FreshRemote.Work

Sign in

Claims Remote Jobs

122 fresh jobs found

Life Insurance Specialist - Nashville, TN
TN-Nashville, United States

Closing Techniques Mathematical Calculations Proposal Preparation Insurance sales Sales techniques Claims Insurance Products Health Insurance Sales leadership +18

Entry Mid Full Time

USD 25K+

Life Insurance Specialist - Chattanooga, TN
TN-Chattanooga NEW, United States

Closing Techniques Mathematical Calculations Proposal Preparation Insurance sales Sales techniques Claims Insurance Products Health Insurance Sales leadership +18

Entry Mid Full Time

USD 25K+

Senior Project Admin
Any city, NY, US, 99999

Gainwell Technologies

Presentation Development Report generation Word Processing Project Management Software Functions Processes Posting Client Relations Claims +27

Senior Full Time

USD 51K+

Sr Consultant, Business Consulting (Claims Litigation Management & Strategic Performance)
Ohio-Work from Home-2, United States

Business performance management Business Risk Management Compliance oversight State law Claims litigation Strong Communication Customer Value Technology Implementation Researching +49

Senior Full Time

USD 110K+

Expert Configuration Business Analyst
Any city, ID, US, 99999

Gainwell Technologies

Configuration Analysis Medicaid Policy Analysis Medicaid claims Facets Solution presentation CMS Certification Business process documentation Medicaid Policies Technical Reviews +70

Senior Full Time

USD 81K+

Technical Director, Underwriting - P&C (Property - Underwriting Center of Excellence)
Ohio-Work from Home-2, United States

Catastrophe Management State law Customer Value Risk selection Commercial Lines Market Dynamics Actuarial Agility Claims +25

Exec Senior Full Time

USD 110K+

Head of Executive Risk Insurance, Management Liability
Any location, United States

Executive risks underwriting Executive Risk Insurance coverage Security Monitoring Actuarial Claims Coverage Underwriting Influencing +12

Exec Senior Full Time

USD 250K+

Life Sciences Underwriter (Senior or AVP)
Virtual, KS, US

Zurich Insurance

Life sciences underwriting Exposure Evaluation Risk Engineering Technical Underwriting Market Facing Casualty insurance Insurance Industry Claims Safety +13

Senior Full Time

USD 115K+

Sr. Trial Attorney - Northern, CA - Remote
California - Sacramento, 333 University Ave, United States

Trial Advocacy Proactive Approach Bodily injury Commercial auto Personal Lines Insurance defense Civil Litigation Property and Casualty Insurance Technology Utilization +28

Senior Full Time

USD 124K+

Clinical Research Scientist
Remote US, United States

Recommender system Spark r Recommender Systems Judgement Analytics Solutions Clinical Strategy Network Analysis Business Insights Clinical Informatics +65

USD 71K+

Business Intelligence Lead
Remote US, United States

Claims Administration Analytics Solutions Functional strategies Qlik Analyzing Visualizations Microsoft Office Applications Budget development Trend Analysis +69

Senior Full Time

USD 117K+

Network Operations Coordinator 3
Remote US, United States

Provider data management Data integrity management Provider Audits Administrative Tasks Credentialing Claims HIPAA Compliance Audits Data integrity +32

Entry Mid Full Time

USD 44K+

Physician Reimbursement Senior Analysis Professional
Remote US, United States

Reimbursement Analysis Trending MS Access Analyzing Microsoft Office Applications Microsoft Access Claims BI Network +36

Senior Mid Full Time

USD 89K+

Operations Associate, Claims Design
Remote

Claims design Claims Adjudication Technical Implementation Technology Platform Knowledge Management Models Lean Six Sigma Process design KPI development +33

USD 88K+

P&C Actuarial Senior Consultant – Personal Lines Pricing
Chicago, IL, United States

Personal Lines Insurance Pricing Analytics Client Consulting FMLA Regulatory filings Advisory services Actuarial Revenue Generation Predictive Modeling +14

