• Transaction Processing Associate I

    Conduent (Lexington, KY)
    …is noticed and valued every day. **Job Title** : **Transaction Processing Associate- Remote (Data Entry Claims Processing )** **Pay Rate** : **$15.00 per ... Description** : Join our Dynamic Team as a Transaction Processor- Data Entry Claims Processing We are seeking a detail-oriented Data Entry Claims Specialist… more
    Conduent (10/15/24)
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  • Claims Specialist ( Remote )

    Insight Global (Nashville, TN)
    Job Description Work Schedule: Fully remote ; available to work from 9 AM to 5...PM EST / 8 AM to 4 PM CST. Claims Processing : 75% of the role involves ... processing claims within our proprietary claims system. Team Communication: Collaborate with the team using Microsoft Teams, phone, and email. Claims more
    Insight Global (11/20/24)
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  • Workers Compensation Claims Examiner…

    Sedgwick (Columbus, OH)
    …growth, and inclusion. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Remote | NE Jurisdictional Knowledge Are you… more
    Sedgwick (11/27/24)
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  • Workers Compensation Claims Representative…

    Sedgwick (Alexandria, VA)
    …growth, and inclusion. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Representative | VA Jurisdiction | Remote Are you looking… more
    Sedgwick (11/08/24)
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  • Associate Claims Specialist, Medicaid…

    Providence (OR)
    …Correctly analyze and adjudicate claims to reflect financial, check, and processing accuracy **Providence Health Plan welcome 100% remote work for applicants ... (Examples: Clinical, Back office, Insurance Support, Etc.) + 2+ years' experience processing insurance claims + 2+ years' experience in membership accounting… more
    Providence (11/15/24)
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  • Specialist, Config Oversight - Remote (Must…

    Molina Healthcare (NY)
    …communicate written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims ... **This position is 100% remote . Working hours are M-F 7am-4pm PST.** **Job...coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for… more
    Molina Healthcare (11/09/24)
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  • Liability Claims Representative…

    Sedgwick (Columbus, OH)
    …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an opportunity to… more
    Sedgwick (10/31/24)
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  • Sr. Professional Liability Medical Claims

    Providence (NM)
    …education and experience + 7+ years of relevant general and professional liability claims processing or management experience + 5+ years of direct supervisory ... through the Risk & Integrity Services division and Risk, Claims , & Insurance department **_Providence welcomes 100% remote... Claims , & Insurance department **_Providence welcomes 100% remote work for applicants who reside in the United… more
    Providence (10/05/24)
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  • Claims Auditor II - Remote

    Martin's Point Health Care (Portland, ME)
    …auditing activities. + Support of auditors, regarding audit development activities and audit processing . + Perform claims audits to identify and recover ... supervision of the Director of Health Plan Operations, the Claims Auditor II will perform the following job functions:...perform the following job functions: + Audit Development and Processing : The Auditor II will be responsible for developing… more
    Martin's Point Health Care (10/23/24)
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  • Claims Examiner - Auto - Commercial…

    Sedgwick (Roseville, CA)
    …Forbes Best-in-State Employer Claims Examiner - Auto - Commercial Trucking I Remote (Pacific or Mountain Time Zone) Handling claims for large commercial ... : To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the… more
    Sedgwick (10/26/24)
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  • LIability Complex Claims Examiner…

    Sedgwick (King Of Prussia, PA)
    …Workplace(R) Forbes Best-in-State Employer LIability Complex Claims Examiner | Commercial Claims Experience | Remote **PRIMARY PURPOSE** : To analyze complex ... or technically difficult general liability claims to determine benefits due; to work with high...professional and timely manner. + Communicates claim activity and processing with the claimant and the client; maintains professional… more
    Sedgwick (11/06/24)
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  • Billing and Follow-up Representative-II (Hospital…

    Trinity Health (Farmington Hills, MI)
    …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting or ... Type:** Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $18.4663-$27.6994) Performs the day-to-day billing and… more
    Trinity Health (11/13/24)
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  • Director, Claims ( Remote )

    Trustmark (Columbus, OH)
    …bring the best to our colleagues, clients and communities. Responsible for overseeing a claims processing organization. Ensures claims are processed in a ... timely manner in accordance and compliant with government regulations. Develops claims adjudication policies and procedures that maximize the accuracy of claims more
    Trustmark (11/05/24)
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  • Claims Systems Configuration Lead Analyst…

    The Cigna Group (Bloomfield, CT)
    …degree preferred + 3+ years of experience as a subject matter expert for claims system configuration, processing , reporting, issue triage and testing - REQUIRED ... of business within The Cigna Group, is hiring a Claims System Configuration Lead Analyst. This **highly technical systems**...Matter Expert (SME) for the Configuration of the eviCore Claims Systems and the suite of eviCore Claim Products.… more
    The Cigna Group (11/22/24)
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  • Claims System Configuration Senior Analyst…

    The Cigna Group (Bloomfield, CT)
    …Senior Analyst. This highly technical systems role requires the review of our claims processing system to ensure all configurations were input correctly into ... the system per the specifications of the provider. The Claims System Configuration Senior Analyst will have in depth...Analyst will have in depth knowledge of the eviCore claims systems and products. As the Subject matter expert,… more
    The Cigna Group (11/22/24)
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  • Remote - Claims Adjuster…

    Reynolds & Reynolds (Phoenix, AZ)
    Remote - Claims Adjuster - Automotive/RV Phoenix, AZ Full-Time Apply Here ‹ View jobs Position description: This is a full-time, remote position. American ... (AGWS), an affiliate of Reynolds and Reynolds, is seeking Claims Adjuster - Automotive/RV for our growing team. In...- Answering inbound calls - Provide information about claim processing and explain the different levels of contract coverage… more
    Reynolds & Reynolds (10/26/24)
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  • REMOTE Loss Mitigation FHA Claims

    Carrington (Columbus, OH)
    **Come join our amazing team and work from home!** The Loss Mitigation FHA Claims Specialist will be responsible for preparing, filing, and following up on all FHA ... home retention claims timely and accurately according to investor/insurer guidelines. Perform...Correct error files when identified by cancelling claim and/or processing a refund request to HUD. + Provide posting… more
    Carrington (11/20/24)
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  • Life Insurance Claims Analyst - US…

    DXC Technology (Columbus, OH)
    …+ High School Diploma completed + **2+ years of relevant life insurance death claims business experience** + Claims processing experience is mandatory + ... learn new payment processes and/or other processes within death claims depending on where the need is on any...Bachelor's Degree is preferred **Work Environment:** + Home base, remote - Laptop, Docking Station, Monitors, Headset will be… more
    DXC Technology (11/28/24)
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  • Sr. Business Analyst ( Claims Reporting)…

    Molina Healthcare (WA)
    …**Job Summary** The Senior Business Analyst is responsible for supporting the claims processing teams by supplying regular, timely, and accurate reports. ... team member, this role leads efforts to ensure the claims teams and other departments have access to quality... teams and other departments have access to quality claims data through processes which are efficient, accurate, and… more
    Molina Healthcare (11/22/24)
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  • Claims Examiner

    Veterans Affairs, Veterans Health Administration (Denver, CO)
    Summary This position is in the Beneficiary Claims Processing Unit, CHAMPVA program, 3.1 Network Development and Operations, Integrated External Networks, ... Examiner reports to the Supervisor of the Beneficiary Claims Processing Unit. The primary function of...medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If… more
    Veterans Affairs, Veterans Health Administration (11/26/24)
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