FreshRemote.Work

Sign in

Adjudication Remote Jobs

46 fresh jobs found

Workers Compensation Claims Examiner | IL Claims Exp Required | Remote Potential
Naperville, IL - Centre Point - 1833, United States

Strategic vendor partnerships Vendor partnerships Social Security Insurance principles Claims coding Claims analysis Cost Containment Litigation management Rehabilitation +33

Senior Mid Full Time

USD 70K+

Senior Business Technical Analyst - SAS/Python
Remote-FL, United States

Centene Corporation

Database Solutions Corrective Actions System Analysis Data Extraction Adjudication Medical management Issue Resolution Financial Health Services +29

Senior Mid Full Time

USD 86K+

Workers Compensation Claims Examiner | MD, VA, DC Jurisdictions | Remote
Telecommuter MD, United States

Jurisdiction knowledge Action plans Adjudication Keyboarding Disability Workers Compensation Growth Negotiating Claims management +14

USD 61K+

New England Workers Compensation Claims Examiner | CT, MA, NH, RI, VT Jurisdictions | Remote
Telecommuter CT, United States

Jurisdiction knowledge Action plans Adjudication Keyboarding Disability Workers Compensation Growth Negotiating Claims management +14

USD 61K+

Disability Management Co-Op (4-month summer term)
Remote, Canada

Disability Management Institute

Privacy policy adherence Return to work planning Wsib Wcb Disability Management Adjudication Document management Claims management Administrative Support +8

Entry Full Time

USD 38K+

Product Manager - Payment Integrity (COB)
Remote, United States

Payment accuracy Feature prioritization Roadmap planning Payment Integrity Reimbursement methodologies Payment Metrics Tracking Claims Adjudication Exchange +56

USD 88K+

Claims Examiner | Workers Compensation | CO Jurisdiction | Temporary Position
Telecommuter CO, United States

Jurisdiction knowledge Action plans Adjudication Disability Workers Compensation Growth Negotiating Claims management Client service +12

Mid Temporary Part Time

USD 44K+

Payment Accuracy Specialist 1
Remote, United States

Reimbursement analysis Claims Validation Custom queries Technological improvements Client systems Audit tools Coordination of benefits Payment accuracy Claim adjudication +49

Entry Full Time

USD 58K+

Liability Claims Team Lead | Frisco, TX (open to telecommuters)
Frisco, TX - Frisco, United States

Performance development Quality review Liability Claims Rehabilitation Motivational Claims Adjudication Liability Interpretive Adjudication +33

Senior Full Time

USD 61K+

General & Product Liability Claims Examiner | Telecommuter | Litigation Experience Required
Telecommuter TX, United States

Liability Claims Liability Action plans Adjudication Keyboarding Disability Growth Litigation Negotiating +15

USD 61K+

Claims Examiner | Liability | Remote
Telecommuter NJ, United States

Jurisdiction knowledge Liability Claims Liability Action plans Adjudication Disability Growth Negotiating Claims management +13

USD 61K+

Sr. Instructor – PSAC (Personnel Security Adjudication Course) with TS/SCI Polygraph with TS/SCI Polygraph
6314 Remote/Teleworker US, United States

Personnel security adjudication Information Technology Training Experiential Learning Simulations Course development Training Facilitation Adjudication Security Clearance Learning +11

Senior Part Time

USD 101K+

Manager Audit Content (CCV)
Remote, United States

Operational intelligence Coding methodologies Billing guidelines Medicare reimbursement Audit concepts Claim adjudication Healthcare coding Concept Development Payment Integrity +63

Senior Mid Full Time

USD 110K+

Claims Liaison I
Remote-TX, United States

Centene Corporation

Reimbursement interpretation Provider contracts Provider Billing Claims Adjudication Adjudication Provider Relations Information systems Claims processing Claims +12

USD 77K+

Policy Design Specialist I
Remote, United States

Claim payment Policy Configuration Policy design Healthcare coding Payment Physiology Adjudication Exchange Anatomy +24

USD 41K+

Authorization Specialist IV
Remote-MI, United States

Centene Corporation

Authorization process Healthcare eligibility Authorization processes Authorization requests Insurance coverage Adjudication Medical management Referrals Prior authorization +18

USD 76K+

Claims Team Lead Assistant - Workers Compensation (REMOTE- NEEDS CA CLAIMS & MGR EXPERIENCE
San Diego, CA - Murphy Canyon, United States

