Medical Claims Processor - Remote / Telecommute
Virtual Vocations Inc
Proactively identifying and triaging complex claims issues, the full-time Complex Claims Analyst will analyze data, manage referrals, and expedite resolutions while working remotely.
Key responsibilities
Analyzes data to identify complex claims requiring further intervention and triages referrals from regulatory agencies and external entities
Determines the most appropriate resource to resolve complex claim issues or complaints
Documents clear and concise file notes to facilitate stakeholder understanding of issue evaluations and determinations
Required qualifications
Five (5) years of liability claims experience or equivalent combination of experience and education
Preferred Bachelor's degree from an accredited college or university
Subject matter expertise in liability and transportation claims processing
Ability to manage claims across multiple jurisdictions
Licenses as required for specific jurisdictions preferred
- We are looking for a detail-oriented Medical Claims Analyst to join a team in Baton Rouge, Louisiana. This contract opportunity with permanent potential is ideal for someone with experience reviewing medical claims, resolving billing issues, and supporting accurate reimbursement...MedicalPermanent employmentContract work
- We are looking for a Medical Claims Analyst to support a commercial health plan review and audit initiative. The analyst will help evaluate medical claims for accuracy, compliance, and audit readiness while partnering with internal stakeholders to address issues and support...Medical
- ...Alight Solutions, based in Wisconsin, is seeking a Claims Analyst to deliver consultative support to employees and their families while resolving post-service coverage questions with carriers and providers. You will leverage knowledge of benefits to improve outcomes and...Medical
$18.5 - $38.82 per hour
...Medical Claims Specialist We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...MedicalHourly payFull timeTemporary workLocal areaRemote work- ...Optum seeks an Epic Professional Billing Claims Analyst with hands-on experience supporting Professional Billing claim operations, claims configuration, reimbursement optimization, and revenue cycle transformation initiatives. The analyst will serve as a subject matter...Medical
$18.5 - $38.82 per hour
...community at a time.A Brief OverviewInspects and provides accurate claim information to support savings optimization for claims. Responds... ...service standards. Administers policies and procedures for medical cost management. Coordinates support functions for claim adjudication...MedicalHourly payFull time$120k - $135k
...then Jacobs is where you belong. This candidate will work in the claims department, analyzing delay claims brought against the State... ...well-being. Your security. Your future. Employees have access to medical, dental, vision, and basic life insurance, a 401(k) plan, and...MedicalFull timeContract workFor contractorsWork at officeMonday to Friday$21 - $23 per hour
...Job Title: Medical Claims Analyst Job Duties: • Perform follow up of unpaid/rejected claims for government, commercial and WC payers. • Check the status of submitted claims by contacting the insurance company or utilizing online provider portals • Correct rejected...MedicalHourly payFull timeRelocation- ...About the job Claims Analyst Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry... ...upcoming HEDIS season. HEDIS Course: Includes - Medical Terminology - Introduction to HEDIS - HEDIS Measures (CBP...Medical
- ...Working remotely in a full-time capacity, the Claims Analyst will be responsible for the accurate adjudication and processing of medical, dental, vision, and other related claims while ensuring compliance with established guidelines and turnaround times. Key responsibilities...MedicalFull timeRemote work
- ...Architecture, and Enterprise Transformation. Role: Claims Analyst Location: Baltimore, MD (Onsite) Job Type: Contract-To-... ...records, and support day-to-day claims operations. Candidates with medical coding or healthcare claims experience will be given strong...MedicalContract work
- ...To support a dynamic claims team, the full-time remote Life & Disability Claims Analyst will manage the adjudication and processing of medical, dental, and vision claims, while also serving as a liaison for internal departments and providing exceptional customer service...MedicalFull timeRemote work
- ...Claims Analyst MetLife Legal Plans is currently looking for a Claims Analyst to join our growing Claims team. This individual will report... ..., creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression...MedicalTemporary workWork experience placementWork at officeLocal areaRemote work
- ...at careers.alight.com. We are now hiring ambitious, motivated Claim Analysts to work in our team focused, premier healthcare navigation... ...include, but are not limited to the following: Assist in reviewing medical, dental, vision, and pharmacy related claims for accuracy to...MedicalImmediate startRemote workWork from homeWorldwideFlexible hours
- ...Claims Analyst The Claims Analyst is responsible for investigating and managing primary litigation claims as assigned. This role involves... ...reflect exposure of MagMutual/insured. Assign a Medical Advisor when required. Thoroughly, accurately, and timely...MedicalWork at office