Senior Full Time

USD 140K+

Medical Coding Auditor
Remote US, United States

Clinical documentation review Encoder usage Medical Documentation Medical claims CPT coding Coding Guidelines ICD Medical Coding ICD-10 +33

USD 59K+

Customer Experience Director - Claims and Financial
Any city, ME, US, 99999

Gainwell Technologies

Continuous Feedback Loops Healthcare Claims Operational Management Functions Issue Resolution Processes Posting Claims Stakeholder communication +33

Exec Senior Full Time

USD 127K+

Sr. Principal Analyst, Data Analytics & AI-Insurance Industry (Remote US)
Irving - 6011 Connection, United States

Market Predictions Quantitative analytics Ideation Actuarial science Analytics tools Advising Asset management FAIR Advanced Analytics +35

Senior Full Time

USD 105K+

Life Insurance Specialist - Montford
NC-Montford Car Care Plus, United States

Mathematical Calculations Insurance sales Sales techniques Claims Insurance Products Sales leadership Health Insurance Administrative Pricing +18

Entry Mid Full Time

USD 25K+

Counsel - Annuity and Life Insurance Operations
Ohio - Columbus, One Nationwide Plaza, United States

Settlement Agreements Market Conduct Proactive Approach Legal expertise Tax Requirements State law Annuity products Legal Experience Life Insurance Products +27

USD 124K+

Analyst, Claims-Pet
Ohio - Columbus, One Nationwide Plaza

Veterinary Knowledge Complex claims Medical Records Insurance policies Claims handling Claims processing Claims Life Insurance Verbal communication +14

Entry Mid Full Time

USD 42K+

Medical Director - Florida
Remote US

Home health services Health claims review Grievance and appeals processes Outpatient services Commercial health insurance Inpatient rehabilitation Post-acute care Clinical group practice management Hospitalist +81

Exec Senior Full Time

USD 223K+

Coding and Bill Audit Product Specialist - Remote in US
Any city, AL, US, 99999

Gainwell Technologies

Program performance monitoring Audit criteria Apc Audit and review criteria Claims recovery Policy Documentation Healthcare payment methodologies Regulatory monitoring DRG validation +56

USD 69K+

Advisor Information Design Engineer
Roseville, CA, US, 95747-6645

Gainwell Technologies

Abend-Aid ChangeMan Xpediter MainView FileAid MVS TSO Easytrieve IBM Mainframe +40

Senior Mid Full Time

USD 100K+

Senior Director Finance and Strategy – E&S/Specialty Programs, Wholesale, and Indemnity
Ohio - Columbus, One Nationwide Plaza

Organizational Planning Capital management Strategic finance Investments Commercial Lines Property and Casualty Insurance Financial Systems Actuarial Casualty insurance +40

Senior Full Time

USD 127K+

Claims Specialist II, Workers Compensation
Iowa-Work from Home-2

Medical examinations Customer Value Agribusiness Claims systems Investigative Subrogation Reinsurance Claims handling Workers Compensation +24

USD 61K+

Clinical Education Specialist - Remote in US
Any city, AR, US, 99999

Gainwell Technologies

Outpatient coding Clinical claims review Medical record auditing InterQual criteria DRG validation CCS Payment Integrity Coding certification DRG +45

USD 75K+

Clinical Ideation Product Specialist - Remote in US
Any city, ID, US, 99999

Gainwell Technologies

Claim selection methodology Regulatory monitoring Claims data analysis Audit and review criteria Healthcare payment methodologies Policy Documentation Claims recovery Program performance Clinical Policy +53

USD 90K+

Sr. Claims Specialist, Workman's Compensation
Virtual, CA, US

Zurich Insurance

Insurance Regulations Litigation management Casualty insurance Insurance Industry Workers Compensation Claims management Claims Litigation Prioritization +15

Senior Full Time

USD 72K+

Appeals Nurse
HGB SCA Remote KY

TRICARE policies Tricare DRG ICD-9 Medical Documentation Accreditation Peer review MCG ICD +44

