Remote Claims Advocate: Complex Case Resolution
First American
- Remote job
First American Home Warranty is seeking a Claims Advocate to resolve highly complex or escalated claims that cannot be handled through standard channels. The role includes investigating and responding to claims, supporting high-priority cases, and assisting customers and contractors across channels. The candidate will explain and navigate claim options, including denial, cash out, replacement, reimbursement, and external reimbursement, while participating in innovative company initiatives and #J-18808-Ljbffr First American
- First American Home Warranty is seeking a Claims Advocate to resolve highly complex or escalated claims beyond normal channels. The role emphasizes investigative... ...of home warranty terms. The position offers remote work options and a comprehensive benefits package. #J-...Remote jobClaimsFor contractors
- ...Insurance Policyholder Advocate The schedule... ..., and timely resolution of issues involving... ...benefits, coverage, claims, authorizations, and... ..., and outcomes in case management systems... ...to navigate complex systems and processes... ...information (PHI) in a remote environment FMS...Remote workClaimsFull timePart timeWork from homeMonday to FridayShift work
- ...The Patient Care Advocate serves as a trusted... ...and resolves the complexities of the pharmacy benefit... ...issues through to resolution. What you will... ...action for each case Assess patient... ...Quality: Analyze claims against benefit... ...quiet workspace for remote work. What...Remote workClaimsFull timeLive in
- ...Companies in Phoenix, Arizona is seeking a skilled professional for claims management. This role emphasizes assisting clients through the claims process, providing consultation, and advocating for optimal resolutions. The ideal candidate will have a bachelor’s degree,...Claims
$21 per hour
...As a Member Care Advocate (MCA), you will embody... ...navigate the complexities of their healthcare... ...position. This is a remote position and... ...aiming for first-call resolution - minimizing member... ...resolving complex cases, answering health... ...questions, billing and claims inquiries, prior...Remote workClaimsHourly payPermanent employmentContract workLocal areaWork from homeHome officeMonday to Friday- ...Health Healthcare Support Advocate About the job XO... ...About the Role: Remote- USA -Virtual Contact... ...eligibility, and coverage; claims status and... ...up outreach to ensure resolution, satisfaction, and continuity... ...Management teams to resolve complex cases and improve service...Remote workClaimsWork at office
- Sedgwick Claims Management Services Ltd is looking for an RN Field Case Manager located in Atlanta, GA. This role involves collaborating with injured workers and medical... ...experience preferred. The position offers remote work flexibility, a supportive work culture, and a...Remote jobClaims
- ...Customer Care (CC) Advocate resolves customer... ...contract benefits, claim payments, and... ...quality, First Contact Resolution, and performance.... ...inquiries, and any other complex inquiry.... ...making, and in some cases, becoming a resource... ...opportunity for remote work within all jobs...Remote workClaimsContract workWork at officeFlexible hours
- TEKsystems is seeking a Health Insurance Case Resolution Specialist in Honolulu to support healthcare administration finance operations. The role focuses on resolving complex claims, ensuring accurate financial reporting, and maintaining strong reconciliation processes...Remote jobClaims
- ...Integrated Nurse Case Manager/Registered Nurse/RN for Chronic/Complex Condition Sentara Health Plans is hiring an Integrated... ...problem solving with provider, claims or service issues. Target... ...positions that are available as remote work, Sentara Health employs associates...Remote workClaimsFull timeTemporary workWork from home
$23.33 per hour
...Description Job Description Case Resolution Specialist (Healthcare... ...about helping people navigate complex healthcare challenges? We're... ...this role, you'll serve as an advocate for members, helping ensure... ...service concerns. Review claims, authorizations, benefits,...ClaimsContract workTemporary work$145k - $220k
...sophisticated employment and complex civil litigation... ...Manage high-impact cases for employers, businesses... ...from inception through resolution. Gain meaningful courtroom... ...between the office and remote work while... ...and related employment claims. Manage discovery, including...Remote workClaimsWork at office- ...days in the office; and one day remote where it makes sense to do so... ...Responsibilities As a Complex Claims Legal Consultant, you will serve... ...strategy.Conduct detailed case evaluations, participate in pre... ...problem-analysis and problem-resolution skills.Excellent...Remote workClaimsFull timeWork at officeLocal area
- ...seeking a Workers' Compensation Claims Adjuster for a temporary assignment to adjudicate complex claims in the mining sector.... ...role is flexible with working remotely from anywhere in the continental... ..., and ensuring timely case resolution. A bachelor's degree and two years...Remote workClaimsHourly payTemporary workFlexible hours
$90k - $125k
