Average salary: $47,629 /yearly
More stats$18 per hour
...and issues in accordance with guidelines and policies.
Complete outbound calls to members and providers scheduling a variety of medical services in accordance with member and provider availability
Refer to resources and document all activities in system(s), ensuring...
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Job Title: Appeals Specialist
Pay: $20.00 per hour (Full-remote - Preference Eastern Time Zone)
Typical Schedule/Shift: Monday - Friday, 7:30 AM - 4 PM or 8 AM - 4:30 PM
Summary:
As an Appeals Specialist, you play a critical role in reviewing and resolving member...
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Hourly pay
Full time
Remote job
Shift work
Monday to Friday
Claims Processor
Remote opportunity for a Claims Processor to support our customer,... ...and adjudicate paper/electronic healthcare/medical claims and will determine proper handling... ....
ESSENTIAL FUNCTIONS INCLUDE:
-60% Examines and resolves non-adjudicated claims to identify...
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$75k - $115k
...Calling all Claims Specialists and Paralegals!
We are searching for a Claims Specialist who has experience handling claims in litigation... ...interested in professional growth. This position supports our medical professional liability line of business and can be remote ,...
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...to be innovative and adaptable. At CSAA IG, we hire good people for a brighter tomorrow. We are actively hiring for a Senior Auto Claims Adjuster! Join us and support CSAA IG in achieving our goals.
*Your Role:*
As a Senior Auto Claims Adjuster, your responsibilities...
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Permanent employment
Full time
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Work from home
Shift work
Afternoon shift
Monday to Friday
...DESCRIPTION
CIS is recruiting for a Senior Property Liability Claims (Auto) Consultant
Recruitment opened: April 16, 2023... ...members.
Review and evaluate employment records, police reports, medical records, property repair estimates, auto repair estimates and...
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Home office
Night shift
2 days per week
3 days per week
Monday to Friday
...Medical Claims Review Nurse
Position is fully remote
Schedule: M-F 9AM-5PM local time. The training schedule will be M-F 9AM-5PM EST.
Daily responsibilities: Candidates will be reviewing medical patient records against standard medical criteria.
Candidates MUST...
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...operations.
Overview:
Broadpath is immediately hiring for a Claims Processor to join our team. Our Claims Processor will be... ...guidelines and reference tools such as CPT, ICD-9, ICD-10, HCPCS, medical terminology manuals, Correct Coding Initiative Edits, Medicare...
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$1,971 per week
...Job Description
We are seeking a Health Plan Claims for an assignment in Remote National.
responsible for the intake processing... ...limited to referral processing, obtaining required documents, medical records sorting and processing, preparing payment calculations,...
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...one of Inc’s Best Workplaces in 2022 and 2023.
Product Manager, Claim Reconciliation
Alma is seeking a mission-driven Product Manager... ...a remote-first company
~Health insurance plans through Cigna (medical and dental) and MetLife (vision), including FSA and HSA plans401...
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...interactions support our culture.
GBS
As a Group Claim Associate Analyst, you will demonstrate the knowledge and skills... ...Independently refer claims to Expert Resources when appropriate
Review medical records as needed to assist with claim reviews
Manage claims...
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...Claims Concierge Support I
Location: Austin, TX / Remote
About CORE:
CORE is redefining the standard for the restoration experience. CORE is a unique take on property damage restoration. Made up of the largest and most capable property restoration service...
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For contractors
Work experience placement
...reviews and adjudicates paper/electronic claims. Determines proper handling and adjudication... ....
ESSENTIAL FUNCTIONS:
60% Examines and resolves non-adjudicated claims to identify... ...ensure accurate completion according to medical policy, contracts, policies and procedures...
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...Remote
The CorVel University Claims Trainee is an entry level position for those who are interested in developing a career path... ...knowledge and understanding of claims practice, relevant statutes and medical terminology
Ability to identify, analyze and solve problems...
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Minimum wage
Full time
Traineeship
Local area
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Work from home
Flexible hours
...industry leader in pricing sophistication, telematics, digital photo claims and, more recently, device and identity protection.