Strategic vendor partnerships Social Security Vendor partnerships Claims coding Vendor Coordination Performance development Clerical Insurance principles Claims analysis +44

Senior Mid Full Time

USD 85K+

Claims Examiner | Workers Compensation | Jurisdictions: CT, MA, NH, RI, VT
Telecommuter CT, United States

Jurisdiction knowledge Action plans Adjudication Growth Disability Workers Compensation Negotiating Claims management Client service +13

USD 60K+

Liability Claims Representative | Remote
Marlton, NJ - Lake Center, United States

Jurisdiction knowledge Liability Claims Action plans Liability Adjudication General Liability Growth Disability Negotiating +15

USD 45K+

Claims Team Lead - Workers Compensation
Recruiting Only - Telecommuter, United States

Performance development Quality review Claims Adjudication Motivational Rehabilitation Interpretive Adjudication Performance competencies Keyboarding +33

Senior Mid Full Time

USD 65K+

Claims Adjuster
Recruiting Only - Telecommuter, United States

Social Security Claims coding Action plans Interpretive Adjudication Keyboarding PC literate Microsoft Office products Utilization Review +25

USD 47K+

Long Duration Claims Coordinator
Remote, Canada

Disability Management Institute

Wcb Wsib Return to work planning Disability Management Rehabilitation Administrative Duties Adjudication Insurance policies Claims management +7

USD 65K+

Claims Adjuster - Workers Compensation (REMOTE - Needs Cali claims Experience)
San Diego, CA - Murphy Canyon, United States

Strategic vendor partnerships Social Security Vendor partnerships Claims coding Vendor Coordination Performance development Clerical Insurance principles Claims analysis +44

USD 80K+

Claims Representative | Liability
Telecommuter NJ, United States

Social Security Claims coding Liability Claims Action plans Liability Interpretive Adjudication Keyboarding PC literate +27

USD 60K+

Claims Examiner - Workers Compensation | IL, MI, MN Jurisdictions
Telecommuter IL, United States

Jurisdiction knowledge Action plans Adjudication Growth Disability Workers Compensation Negotiating Claims management Client service +13

USD 70K+

Claim Examiner Liability
Recruiting Only - Telecommuter, United States

Vendor partnerships Strategic vendor partnerships Social Security Claims coding Insurance principles Liability Claims Litigation management Rehabilitation Cost Containment +35

Senior Mid Full Time

USD 80K+

Workers Compensation Claims Examiner | MD & VA Jurisdictions | Remote
Telecommuter MD, United States

Jurisdiction knowledge Adjudication Action plans Keyboarding Growth Workers Compensation Disability Negotiating Claims management +14

USD 61K+

Concept Development Analyst
Remote, United States

Billing guidelines Technological improvements Claim selection methods Medicare reimbursement Coding logic development Audit Procedures Healthcare coding Chart validation Claim adjudication +50

Entry Senior Full Time

USD 95K+

Medical Review Manager Government Services
Remote, United States

Healthcare coding Claim adjudication Payment Integrity DRG Reimbursement methodologies Payment ICD-9 Adjudication ICD +35

Senior Mid Full Time

USD 100K+

Claims Representative - Workers Compensation | CO Residents
Telecommuter CO, United States

Jurisdiction knowledge Adjudication Action plans Growth Workers Compensation Disability Negotiating Claims management Client service +12

USD 43K+

Workers Compensation Claims Examiner | Dedicated Client | MA jurisdiction experience | Remote
Telecommuter MD, United States

Jurisdiction knowledge Action plans Keyboarding Adjudication Growth Workers Compensation Disability Negotiating Claims management +15

USD 61K+

Claims Processor -Dental and Vision
Work From Home - AZ, United States

Third Party Administration Vision Claims Productivity standards Dental claims Hcpcs coding Claims Adjudication CPT coding Adjudication Accuracy +23

USD 30K+

Claims Adjuster
Recruiting Only - Telecommuter, United States

Claims coding Insurance principles Keyboarding Auto Claims Cost Containment Adjudication Liability Interpretive Performance competencies +25

USD 65K+

Workers Compensation Claim Associate | Remote
Telecommuter NY, United States

Claims coding Keyboarding Adjudication Interpretive Performance competencies PC literate Microsoft Office products Workers Compensation Disability +19

