft Office. This remote position offers competitive benefits starting from day one, including PTO and tuition reimbursement. #J-18808-Ljbffr Humana Inc
$44.9k - $60.2k
Humana Inc is seeking a Claims Review Representative 3 to make claim decisions based on extensive knowledge of claims procedures and legislation... ...independent judgment. The successful candidate will work remotely, collaborating with the professional staff to ensure...Remote job$44.9k - $60.2k
Humana Inc is looking for a Claims Review Representative 3 in Washington, DC, to make claim decisions based on a strong knowledge of claims procedures. This remote role requires independent initiative and judgment. The successful candidate will process and adjudicate medical...Remote job$44.9k - $60.2k
Humana Inc, located in Richmond, Virginia, is looking for a Claims Review Representative 3. This remote role involves making claim decisions based on knowledge of procedures, requiring initiative and judgment. Candidates should have proven experience with medical claims...Remote job- Humana Inc is seeking a Claims Review Representative 3 to make claim decisions based on a strong understanding of claims procedures and legislation... ...administrative support and decision-making on claims. This remote position requires a background in processing medical claims...Remote job
- Humana Inc is looking for a Claims Review Representative 3 to join their team in Lansing, Michigan. This remote position involves making important claim decisions based on strong knowledge of claims procedures and state and federal legislation. The successful candidate...Remote job
- Humana Inc. is seeking a Claims Review Representative 3 to work remotely in Annapolis, MD. The role involves making informed claim decisions based on procedures, and extensive claims processing knowledge. Qualified candidates will possess strong adjudication skills and...Remote job
- Humana Inc is seeking a Claims Review Representative to make claim decisions based on extensive knowledge of claims procedures and legislation. In this remote position, you will partner with professional staff, exercise discretion in decision-making, and manage a variety...Remote job
- Humana Inc is seeking a Claims Review Representative 3 in Tallahassee, Florida. This role involves making appropriate claims decisions using... ...on reviewing claims and administrative tasks, working remotely with a 40-hour workweek. Candidates should have strong experience...Remote job
- Humana Inc is looking for a Claims Review Representative 3 based in Madison, Wisconsin. This role involves making claim decisions, utilizing... ...and working independently to manage administrative tasks in a remote setting. Required qualifications include strong experience in...Remote job
$44.9k - $60.2k
Humana Inc is looking for a Claims Review Representative 3 to handle claim decisions based on a thorough knowledge of claims procedures and relevant legislation. This remote role demands excellent administrative skills as you will work independently to prioritize tasks...Remote job- Humana Inc is seeking a Claims Review Representative 3 to make authorized claim decisions and assist with administrative tasks. This position... ...independent judgment in interpreting claims procedures. This remote role offers competitive benefits including a generous 401k...Remote jobWork at office
- Humana Inc is seeking a Claims Review Representative 3 to make informed claims decisions based on extensive knowledge of claims procedures and legal standards. This remote position requires strong initiative and judgment while processing claims and performing customer support...Remote job
- Humana Inc is seeking a Claims Review Representative 3 who makes informed claim decisions utilizing knowledge of claims procedures, contract... ...and procedure interpretation. The position offers remote work and is ideal for candidates with a strong background in medical...Remote jobContract work
- Humana Inc is seeking a Claims Review Representative 3 to make claim decisions based on knowledge of claims procedures and state and federal... ..., with a strong emphasis on processing medical claims. This remote position offers professional development and employee well-being...Remote job
- Humana Inc is looking for a Claims Review Representative 3 in Columbia, SC, to make claim decisions based on strong knowledge of claims procedures, contract provisions, and legislation. This role supports advanced administration and requires independent judgment, with the...Remote jobContract work
$17.97 - $26 per hour
