Remote Claims Resolution Specialist
Humana
New York, NY
- Remote job
Humana is seeking a Claims Research & Resolution Representative 3 to manage complex medical claims through investigation, verification, and settlement in collaboration with providers, members, and third-party services. The role requires healthcare customer service and call center experience, with strong Excel/Word skills and knowledge of Medicare/Medicaid claims; the position is remote with travel for training or meetings as needed. #J-18808-Ljbffr Humana
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Claims Resolution Specialist in New York, NY vacancy
- ...To support a growing team, the full-time Claims Resolution Specialist will review medical insurance claims for resolution and payment, resolve inquiries... ...to collect on open account balances while working remotely. Key responsibilities Review all medical insurance claims...Remote workFull time
$28 - $35 per hour
...Claims Resolution Specialist The Claims Resolution Specialist is responsible for the day-to-day investigation and resolution of claim rejections... ...are processed accurately and efficiently. *This is a remote role. We are only hiring in the following states: AZ, CA,...Remote workHourly pay$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 workHourly payContract workFor contractorsWork at office- ...Humana is seeking a Claims Research & Resolution Representative 3 for a remote role. You will manage complex medical claim investigations, work with providers and members, and report to the Supervisor, Claims & Research Resolution. The position requires 1+ year of...Remote workMonday to FridayShift 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 workFull timePart timeCasual workLocal areaWork from homeFlexible hoursAfternoon shift
- ...Job Description Job Description The Claims Resolution Specialist is responsible for the day-to-day investigation and resolution of claim rejections... ...are processed accurately and efficiently. *This is a remote role. We are only hiring in the following states: AZ, CA,...Remote work
- Southern California Edison seeks a Claims Resolution Associate Specialist to support the claims organization in investigating and resolving third-party... ...California, this hybrid role combines office collaboration with remote work options to balance priorities while serving...Remote workWork at office
- ...Humana is seeking a Claims Research & Resolution Representative 3 to manage claims operations involving customer contact, investigation, and settlement... ...Supervisor, Claims & Research Resolution. Join Humana’s remote team to collaborate with providers, members, and third-...Remote work
- ...is seeking a customer service specialist for a high-volume call center... ..., and resolve Home Warranty claims while delivering strong customer... ...cases from investigation to resolution, reviewing information, and... ...Bilingual Spanish is a plus; remote role with competitive hourly...Remote jobHourly payFor contractors
$26.5k - $37.8k
...contributions and puts a premium on work flexibility, learning, and career development. Summary As a Healthcare Claims Resolution Specialist - Remote US at Gainwell, you will support cost recovery efforts by working with insurance carriers, providers, and internal...Remote workFull timeWork at officeFlexible hoursShift work- 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 job
- JOIN OUR GROWING CLAIMS DEPARTMENT AT MEDLYTIX! The Claims Resolution Specialist plays a key role in resolving open receivables for our clients. You will process... ...Location: Roswell, Georgia (hybrid role) OR Ohio (fully remote) Why Medlytix ? Competitive Pay Competitive...Remote work
- Digitech is seeking an Insurance Account Resolution Specialist to manage and resolve insurance claims after submission to commercial carriers. The role requires... ...the ability to handle a high-volume workload in a remote work environment. The position operates Monday through...Remote jobMonday to Friday
- Humana is seeking a Claims Research & Resolution Representative 3 to manage complex medical claims through investigation, collaboration with providers... ...Supervisor, Claims & Research Resolution and support a remote, US-based workflow. The role requires healthcare customer...Remote job
- Humana is seeking a Claims Research & Resolution Representative 3 to manage complex medical claims through investigation, documentation verification, and settlements. You will work with providers, members, and third-party services, reporting to the Supervisor, Claims &...Remote job
- Jobgether SRL is seeking a Healthcare Claims Support Specialist in the United States to investigate and resolve complex medical claims by... ...documentation, and apply policies to reach timely resolutions. A remote work setup is available with training and career development...Remote job
- Humana is seeking a Claims Research & Resolution Representative 3 to manage claims operations involving customer contact, investigation, and settlement... ...Supervisor, Claims & Research Resolution. You will work remotely with occasional travel to Humana offices for training or...Remote job
