Remote Claims Research & Resolution Specialist
Jobgether SRL
- Remote job
Jobgether SRL is seeking a Healthcare Claims Support Specialist in the United States to investigate and resolve complex medical claims by working with providers, members, and third-party services. This role requires strong analytical skills, healthcare knowledge, and customer-focused communication. You will review discrepancies, validate documentation, and apply policies to reach timely resolutions. A remote work setup is available with training and career development opportunities. #J-18808-Ljbffr Jobgether SRL
- ...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 workClaimsMonday to FridayShift work
- ...Humana Inc. seeks a Claims Research & Resolution Representative 3 to manage claims operations involving customer contact, investigation, and settlement. You will report to the Supervisor, Claims & Research Resolution, and collaborate with providers, members, and third...Remote workClaims
- ...Humana Inc. is seeking a Claims Research & Resolution Representative 3 to join our remote operations team. You will work with providers, members, and third-party services to resolve complex medical claims while training is underway. Training lasts 8 weeks (Mon–Fri, 8:...Remote workClaimsDay shift
- ...Humana is hiring a Claims Research & Resolution Representative 3 to manage complex medical claim investigations and settlements. You will work with providers, members, and teams to ensure accurate resolution and compliance, reporting to the Supervisor, Claims & Research...Remote workClaimsMonday to FridayShift work
- ...Humana is seeking a Claims Research & Resolution Representative 3 to manage claims operations including customer contact, investigation, and settlement... ...experience, plus Medicare/Medicaid claims knowledge, with remote work and occasional travel for training. Training lasts 8...Remote workClaimsMonday to FridayShift work
- ...Humana Inc is seeking a Claims Research & Resolution Representative 3 to manage complex medical claims with providers, members, and third-party... ...training, you may work any shift 6:00am–5:30pm EST, with a remote work setup and occasional travel to Humana offices for training...Remote workClaimsMonday to FridayShift work
- ...Humana Inc. is seeking a Claims Research & Resolution Representative 3 to manage claims operations, including customer contact, investigation, and settlement, reporting to the Supervisor, Claims & Research Resolution. You will work with providers, members, and third-party...Remote workClaimsShift work
- Humana Inc. is seeking a Claims Research & Resolution Representative 3 to manage claims operations involving customer contact, investigation, and settlement. You will report to the Supervisor, Claims & Research Resolution and work with providers, members, and teams to...Remote jobClaimsMonday to Friday
- 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 jobClaims
- ...Digitech is seeking a detail-oriented Insurance Account Resolution Specialist to manage and resolve insurance claims after submission to commercial carriers. This remote role requires reviewing pending/denied claims and following through to payment, with strong analytical...Remote workClaimsMonday to Friday
- ...support a growing team, the full-time Claims Resolution Specialist will review medical insurance claims... ...open account balances while working remotely. Key responsibilities Review all... ...denials from insurance providers by researching and responding to documentation requests...Remote workClaimsFull time
- ...Managing insurance claims for clients, the fully remote Account Resolution Specialist III will ensure timely and accurate payment processing, handle claim denials and appeals, and perform follow-ups with commercial payers. Key responsibilities: Submit and manage medical...Remote workClaimsWork at office
- ...Description Job Description The Claims Resolution Specialist is responsible for the day-to-day investigation... ...performs detailed claim reviews, researches payer requirements, corrects claim... ...and efficiently. *This is a remote role. We are only hiring in the following...Remote workClaims
- ...Summary: The Patient Collections Research Specialist is primarily responsible for... ...required for payment of EMS claims and entering that... ...information required for EMS claim resolution and payment Develop a... ...and business practices in a remote environment Sarnova is an Equal...Remote jobClaims
- ...Working remotely from home, the Claims Resolution Adjuster will investigate automobile accidents involving bodily injury, assess coverage and damages, and negotiate fair settlements while providing exceptional customer service. Key responsibilities Conduct liability investigations...Remote workClaimsWork from homeMonday to FridayShift work
- ...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
$28 - $35 per hour
...Claims Resolution Specialist The Claims Resolution Specialist is responsible for the day-to-day investigation... ...performs detailed claim reviews, researches payer requirements, corrects claim... ...and efficiently. *This is a remote role. We are only hiring in the following...Remote workClaimsHourly pay- ...expanding its lien division. We seek a detail-oriented Lien Resolution Specialist Paralegal to handle EDD and medical provider liens for insurance... ...defense while aligning with California regulations. Strong claims management experience is preferred. #J-18808-Ljbffr Russell...Remote jobClaims
$16.25 - $18.25 per hour
...Position: Dispute Resolution Analyst Overview: J29, Inc. (J29) has been supporting... ...processing, review, and analysis of medical claims, records, data, and audits between areas... ...Diploma or equivalent Location: Remote Salary: $16.25-18.25 per hour J29,...Remote workClaimsHourly payWork at officeImmediate start- ...will serve as the primary contact for members and providers, delivering first-call resolution and high-quality service. You will troubleshoot inquiries about eligibility, benefits, and claims, and navigate multiple systems to ensure accurate responses and timely...Remote jobClaims
- Domestic & General is seeking a Remote Customer Resolutions Agent in the United States to handle escalations, complaints, service repairs, and claims. You’ll work autonomously to resolve cases while ensuring customer interests are prioritized and KPIs are met. The role...Remote jobClaims
- 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 workClaimsWork at office
- 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 workClaimsFull timePart timeCasual workLocal areaWork from homeFlexible hoursAfternoon shift
- ...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 jobClaimsHourly payFor contractors
- ...doing it well. Whether you're managing claims, supporting clients, or improving processes... ...: This role is eligible for fully remote work How you'll make an impactApply claims... ...process to ensure effective communication and resolution. Provide exceptional customer service to...Remote workClaimsLocal area
$104.8k - $157.2k
...Pain InterventionsThis position is fully remote in the USA and will include 5% travel.The Senior Health Economics & Outcomes Research Specialist designs and executes real-world... ...conduct real-world evidence studies using claims, electronic health record, and linked datasets...Remote workClaimsFull timeH1bWork at officeLocal areaImmediate startFlexible hours$20 per hour
...Days in Office, 2 Days Remote Join Our High-... ...As a Patient Account Specialist, you will play a vital... ...insurance inquiries, claims, and billing matters.... ...support timely and accurate resolution in accordance with... ...outstanding accounts. Research and resolve claim denials...Remote workClaimsWork at officeLocal areaWork from home$63.25k - $102.6k
...business people tech experts researchers and systems analysts to advance... ...faculty members the Research Specialist works independently to... ...methods and validation studies in claims data; applying skills in biostatistics... ...Details (if applicable) Remote Type Hybrid Work...Remote workClaimsFull timeShift work- ...Alternative Dispute Resolution (ADR) Claim Adjuster Remote At Frontline Insurance, we are on a mission to Make Things Better, and our Alternative Dispute Resolution (ADR) Claim Adjuster plays a pivotal role in achieving this vision. We strive to provide high quality...Remote workClaimsTemporary workLocal area
- ...// (***) ***-**** Debit Card Dispute Resolution Specialist $25-$27/HR W2 Duration: 6 Months... ...week onsite in Pensacola, FL / 2 Days Remote "Work sponsorship is not available... ...and resolve Debit Card dispute claims. Research and process chargebacks, arbitration,...Remote workClaimsContract workLocal area3 days per week
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