- Usaa (San Francisco, CA)
- …guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance ... property background and not just auto This role is remote eligible. However, you must currently live in California....on any questionable or suspect first or third part claims . Participates in the development of fraud prevention strategies.… more
- Usaa (Phoenix, AZ)
- …coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Accountable ... setting appropriate expectations, proactive communications, advice, and compassion. This role is remote eligible in the Central, Mountain, or Pacific time zones ,… more
- Kaiva Tech (Washington, DC)
- Kaiva Tech, LLC is seeking Licensed Attorney - Claims Reviewer Location: Washington, DC Clearance: 5C Public Trust Position Type: Full-Time, Hybrid/ Remote ... to support our federal government customer in reviewing and adjudicating claims submitted under an agency-managed program. This role involves evaluating claim… more
- Usaa (Phoenix, AZ)
- …As a dedicated Sr Auto Adjuster, you will adjust highly complex auto insurance claims presented by or against our members to include the end-to-end claims ... physical damage including total loss settlements for highly complex auto claims . Negotiates liability for comparative negligence (claimant or adverse carrier).… more
- PedIM Healthcare (Crystal River, FL)
- …Supportive and collaborative work environment. Responsibilities: Review and process medical claims for accuracy and completeness. Verify patient billing data and ... resolve any discrepancies. Generate and submit insurance claims to payers promptly. Follow up on unpaid or...submission and payer requirements. Schedule This is NOT a remote position. This position reports to the Billing Manager.… more
- StarKist Co. (Reston, VA)
- …Accounts Receivable This position is located in Reston, VA This position is not remote work US Citizenship or Green Card Holder - no sponsorship available PURPOSE - ... back-up documentation from brokers, customers and/or carriers to validate claims . Resolves invalid or unauthorized deductions by following deductions procedures… more
- Sedgwick (Albany, NY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ( Remote ) Claims Examiner - Workers Compensation | AZ, CO, UT Jurisdictions Are ... or health savings account, and other additional voluntary benefits. #claimsexaminer # claims # remote #LI-remote_ Sedgwick is an Equal Opportunity Employer… more
- Sedgwick (Tucson, AZ)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ( Remote ) Claims Team Lead - Workers Compensation | AZ, CO, UT Jurisdictions ... or health savings account, and other additional voluntary benefits. #teamlead # claims # remote #LI- remote Sedgwick is an Equal Opportunity Employer and… more
- Aston Carter (Omaha, NE)
- Job Title: Fully Remote Sales Claims Assistant ( Remote with restrictions, candidates must be local to Omaha or Kansas City) Job Description The Claims ... Territory Assistant provides localized support to the Sales and Claims Departments by fielding incoming inquiries, managing day-to-day communication...is a plus Work Environment This position is 100% remote within the Omaha, NE or Kansas City, KS… more
- NTT DATA North America (Plano, TX)
- …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a Remote **Medical Claims Representative** to join our team in **for a remote ... -Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as...for specific roles. The starting hourly range for this remote role is **$18.00/hourly** . This range reflects the… more
- NTT DATA North America (Plano, TX)
- …NTT DATA and for the people who work here. NTT DATA is seeking to hire a ** Remote Claims Processing Associate** to work for our end client. **NOTE** : This is a ... Work independently to research, review and act on the claims + Prioritize work and adjudicate claims ...+ High school diploma or GED. + **Previously performing remote - in P&Q work environment; work from queue**… more
- NTT DATA North America (Plano, TX)
- NTT DATA is currently seeking 20 Remote Claims Examiners to join our team. (Amisys or Xcelys experience is a plus) Must be able to work Monday to Friday 7 AM to ... Work independently to research, review and act on the claims + Prioritize work and adjudicate claims ...compensation for specific roles. The hourly rate for this remote role is $18 hourly. This rate reflects the… more
- NTT DATA North America (Plano, TX)
- …executed as part of an overall sourcing strategy. NTT DATA is seeking to hire a ** Remote Claims Processing Associate** to work for our end client and their team. ... Work independently to research, review and act on the claims + Prioritize work and adjudicate claims ...be able to work 7am - 4 pm CST online/ remote (training is required on-camera).** \#LI-NorthAmerica About NTT DATA:… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** Information ... **Preferred Qualifications:** Certified or Accredited in Epic Resolute Hospital Billing Claims and Remittance Administration and Epic Resolute Professional Billing … more
- Sedgwick (Greensboro, NC)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor ( REMOTE ) Are you looking for an opportunity to join a ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Prime Therapeutics (Richmond, VA)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy Claims Auditor ... analysis of large datasets and audit findings to detect high-risk pharmacy claims , identify billing irregularities, and uncover patters of non-compliance or systemic… more
- Sedgwick (Houston, TX)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Hazmat Claims Adjuster - Remote after training **PRIMARY PURPOSE:** Manages HAZMAT-related ... and technology to efficiently evaluate coverage, determine liability, and resolve claims . **KEY RESPONSIBILITIES:** + Reviews policies, reports, and documentation to… more
- Insight Global (Hartford, CT)
- …a detail-oriented and analytical Business Analyst with strong experience in healthcare claims and workflow management tools like Salesforce or ServiceNow. The ideal ... between business needs and technical solutions, focusing on optimizing claims workflows, ensuring regulatory compliance, and improving operational efficiency within… more
- Reynolds & Reynolds (Albuquerque, NM)
- Position Description * This is a full-time, remote position working from 9:45am to 6:15pm CSTAmerican Guardian Warranty Services, Inc. (AGWS), an affiliate of ... Reynolds and Reynolds, is seeking Claims Adjuster - Automotive for our growing team. In...contract coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the AGWS\u2019 systemA… more
- Sedgwick (Phoenix, AZ)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... your career path. This role is open to a remote , telecommuter, work-at-home, or hybrid setting nationwide. + Be...YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and low touch… more
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