- ...employees are trusted to do their best work. In this role, you will investigate and resolve troubled or denied workers' compensation claims, make high-volume outbound calls to employers, insurers, attorneys, and patients, and contribute to team goals through special...Remote work
- Fusion Claims Consultants, LLC in Belcamp, MD seeks a Claims Handler for a full-time, hybrid role that allows partial remote work. You will manage claims processes, liaise with clients and... ...our team to achieve fair and timely resolutions. The ideal candidate brings proven...Remote workFull time
- First American Home Warranty is hiring for a remote Customer Service role within a call center environment. You will respond to high volumes... ..., and coordinate with contractors to resolve home warranty claims while delivering exceptional customer service. Requirements include...Remote jobFor contractors
$80k - $95k
A leading insurance staffing agency is seeking a Senior Commercial General Liability Claims Specialist. This remote role involves managing complex claims, requiring 5-10+ years of relevant experience and an active adjuster’s license. The position offers a competitive salary...Remote job$35k - $50k
...Gainwell Technologies is responsible for Claims Operations and Management functions... ...Assistance Services programs. As a Claims Resolution Analyst , you will play a key role in researching... ...on an ongoing basis. #LI-REMOTE #LI-JT1 The pay range for this position...Remote workFull timeWork at officeMonday to FridayFlexible hours- ...Revolution Become a Join the Clean Energy Revolution Become a Claims Resolution Associate Specialist at Southern California Edison (SCE) and build a better... ...for a set number of days with the option to work remotely on the remaining days. Unless otherwise noted,...Remote workRelocation
$59.06k - $90k
...-NY-Honeoye Job Category Claims and Investigation Position... ...Property Field Inspection Claim Specialist and showcase your expertise... ...ongoing inspections or claim resolutions Provide exceptional... ...4879 14885 14898 This is a Remote-Field position in which you will...Remote workFull timeWork experience placementInternshipWork at officeLocal areaWork from homeFlexible hours$67k - $126k
...- $126000.00 Job Category: Claims Description Are you looking... ...Workers Compensation Claims Specialist within the West Region!... ...and may be eligible for 100% remote work. Please note that this policy... ...a timely and cost-effective resolution; attends trials as a representative...Remote workFull timeWork experience placementLocal area$75k - $140k
...- $140000.00 Job Category: Claims Description If you're looking... .... The Senior Claims Specialist works within a Claims Team navigating... ...who may work in office or remote depending on their location.... ...efficient, outcome-focused resolutions. Drive proactive claim outcomes...Remote workFull timeContract workFor contractorsFor subcontractorWork at officeLocal area$61k - $113k
...- $113000.00 Job Category: Claims Description At Liberty, you... ...This approach optimizes both remote and in-person interactions,... ...and projects. The Claims Specialist works within a Claims Team,... ...investigation of the claim through resolution. This includes making...Remote workFull timeWork experience placementWork at officeLocal area$83k - $154k
...- $154000.00 Job Category: Claims Description Join a Growing... ...of Senior Technical Claims Specialist, you will exercise significant... ...management, negotiation, and resolution. You'll partner closely with... ...also consider highly qualified remote candidates who do not reside...Remote workFull timeWork at officeLocal areaWork from homeHome officeFlexible hours- ...Controls and QA Analyst - Claims Adjudication Specialist - Remote Role and Responsibilities The Controls and QA Analyst is responsible for... ...claims testing.Report findings and follow through with resolution resulting from claims analysis.Document results and follow...Remote workFull timeLocal areaImmediate startMonday to FridayWeekend work
- ...managed care organization serving North Carolina is seeking a Claims Relations Coordinator to handle claims issues and support the... ...ideal candidate will manage claims inquiries and ensure timely resolutions. Qualifications include a high school diploma or equivalent with...Remote workWork from homeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Claims Resolution Specialist. Be the first to apply!
Related searches
- claims assistant workers compensation New York, NY
- claims processor New York, NY
- claims consultant New York, NY
- claim representative (remote) New York, NY
- claim specialist New York, NY
- claims analyst work from home New York, NY
- claims analyst New York, NY
- claims resolution specialist New York, NY
- medical insurance claims specialist New York, NY
- insurance claims processor New York, NY





