Remote Medical Claims Examiner — Precise Adjudication
NTT Data
- Remote job
NTT DATA, Inc. seeks a claims processor to manage professional claim forms and adjudicate according to client workflows and HIPAA rules. You will review benefits, research issues, and respond to inquiries while maintaining high quality and productivity targets. Ideal candidates have 1–3 years in healthcare claims processing, strong MS Office and Excel skills, and the ability to work remotely 8:00–16:30 EST. Training is conducted on‑camera to ensure compliance and accuracy. #J-18808-Ljbffr NTT DATA, Inc.
$20 - $25 per hour
...Description & Requirements Medical Claims Examiner Local Remote or In-Office Join a team where... ...for the accurate and timely adjudication of CMS 1500 and UB-04 claims, ensuring... ...into a pivotal role where your precision powers patient care! Thrifty Management...Remote workHourly payWork at officeLocal areaFlexible hours- ...Working remotely, the Medical Claims Examiner will process professional claim forms, review policies and benefits, and ensure compliance with HIPAA... ...productivity targets. Key responsibilities Process and adjudicate claims according to defined workflows and guidelines Research...Remote work
$18 per hour
...NTT DATA is currently seeking Remote Medical Claims Examiners to join our team. (Amisys or Xcelys experience is a plus) ***Must... ..., review and act on the claims Prioritize work and adjudicate claims as per turnaround time/SLAs Ensure claims are...Remote workMonday to FridayFlexible hours- ...Job Opportunity NTT Data is Hiring! Medical Claims Examiner - Remote Processing of professional claim forms files by provider. Reviewing... ...research, review and act on the claims. Prioritize work and adjudicate claims as per turnaround time/SLAs. Ensure claims are...Remote job
- Firstsource Solutions Limited is seeking a remote Claims Examiner to analyze documents and adjudicate claims in line with client specifications. You will determine pay/deny decisions and route items for any missing information, ensuring adherence to TAT and SLA while coordinating...Remote job
- Imagenet, LLC is seeking a Claims Examiner for a fully remote role operating in the Pacific Time Zone. The... ...reviewing, investigating, and processing medical claims and provider disputes in line... ...and internal policies. You will adjudicate claims end-to-end, verify eligibility...Remote job
- MedPOINT Management is seeking a Claims Examiner to adjudicate claims in accordance with health plan regulations and contractual obligations. This... ...mathematical skills, and knowledge of ICD-10 and CPT-4 coding. This is a remote position. #J-18808-Ljbffr MedPOINT ManagementRemote 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...Remote jobFlexible hours
- ...thinking organization, apply now. We are currently seeking a Medical Claims Examiner Remote to join our team in Plano, Texas (US-TX), United States (... ...review and act on the claims • Prioritize work and adjudicate claims as per turnaround time/SLAs • Ensure claims...Remote workFlexible hours
- Primerica is seeking a Life Insurance Examiner to adjudicate individual life claims. This role requires a minimum of 4... ...in adjudicating Life, Health, Medical, or Disability Claims, with strong... ...organizational skills. The position offers a remote working arrangement across the...Remote work
- CommunityCare HMO Inc. is seeking a Claims Examiner responsible for examining claims before adjudication. The role requires strong attention to detail, the ability to work independently, and knowledge of medical terminology and claims processing procedures. The ideal candidate...
- CommunityCare HMO Inc. seeks a Claims Examiner to review and adjudicate claims using various resources and knowledge. The role requires meticulous attention... ...years of relevant experience in claims processing or medical billing. The position entails examining claims and...
