- Humana (San Juan, PR)
- …a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong knowledge of ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer support… more
- Humana (San Juan, PR)
- …and help us put health first** Join Humana's dynamic Puerto Rico team as a Claims Research & Resolution Representative and make a meaningful impact every day! In ... this vital role, you'll be at the heart of our claims operations-connecting with providers and members to resolve and settle claims that shape the health… more
- Sedgwick (Harrisburg, PA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative (IAP) - Workers Compensation Training Program Are you ... spending or health savings account, and other additional voluntary benefits. # claims #claimsexaminer #entrylevel # remote #LI-Remote_ Sedgwick is an Equal… more
- Humana (Madison, WI)
- **Become a part of our caring community and help us put health first** The Claims Research & Resolution Representative 3 manages claims operations that ... and appeals for and against the organization. The Claims Research & Resolution Representative 3 performs...PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- NJM Insurance (NJ)
- …on-site service to our policyholders and agents in that area. This is a 100% remote position which includes virtual claims handling for customers in any area of ... NJM's WC Claims Department is seeking an experienced Claims...+ 5+ years' experience as a Workers' Comp Claim Representative , or comparable knowledge and experience with various aspects… more
- Zurich NA (Rocky Hill, CT)
- Claims Concierge Service Executive - Northeast 127284 Zurich is looking to hire a ** Claims Concierge Service Executive** in our Claims Relationship ... business units and functional groups to execute strategies that promote claims value-added services, drive profitable growth, and improve technical excellence,… more
- Sedgwick (New Orleans, LA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Client Service Representative ( REMOTE ) Are you looking for an opportunity to join a ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...include one (1) year as an Account Coordinator, analyst, associate or three (3) years adjuster experience. **TAKING CARE… more
- Morley (Lansing, MI)
- …Morley from home? Check out this video (https://mrly.info/h4b) to get a glimpse of a remote associate 's typical day and how their home office setup helps them ... the Role** **_Location: Remote_** **_-_** **_Michigan residents_** In this remote Customer Service Representative position at Morley,...Dental and vision insurance + Paid time off + Associate wellness program (earn a reward for getting your… more
- Molina Healthcare (Dallas, TX)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... as they arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes initiative in preventing… more
- WCG Clinical (Cary, NC)
- Data Analytics & Insights (DAI) Product Solutions, Associate Director ( Remote ) **General Information** **Location:** Cary, NC, Remote **Organization:** ... education, and geographic location. **JOB SUMMARY:** The DAI Product Solutions Associate Director is a key leader responsible for advancing business-critical… more
- Magellan Health Services (Honolulu, HI)
- …navigation between multiple computer applications General Job Information Title Customer Experience Associate - HMSA ( Remote , must reside in Hawaii) Grade 17 Work ... information regarding a variety of services including: educating providers on claims , member eligibility, benefits, EAP services, claim status, and authorization… more
- Robert Half Office Team (Troy, MI)
- Description We are looking for a dedicated and empathetic Customer Service Representative with expertise in healthcare call center operations. In this role, you will ... handle inquiries related to medical eligibility, benefits, claims , and provider information while maintaining a high level of professionalism and accuracy. This is a… more
- McLaren Health Care (Shelby Township, MI)
- **Position Summary** : Under general direction, the Billing/Follow-up Rep Facility ( Remote ) is responsible for completing tasks associated with specific assignments. ... and human resources. **BILLING:** Responsible for billing hospital and physician claims , for inpatients and outpatients treated in the hospital and clinic,… more
- Access Dubuque (Dubuque, IA)
- Service Representative - Licensed **Cottingham & Butler/ SISCO** 1 Positions ID: 4899856008 Posted On 08/29/2025 Refreshed On 11/30/2025 **Job Overview** **Service ... Representative - Licensed in Life & Health** **Location: Work From Home** **SISCO** is seeking remote candidates who are licensed in Life and Health. We pride… more
- UPMC (Pittsburgh, PA)
- Customer Service Representative - Bilingual- Spanish and/or Nepali Speaker- Must be in the Pittsburgh or Surrounding Area Are you passionate about helping others and ... Member Services Team as a Health Care Customer Service Associate , where you'll be the voice of UPMC Health...and providers * Help members understand their health plan, claims , and benefits * Solve problems quickly and accurately… more
- TEKsystems (Grand Rapids, MI)
- Description Remote position - must sit in the vicinity of...TO HAVE; - any type of logistics, dispatching or claims experience - associate degree DQ's: - job ... limited to: - Providing standard information, completing forms, determining status of claims and cases based on plan guidelines and meeting or exceeding department… more
- Mass Markets (Las Cruces, NM)
- …services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability ... members, employees, and communities with excellence. As a Financial Services Representative , you will engage directly with banking customers providing product and… more
- MAPFRE Insurance (Webster, MA)
- …Worcester **Job Segment:** Customer Service Representative , Call Center Representative , Call Center, Claims , Recruiting, Customer Service, Insurance, Human ... Auto Damage Insurance Claim Rep (Hybrid or Remote ) Date: Dec 2, 2025 Location: Webster MA...to 5:00 pm EST.** Excellent opportunity to join our Claims , Physical Damage Department. In this role as Auto… more
- CRC Insurance Services, Inc. (Phoenix, AZ)
- …recommending tailored solutions to protect their financial interests. This is role is remote ; however, it will require travel and in person meetings with health ... Collaborate with cross-functional teams, including clinicians, underwriters, actuaries, and claims professionals, to develop comprehensive risk management solutions. Contribute… more
- ZOLL Medical Corporation (Fort Worth, TX)
- …intake and reimbursement to ensure appropriate and timely filing of billing claims + Maintain credentialing/access to all assigned accounts at all times ... role for a minimum of 1 year OR have successfully performed within a Associate Territory Manager role. Physical Demands + This position requires the employee to sit,… more