...Summary: We are looking for a Complex Casualty Claim Specialist, experienced in... ...the accurate and timely resolution of l itigated and non-... ...regulations. This is a remote position. Our customers are... ...fair and prompt resolution of cases. Adjust reserves and...Remote workClaimsFull time- ...manage a caseload of Workers' Compensation claims across multiple jurisdictions. The role... ...timely, compliant, and cost‑effective resolution while supporting injured associates through... ...(1 day in‑person at a core location, 4 remote days) and requires applicants to be...Remote workClaimsFull time
- Vytwo is seeking a Claims Examiner for Workers Compensation to analyze complex claims and determine benefits due. The position requires at least 5 years of claims... .... A Bachelor's degree is preferred. This is a remote position with a duration of over 3 months. #J-1880...Remote jobClaims
$100.4k - $213.8k
...office 3x per week.Claims Advocacy... ...claim.Assist with resolution of coverage and legal... ...closely with a Claims Advocate.Collect and analyses... ...claims with highly complex coverage issues... ...flexibility of working remotely and the... ...be determined on a case-by-case basis. In...Remote workClaimsMinimum wageWork at officeLocal areaImmediate startFlexible hours3 days per week1 day per week- Expeditors in the United States seeks a Claims Specialist to manage claims from receipt to resolution, using our documentation system and global network. You... ...ability, sound judgment and the capacity to handle complex cases, with opportunity for career growth within...Remote jobClaims
- ...Join Hiscox as a Complex Claims SpecialistBuild a brilliant future with... ...locations. However, qualified remote candidates will also be considered... ...to provide fair and fast resolution of claims for our insured and... ...potential coverage, set adequate case reserves, promptly and...Remote workClaimsPrivate practiceWork at officeLocal area2 days per week
- ...Underwriting team. As an Senior Claims Advocate, you'll play a critical role... ...to facilitate timely claim resolution. Advocate for clients... ...managing multiple complex claims simultaneously. Most... ...strongly preferred Fully Remote may be considered for a stand...Remote workClaims
- ...compassionate Healthcare Advocate with Care Advocacy... ...families navigate the complexities of healthcare and aging... ...independent life. This is a remote, 1099 (contractor) role... ...bills and helping with claim appeals or... ...management, patient advocacy, case management, home health...Remote workClaimsFull timePart timeFor contractorsLocal areaMonday to Friday
- ...Customer Service Advocate, Level I Ampcus Inc. is a certified... ...Location: Owings Mill, MD. (Remote) Job Description: Purpose... ...product information, benefits, claims resolution, eligibility and billing... ...is essential for explaining complex Medicare benefits and resolving...Remote workClaims
- ...Bilingual Medicaid Eligibility Advocate Experience the HCA... ...is actively involved in all case management areas. In this... ...with Medicaid or Disability claims preferred, preferably in healthcare... ...management, or total patient account resolution, for HCA Healthcare. Our...Remote workClaimsTemporary workWork at officeFlexible hours
$37.02 per hour
...and more connected. As a Claims Advocate, you will manage claims related... ..., you will facilitate claim resolutions and educate involved parties... ...facing environment managing complex or sensitive customer issues... .... Unless approved for full remote work, employees must spend...Remote workClaimsHourly payExtra incomeFull timeWork at officeImmediate startWork from homeNight shiftAfternoon shift- ...expanding our Specialized Claims organization and are seeking... ...to join our Major Case Unit. These Fully Remote positions offer a competitive... ...to manage high‑exposure, complex claims. We have multiple openings... ..., negotiation, and resolution of claims that represent the...Remote workClaimsWork at officeAfternoon shift
$105k - $125k
...peace of mind. At C3, the Claims Advocate role is key in providing... .../coverage and assist with resolution of coverage issues which may... ...Opportunity to work from home/remote The applicable base... ...Decisions will be determined on a case-by-case basis....Remote workClaimsWork at officeWork from homeFlexible hoursNight shift$84.8k - $127.2k
Consultant Claims - CH08CEWe’re determined to make a... ...claims will often involve complex fact patterns requiring... ...adjustment- Presenting cases to management for... ...Developing and implementing resolution strategies to achieve... ...role can have a Hybrid or Remote work arrangement....Remote workClaimsFull timeTemporary workPart timeWork at office3 days per week- ...SIU Specialized Investigator to analyze highly complex technical information with minimal oversight, identifying major case and underwriting investigations with regional... ...years of investigative experience or related experience in insurance claims or #J-18808-Ljbffr VetJobsClaims
- ...strategically-minded Lien Resolution Specialist... ...the primary defense advocate during WCAB... ...candidates with a strong claims management... ...district offices. Case Management: Maintain... ...ability to interpret complex medical billing and... ...Schedule Remote and Hybrid work arrangements...Remote workClaimsFlexible hours
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