Priority Claims Specialist III (Remote) Job ID: 2026-31055 # Positions: 1 Location: US | Telecommute (U.S.) Position | Full-Time | Category: Medical... ...claims that have been unpaid, short paid and/or denied. Review EOB's and other correspondence from insurance companies...Remote workHourly payFull timeContract workLocal areaMonday to FridayFlexible hoursDay shift- ...Liability Adjuster III At AssuranceAmerica, we are more than a unique blend of insurance... ...coverage and liability issues, any claims involving serious injuries, and files in litigation... ...Maintain current diary on all claims and review and address mail as outlined in...Remote workContract work
- A leading research university in New York is seeking a Claims Resolution Representative III to manage accounts receivable processes. This role involves... ...and excellent communication skills. The position offers remote work options and emphasizes customer service and...Remote work
- Nuvision Federal Credit Union is hiring a Fraud Review Specialist for a full-time remote role. This position aims to enhance the credit union's safety and security by processing member fraud claims and analyzing fraud reports. The ideal candidate will have 2-3 years of...Remote workFull time
$75k - $85k
...Workers Compensation Claims Examiner III _ New York Fully remote or hybrid in Philadelphia, PA 19107 Salary Range $75,000.00 - $85,000.00 Salary/year... ...authority as designated. Maintains diary system for case review and documents file to reflect the status and work...Remote workFull timeCasual workWork at officeWork from homeShift work$25k
...Commercial Auto, BI, Liability Claims Examiner III This position can be remote or in office at Albany, NY POSITION SUMMARY: Responsible for the prompt review of policy information including all relevant endorsements and vehicle schedules to determine coverage for...Remote workWork at officeLong distance- Liability Claims Adjuster III - Must have Medical Malpractice Claims Experience Remote Worker - New York Overview This is a dynamic claims and account management position... ...the claim Obtain consultant and/or expert reviews for early evaluation Aggressively pursue contribution...Remote workFor contractorsNight shift
$90k - $95k
...Claims Examiner III - Hybrid / Remote Hybrid • Concord Office - Concord, CA 94520 Salary Range $90,000.00 - $95,000.00 Salary/year Level Experienced... ...in accordance with mandated requirements and regularly reviews and stays abreast of applicable laws, rules and...Remote workFull timeTemporary workWork at officeShift work- ...Job Title: Workers Compensation Claims Adjuster - Hawaii (Hybrid or Remote) Job ID: 84810 Location: Kapolei,... ...the Claims Adjuster/Examiner II / III manages all aspects of workers' compensation... .... Conduct scheduled file reviews and respond to client inquiries....Remote workWork at officeLocal area
$93.6k - $104k
...Workers Compensation Claims Examiner III Temp Fully Remote • Signal Hill Office - Signal Hill, CA 90755 Overview Salary Range $93,600.00 - $1... ...authority as designated. Maintains diary system for case review and documents file to reflect the status and work being...Remote workTemporary workWork at officeLong distanceShift work$90k - $105k
...Senior California Workers' Compensation Claims Consultant III to their organization. This is a newly... ...will have the ability to work remotely but must reside in California! Handle... ...medical treatment for injured workers. Review and evaluate documentation, including...Remote jobWork from home$71.61k - $118.15k
...A property and casualty insurance provider is seeking a Claim Representative III in Sacramento, CA. This remote role involves high-level technical claim-handling, mentoring staff, and conducting property inspections. The ideal candidate will have a college degree, at least...Remote work$90k - $100k
...George Hills, and AS&G Claims Administration, we’re a... ...but will be able to work remotely. Summary: The Adjuster III investigates, evaluates,... ...of the client, medical specialists, agents, witnesses, or claimants... ...Liability Exposure: Review insurance applications...Remote workContract work$85k - $95k
...Commercial Auto & General Liability Claims Examiner III Fully Remote Dallas - Irving, TX 75038 Salary Range $85,000.00 - $95,000.00 Salary/year... ...established authority and guidelines. Responsible for the prompt review of policy information including all relevant...Remote workFull timeWork at officeShift work- The Claims Examiner III is a senior-level professional responsible for managing the full lifecycle... ...including diary systems for timely case review. Proactively communicate relevant... ...: Hybrid (combination of in-office and remote work) Office Presence: Regular, timely...Remote jobWork at office
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