- ...Claims AnalystJob Title: Claims AnalystLocation: Omaha NE 68154Duration: 12 monthsJob Description:Family Summary/MissionAchieve superior... ...through an integrated process of operational, quality, medical cost, and resource management meeting and/or exceeding member,...Medical
- ...Description Allied is excited to announce our Claims team is growing! We are looking forward to bringing on additional Analysts who are excited to support our customers. The... ...customer service experience is required Medical claims processing experience is a plus #J-188...MedicalWork at office
- ...Claims AnalystMidwest Employers Casualty (MEC) is a member of W. R. Berkley Corporation,... ...part of a team.ResponsibilitiesThe Claims Analyst is responsible for managing high exposure... ...driven tools to provide insight into complex medical issues, evaluate trends and explore...MedicalRemote work
- ...Claims Reviewer Under the direction of the Manager of Claims, the reviewer performs initial review of claims, including HCFA 1500... ...written directions and work independently. Familiarity with medical terminology, CPT and ICD-10 coding is required. Computer and...MedicalHourly payWork at officeLocal area
$18k
...people we choose to join our growing team. We are seeking a Claims Analyst II to examine and process paper and electronic claims. In... ...accordance with members Certificate of Coverage, established medical policies and procedures, and plan benefit interpretation while...MedicalContract workWork at officeLocal areaWork from homeHome officeMonday to Friday$19 - $25.5 per hour
...Claims Analyst Fully Remote • Phoenix, AZ Overview Salary Range $19.00 - $25.50 Hourly Description The Claims Analyst is responsible for reviewing, analyzing and processing medical and/or dental claims. This role is responsible for analyzing claims from...MedicalHourly payTemporary workLocal areaRemote work$82k - $115k
...Construction Claims Analyst/Lead Construction Claims AnalystMBP is looking for Construction Claims Analyst/Lead Construction Claims Analyst... ...Paid Time Off and holiday schedules100% Employer paid medical, dental, vision, life, AD&D, and disability benefits (for individual...MedicalContract workFor contractorsWork at officeNight shift$20.34 - $36.35 per hour
...What You'll Do As a Claim Analyst 2 , you'll have the opportunity to review, analyze, and make appropriate and accurate decisions on... ...obtaining all appropriate claim requirements. Analyze enrollment, medical, and vocational information to make effective and timely claim...MedicalHourly payContract workTemporary workWork experience placementWork at officeRemote work$120k - $135k
...that transform the world for good.This candidate will work in the claims department, analyzing delay claims brought against the State... ...well-being. Your security. Your future. Employees have access to medical, dental, vision, and basic life insurance, a 401(k) plan, and...MedicalFull timeContract workFor contractorsMonday to Friday- ...Claims Analyst Position Type Full Time Category Insurance Description Job Title: Claims Analyst Reports To: Supervisor of Claims... .... Brief Description of Duties: Review incoming medical, pharmacy vision and dental claims Determine and apply appropriate...MedicalFull time
$19.25 per hour
...Claims Analyst II Are you detail-oriented, analytical, and passionate about delivering accurate results? We are seeking a *Claims Analyst... ...professional and facility claims in accordance with benefit plans, medical policies, and established procedures. * Determine whether...MedicalContract workTemporary workRemote work- ...ProSidian Consulting at DescriptionProSidian Seeks a Construction Claims Analyst | Construction Engineering & Monitoring Support [DOE0024024]... ...contributes a fixed dollar amount each month to the selected medical and dental plans, with the contributions deducted pre-tax....MedicalFull timeContract workTemporary workFor contractorsWork at officeRemote workFlexible hours
- ...Job Description Job Description Reviews all medical/surgical billings for reasonable and necessary charges. Examines coding of... ...question the appropriateness of payments authorized. Evaluates claims referred for medical management and makes recommendations for...Medical
- The Workers Compensation Claims Analyst is a critical thinker who manages claims within organizational standards and best practices. They are responsible for the adjudication of medical only claims and limited lost time workers' compensation claims. They will work closely...Medical
- ...Senior Claims Analyst Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what... ...for reviewing, analyzing, and evaluating technical, legal and medical information. ~ Strong interpersonal skills with the ability...MedicalHourly payFor contractorsWork experience placementRemote workWorldwide
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Claims Processor - Remote / Telecommute. Be the first to apply!
- claims analyst work from home United States
- general liability claims adjuster United States
- life insurance claim analyst United States
- claim examiner United States
- medical claims analyst United States
- claims resolution specialist United States
- claims adjuster - workers compensation United States
- claim representative (remote) United States
- claims analyst United States
- remote medical claims processor United States


