FreshRemote.Work

Sign in

Adjudication Remote Jobs

52 fresh jobs found

Authorization Specialist II
Remote-OH, United States

Centene Corporation

Healthcare eligibility Authorization processes Authorization requests Researching Insurance coverage Insurance Verification Utilization Adjudication Guidelines +19

Entry Mid Full Time

USD 55K+

Escalation Response Specialist III
Remote-MO, United States

Centene Corporation

Escalation handling Provider experience Claims payment Data Tracking Claims Adjudication Adjudication Contact center Customer Care Trend Analysis +23

Senior Mid Full Time

USD 68K+

WSIB Claims Specialist
Remote, Canada

Disability Management Institute

Paralegal Expertise WSIB WCB Return to work planning Disability Management Adjudication Claims management Documentation Analytical +2

Entry Mid Full Time

USD 65K+

Worker's Compensation Claims Examiner
Telecommuter GA, United States

Strategic vendor partnerships Vendor partnerships Insurance principles Social Security Claims coding Vendor Coordination Claims analysis Cost Containment Litigation management +36

Senior Mid Full Time

USD 61K+

Workers Compensation Claims Examiner | Dedicated Account | MD Jurisdiction
Telecommuter MD, United States

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

USD 61K+

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

Commercial auto policies Sub-limits Large deductible programs Deductibles Risk transfer claims Claims litigation Auto policies Injury claims Medicare Compliance +33

USD 60K+

Commercial Auto Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex Claims & Litigation Experience Required
Recruiting Only - Telecommuter, United States

Large deductible programs Deductibles Sub-limits Risk transfer claims Commercial auto policies Auto policies Injury claims Medicare Compliance Complex claims +33

USD 60K+

Workers' Compensation Claims Examiner | Dedicated | IL Jurisdiction | Open to Remote
Telecommuter IL, United States

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

USD 61K+

Team Lead
Recruiting Only - Telecommuter, United States

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

Senior Mid Full Time

USD 90K+

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

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

USD 61K+

Injury Management Specialist (12-month Contract)
Remote, Canada

Disability Management Institute

WSIB WCB Return to work planning Disability Management Adjudication Claims management Documentation Analytical Training +1

Entry Mid Contract Full Time

USD 60K+

Clinical Account Manager
Remote-MO, United States

Centene Corporation

Managed care pharmacy Disease state management Drug Utilization Review Drug therapy Clinical interventions Managed healthcare Clinical data analysis Benefit design Formulary management +30

USD 105K+

Sr. Instructor – PSAC (Personnel Security Adjudication Course) PART-TIME 100% Remote
8732 Columbia MD Home Office, United States

Personnel security adjudication Information Technology Training Experiential Learning Simulations Adjudication Security Clearance Learning Curriculum Development Information Technology +10

Senior Part Time

USD 101K+

Revenue Cycle Specialist
Remote, United States

System databases Payment reconciliation Healthcare Claims Cash application Account Reconciliation Payment Adjudication Exchange Collection +21

USD 42K+

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

Productivity standards Third Party Administration Vision Claims Dental coding Diagnosis coding Hcpcs coding Ethical Standards Claims Adjudication Adjudication +25

USD 30K+

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

Productivity standards Third Party Administration Vision Claims Dental coding Diagnosis coding Hcpcs coding Ethical Standards Claims Adjudication Adjudication +25

USD 30K+

Escalation Response Specialist III
Remote-FL, United States

Centene Corporation

Provider experience Claims payment Escalation management Claims Adjudication Adjudication Contact center Customer Care Issue Resolution Claims processing +18

Senior Mid Full Time

USD 68K+

Contract Negotiator II
Remote-NC, United States

Centene Corporation

Provider experience Contract Analysis Contract Compliance Guidelines Claims Adjudication Adjudication Provider Relations Health Plan Healthcare administration +22

USD 55K+

Clinical Consultant I
Remote, United States

Appeals management Coding validation Medical payment policy Payment policy MicroStrategy CMS guidelines Payment Claims Adjudication Clinical services +43

USD 75K+

Authorization Specialist II
Remote-FL, United States

Centene Corporation

Healthcare eligibility Healthcare Policies Authorization processes Authorization requests Insurance coverage Researching Guidelines Adjudication Utilization +19