We are... ...Rewards package also offers benefits like tuition assistance, medical and dental insurance, as well as a robust pension and 401(k)....
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Saturday
Afternoon shift
Monday to Friday
...Solutions has an immediate opening for a Workers' Compensation Claims Supervisor with our client.
The Workers' Compensation Claims... ...Compensation Claims Supervisor Responsibilities
Supervises team of examiners, single product line examiners, and/or several (minimum seven)...
Full time
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Immediate start
...reviewing, evaluating online entry, correcting errors and/or performing quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Reviews processed claims and...
Full time
Local area
...Insurance Placement Solutions has an immediate opening for a Remote Construction Defect Claims Adjuster with our client. As a member of our client’s claims team, utilize your knowledge of construction defect to independently investigate, evaluate, and resolve assigned...
Full time
Temporary work
Immediate start
Remote job
Drug Claims Processing SME
Position Description
CGI Federal is among the largest IT and business consulting firms in the world,... ...age, national origin, citizenship status, disability, pregnancy, medical condition, military and veteran status, marital status, sexual...
Local area
Flexible hours
2 days per week
...visit and follow @JazzPharma on Twitter.
The Sr. MSL will establish and maintain scientific and clinical relationships with medical professionals, researchers, and other members of the scientific community in alignment with a therapeutic area of focus. Sr. MSLs mentor...
Remote job
Flexible hours
Weekend work
Afternoon shift
...Insurance Placement Solutions has an immediate opening for an Auto Warranty Claims Adjuster with our client. As a member of our client’s claims team, utilize your knowledge of auto warranty to independently investigate, evaluate, and resolve assigned claims in order to...
Full time
Temporary work
Immediate start
...industry leader in pricing sophistication, telematics, digital photo claims and, more recently, device and identity protection.
We are... ...Rewards package also offers benefits like tuition assistance, medical and dental insurance, as well as a robust pension and 401(k)....
Remote job
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Work visa
Shift work
...Solutions has an immediate opening for a Remote Workers' Compensation Claims Adjuster with our client in California. As a member of our... ...workers’ compensation benefits
Administers indemnity and medical benefits for valid workers’ compensation claims
Manage the...
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Full time
Temporary work
Immediate start
$73k - $110k
...If you are a Litigation Claims Representative with experience, please read on!
We are a non-profit organization that was created to offer insurance products for residential and commercial property applicants that are unable to procure insurance through the voluntary...
Full time
Remote job
...Duties & Responsibilities
• Acts as a main point of contact for claims specific questions for the case managers
• Serves as a... ...salary, we offer an array of benefits to meet your needs including medical, dental, and vision coverage, prescription drug coverage,...
Holiday work
Remote job
Work from home
Flexible hours
...bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
Are you looking for a claims position within our Commercial Claims division that will allow you to showcase your strong claims handling skills in our Specialty...
Full time
Local area
Immediate start
Remote job
Work from home
Home office
...Solutions has an immediate opening for a Remote Workers Compensation Claims Adjuster with our client. As a member of our client’s claims... ...workers’ compensation benefits
Administers indemnity and medical benefits for valid workers’ compensation claims
Manage the progression...
Remote job
Full time
Temporary work
Immediate start
...new levels of mobility and freedom.
The Manager, Priority Claims - Remote is responsible for supporting the company’s claims reimbursement... ...Administration, Business Administration or an ancillary medical field and 5 years of experience - OR - an equivalent...
Holiday work
Part time
Local area
Remote job
Relocation package
Flexible hours
Shift work
Day shift
Monday to Friday
...Position : Data Architect - Claims Expert
Location : 100% Remote
Type: Contract on W2 only
USC/GC
Must be able to:
~ Link a claim from the 837 claims EDI file to the 835 remit EDI file
~ Understand CARC and what it stands for...
Contract work
Remote job
...Solutions has an immediate opening for a Remote Workers Compensation Claims Adjuster with our client. As a member of our client’s claims... ...workers’ compensation benefits
Administers indemnity and medical benefits for valid workers’ compensation claims
Manage the progression...
Remote job
Full time
Temporary work
Immediate start