Entry Mid Full Time

USD 42K+

Client Policy Manager I
Remote, United States

Medical policy Clinical coding Healthcare Claims CMS guidelines Reimbursement methodologies Claims payment Payment Claims Adjudication Adjudication +29

USD 72K+

Claims Examiner - Workers Compensation
Telecommuter CO, United States

Jurisdiction knowledge Action plans Adjudication Growth Workers Compensation Disability Negotiating Claims management Client service +13

USD 61K+

Workers Compensation Claims Examiner | Maine jurisdiction experience required | Licensing preferred
Telecommuter ME, United States

Jurisdiction knowledge Keyboarding Action plans Adjudication Growth Workers Compensation Negotiating Disability Claims management +15

USD 61K+

New England Workers Compensation Claims Examiner | CT, MA, NH, RI, VT Jurisdictions | Remote
Telecommuter CT, United States

Jurisdiction knowledge Keyboarding Action plans Adjudication Growth Workers Compensation Negotiating Disability Claims management +14

USD 61K+

Workers Compensation Claims Team Lead | NY, MA, NJ, VA Jurisdictions | Remote
Telecommuter MA, United States

Performance development Quality review Claims Adjudication Motivational Keyboarding Rehabilitation Adjudication Technical Direction Interpretive +31

Senior Full Time

USD 78K+

Claims Adjuster - Workers Compensation | California Jurisdiction
Telecommuter OK, United States

Action plans Adjudication Growth Workers Compensation Disability Negotiating Claims management Client service Discretion +12

USD 56K+

Workers Compensation Claims Examiner | PA Jurisdictional Knowledge | Active Adjusters License
Telecommuter MA, United States

Jurisdiction knowledge Action plans Adjudication Growth Workers Compensation Disability Negotiating Claims management Client service +13

USD 70K+

Workers Compensation Claims Examiner | New England Jurisdictions (CT, MA, NH, RI, VT)
Telecommuter CT, United States

Jurisdiction knowledge Action plans Adjudication Growth Workers Compensation Disability Negotiating Claims management Client service +13

USD 61K+

Claims Adjuster - Workers Compensation
Telecommuter CA, United States

Action plans Adjudication Growth Workers Compensation Disability Negotiating Claims management Client service Discretion +13

USD 56K+

Workers Compensation Claims Team Lead | NY Licensing Required
Telecommuter NY, United States

New York Jurisdiction Claims Adjudication Quality review Adjudication Rehabilitation Claims handling Growth Workers Compensation Staffing +16

Senior Full Time

USD 95K+

Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex Claims & Litigation Experience Required
Telecommuter TX, United States

Injury claims Action plans Bodily injury Adjudication Bodily injury claims Growth Disability Negotiating Litigation +15

USD 61K+

Remote Associate Mechanical Claims Adjuster
US Virtual - (Recruiter/TA Use Only), United States

Mechanical Claims Adjusting Automotive Knowledge Policy interpretation Adjudication Partnering Service Contracts Services Data processing .Net +19

USD 36K+

Remote Jobs in North America Remote Jobs in Europe Remote Jobs in Asia/Pacific Remote Jobs in South America Remote Jobs in Middle East Remote Jobs in Africa Full Time Remote Jobs Part Time Remote Jobs Internship Remote Jobs Contract Remote Jobs Temporary Remote Jobs Freelance Remote Jobs Mid-Level Remote Jobs Senior-Level Remote Jobs Entry-Level Remote Jobs Exec-Level Remote Jobs Lead-Level Remote Jobs

Remote Jobs with CAD > 80K in Salary Remote Jobs with GBP > 80K in Salary Remote Jobs with EUR > 80K in Salary Remote Jobs with CAD > 100K in Salary Remote Jobs with PHP > 40K in Salary Remote Jobs with PHP > 60K in Salary Remote Jobs with PHP > 80K in Salary Remote Jobs with PHP > 240K in Salary Remote Jobs with PHP > 220K in Salary Remote Jobs with PHP > 160K in Salary Remote Jobs with PHP > 260K in Salary Remote Jobs with PHP > 120K in Salary Remote Jobs with PHP > 180K in Salary Remote Jobs with PHP > 200K in Salary Remote Jobs with PHP > 140K in Salary Remote Jobs with PHP > 100K in Salary Remote Jobs with PHP > 280K in Salary Remote Jobs with PHP > 300K in Salary Remote Jobs with CAD > 120K in Salary Remote Jobs with EUR > 100K in Salary