- Humana Inc. is recruiting for a Claims Processing Representative 2 in Louisville, KY. The role involves reviewing and adjudicating complex or specialty claims, performing computations, and determining whether to return, deny, or pay claims according to policy. Training...Remote job
- Humana seeks a Claims Processing Representative 2 to review and adjudicate complex or specialty claims received by paper or electronic submission. You will determine... ...weeks, Monday-Friday, then a hybrid schedule with remote work after training. The role emphasizes accuracy,...Remote jobMonday to Friday
- ...is looking for a full-time Ancillary Specialist who will review and adjudicate claims for the GAP product while ensuring accuracy in processing and customer satisfaction. This role is performed remotely. The ideal candidate will possess a High School diploma, knowledge...Remote jobFull time
- Visa Hunt is seeking an experienced claims adjudication specialist to review and process medical claims in a remote team. You will apply plan benefits, COB rules, and contractual terms to approve, pend, or deny claims while maintaining quality standards. This role supports...Remote job
$80k - $98k
...company is seeking a Workers Compensation Claims Examiner based in California. The role involves analyzing... ...experience preferred. The position offers remote work flexibility and a comprehensive benefits package, including medical and retirement plans. The salary ranges...Remote job- ...position is intended to provide billing and claims management support to Alivi Specialty... ...Outsourcing (BPO) Services. The Medical Claims Examiner will ensure all claims received... ...Responsible for accurate and timely adjudication of professional and institutional claims...Contract workWork experience placementFlexible hours
$48k - $52k
Salary $48-$52K Employment Type Direct Responsibilities Review pending claims for billing errors. Correct system errors prior to final claims adjudication. Review and process medical, dental, vision, and Flexible Spending Accounts claims. Complete claim exception reports...Flexible hours- ...1/5/2026 or 2/2/2026 What is your impact? As a Claim Examiner, you will handle processing and adjudication for healthcare claims. This will include claims research... ...accounts: Responsible for processing of claims (medical, dental, vision, and mental health claims) Claims...Full timeTemporary workPart timeWork experience placementWork at office
$18 - $22 per hour
Job Description Are you an experienced Medical Claims Adjuster in the Annapolis, MD area seeking a great career opportunity? Have you recently... ...Responsibilities: Responsible for the accurate and timely adjudication of all claims in accordance with applicable contracts, state...Hourly pay$23 per hour
...We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy... ...a Full‑Time position and a remote hybrid opportunity after an... ....00 an hour and up. Benefits Medical, Dental, Vision 401(k) with a... ...Specialist will adjudicate pharmacy claims, review claim responses for...Remote workFull timeTemporary workWork experience placementFlexible hoursShift work$63.4k - $88.77k
The Hispanic Alliance for Career Enhancement is seeking a Claims Examiner for Workers Compensation. The role is remote, focusing on analyzing and processing claims within Southeast States jurisdictions. The ideal candidate will have experience in claims management, strong...Remote job- ...Financial Services, Inc. is seeking a Workers’ Compensation Medical Only Claims Examiner to manage claims requiring medical treatment without lost... ..., and medical providers to ensure effective claim adjudication. This hybrid opportunity is based out of our Maitland, FL...Work at office
$18 - $22 per hour
Healthcare Support Staffing is seeking an experienced Medical Claims Adjuster in Annapolis, MD, for a rewarding career opportunity. The... ...various coding schemes, with a focus on accuracy in claims adjudication. Competitive hourly pay ranging from $18 to $22 based on experience...Hourly pay- Evry Health is seeking a dedicated claims examiner to review and process medical claims based on contractual agreements. The ideal candidate will... ...minimum of 3 years’ experience in medical claim adjudication. This remote role requires strong attention to detail, excellent...Remote jobFlexible hours
$18 per hour
...A leading healthcare provider is hiring a Senior Claims Examiner to work from home, ensuring accurate adjudication of complex claims for SCCIPA contracted plans. The ideal candidate will have a high school diploma and two years of experience in claims processing. Responsibilities...Remote workHourly payFull timeWork from home- Role Description This is a remote position based in California, and candidates must reside within the state. As a Senior Claims Examiner, you’ll play a vital role in helping businesses... ...ensuring they’re handled with care and precision. You’ll oversee complex claim issues,...Remote workFull timeLocal area
$100k - $140k
...Claims Specialist - Medical Malpractice - Erie, PA Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice... ...MedMal Allied Healthcare _ . REMOTE - WORK FROM HOME MAY BE... ...compensation is not definite nor precise and may be estimated and...Remote workContract workWork from homeRelocation package- ...Claims Examiner - Workers Compensation Location: Roseville, CA 95678 Duration: 2-3 months Primary Purpose: To analyze complex... ...involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices...Remote work
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