Entry Mid Full Time

USD 55K+

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

Policy coverage Automotive experience Policy interpretation Adjudication Partnering Service Contracts Computer Proficiency Claims processing Services +21

USD 40K+

Contract Negotiator II
Remote-CA, United States

Centene Corporation

Guidelines Provider experience Contract Analysis Claims Adjudication Contract Compliance Adjudication Provider Relations Healthcare administration Health Plan +21

USD 52K+

Contract Negotiator III
Remote-CA, United States

Centene Corporation

Guidelines Provider experience Contract Analysis Claims Adjudication Contract Compliance Adjudication Provider Relations Healthcare administration Health Plan +20

Senior Mid Full Time

USD 68K+

Authorization Specialist II
Remote-MO, United States

Centene Corporation

Healthcare eligibility Authorization processes Guidelines Authorization requests Insurance coverage Researching Adjudication Insurance Knowledge Utilization +19

Entry Mid Full Time

USD 55K+

Chief Architect
6314 Remote/Teleworker US, United States

COTS solutions Vendor integration Enterprise IT systems Interface definition Architecture framework COTS Functional analysis Trade Studies Compute +60

Senior Full Time

USD 148K+

Contract Negotiator I
Remote-MO, United States

Centene Corporation

Guidelines Provider experience Contract Analysis Contract Compliance Claims Adjudication Adjudication Provider Relations Healthcare administration Health Plan +20

Entry Mid Full Time

USD 55K+

Contract Negotiator I
Remote-IA, United States

Centene Corporation

Healthcare Programs Guidelines Provider experience Contract Analysis Contract Compliance Claims Adjudication Adjudication Provider Relations Healthcare administration +20

Entry Mid Full Time

USD 55K+

Workers Compensation Claims Representative | MD, DC & VA Jurisdictional Knowledge | License not required
Telecommuter MD, United States

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

USD 63K+

Auto Claims Adjuster (Per Diem/Remote)
Recruiting Only - Telecommuter, United States

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

USD 70K+

Senior Quality Auditor
Remote-CA, United States

Centene Corporation

Health insurance regulations Claims research Provider data management Researching Medical Review Claims Adjudication Adjudication Business solutions Training Programs +26

Senior Mid Full Time

USD 44K+

Medical Director
Remote, United States

Medical payment policy Health Plan Operations Coding expertise Payment Integrity Payment Medical policy Claims Adjudication Adjudication Exchange +27

Exec Senior Full Time

USD 190K+

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

Dental coding Third Party Administration Vision Claims Diagnosis coding Productivity standards Hcpcs coding Ethical Standards Claims Adjudication Adjudication +26

Entry Mid Full Time

USD 30K+

Claims Adjuster | Workers Compensation
Telecommuter CA, United States

Social Security Claims coding Action plans Interpretive Adjudication PC literate Keyboarding Microsoft Office products Utilization Review +24

USD 60K+

Workers Compensation Claims Adjuster | Dedicated Client | Remote | MD & VA Jurisdictions
Telecommuter MD, United States

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

USD 80K+

Claims Representative | Workers Compensation | Jurisdictions: NJ and PA
Telecommuter PA, United States

Social Security Claims coding Interpretive Action plans Adjudication PC literate Keyboarding Microsoft Office products Utilization Review +26

USD 50K+

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+

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+

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+

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+

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+

Claims Examiner | Liability | Remote
Telecommuter NJ, United States

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

USD 61K+

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 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+

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 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+

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+

Remote Jobs in North America Remote Jobs in Europe Remote Jobs in Asia/Pacific Remote Jobs in South America Remote Jobs in Africa Remote Jobs in Middle East 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 GBP > 80K in Salary Remote Jobs with CAD > 80K in Salary Remote Jobs with CAD > 100K in Salary Remote Jobs with GBP > 100K in Salary Remote Jobs with EUR > 80K 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 CAD > 120K in Salary Remote Jobs with PHP > 200K in Salary Remote Jobs with PHP > 180K in Salary Remote Jobs with PHP > 220K in Salary Remote Jobs with PHP > 240K in Salary Remote Jobs with PHP > 140K in Salary Remote Jobs with PHP > 260K in Salary Remote Jobs with PHP > 120K in Salary Remote Jobs with PHP > 100K in Salary Remote Jobs with GBP > 120K in Salary Remote Jobs with PHP > 160K in Salary Remote Jobs with PHP > 300K in Salary