USD 69K+

Request- Energy Claims Handler
Virtual, TX, US

Zurich Insurance

Insurance Regulations Litigation management Casualty insurance Insurance Industry Claims management Claims Litigation Effective Communication Prioritization +14

Senior Full Time

USD 72K+

Customer Experience Director - Claims and Financial
Any city, TX, US, 99999

Gainwell Technologies

Continuous Feedback Loops Business Performance Optimization Healthcare Claims Operational Management Issue Resolution Functions Processes Posting Claims +34

Exec Senior Full Time

USD 127K+

Clinical Quality Nurse Reviewer, Sr. Specialist - (RN Remote in US)
Any city, ID, US, 99999

Gainwell Technologies

Inter-rater reliability Acute care experience Clinical quality review Production Environment MCG criteria Clinical criteria guidelines InterQual criteria Chart Audits Medical Record Review +36

Senior Full Time

USD 64K+

Disability Case Examiner - Remote WI
Any city, WI, US, 99999

Gainwell Technologies

Disability Claim Adjudication BCPP Mainframe Clinical Policy Document Preparation Written and verbal communication Processes Medical terminology Claims Clinical expertise +19

USD 54K+

Pharmacy Rebate Analyst - Remote US
Any city, WI, US, 99999

Gainwell Technologies

340B Pharmacy claims processing Medicaid drug rebates Drug rebate Pharmacy Claims Healthcare Solutions Accuracy Efficiency Claims processing +29

Entry Mid Full Time

USD 43K+

Lead Solutions Architect
Remote US

Augmented intelligence Multicloud Always-On Vendor Evaluation Coding practices Agile framework Scaled Agile Scaled Agile Framework Functional strategies +106

Senior Full Time

USD 139K+

Senior Informaticist - Provider Data Analytics
Remote US

Statistical models Qlikview Transparency Lean Principles Rating Articulate PL/SQL Hadoop Functions +56

Senior Full Time

USD 86K+

Senior Market Consultation Professional
Remote US

Market consultation Provider education STARS EMR systems Risk Adjustment Business Consulting Articulate Analyzing Alteryx +40

Senior Mid Full Time

USD 76K+

Healthcare Customer Service Representative - Topeka, KS - Remote
Any city, KS, US, 99999

Gainwell Technologies

Medicaid Knowledge SLAs OneNote Technical Problem Solving Eligibility Processes Claims Microsoft Outlook Healthcare industry +34

Entry Mid Full Time

USD 29K+

Workforce Management Production Project Lead
Remote

Matrixed organization Contact center systems IEX Healthcare quality Workflow Design Workforce management Technology Platform Lean Six Sigma Project Coordination +22

Senior Mid Full Time

USD 65K+

Grievance and Appeals Representative 4
Remote US

Electronic inventory management Medhok Appeals processing Medical claims processing Grievance Management Medical claims Grievance and appeals CAS Clinical Documentation +42

Entry Mid Full Time

USD 43K+

Reviewing Medical Director
Remote US

Grievance processes Care facilitation Post-acute services Health claims review Grievance and appeals processes Outpatient services Commercial health insurance Post-acute care Inpatient rehabilitation +93

Exec Senior Full Time

USD 199K+

Operations Associate, Claim Design & Configuration
Remote

Claims design Healthcare Claims Workflow Design Models Technology Platform Lean Six Sigma KPI development Claims processing Technical Design +27

USD 88K+

P&C Reserving Proposition Leader
Philadelphia, PA, United States

Transformational Consulting Reserving Technology P&C Insurance Sales initiatives Reserving FMLA Strategic communication Advisory services Actuarial +18

Senior Full Time

USD 275K+

Sr. Principal Analyst, Data Analytics & AI-Insurance Industry (Remote US)
Irving - 6011 Connection

Market Predictions Quantitative analytics Ideation Actuarial science Analytics tools Advising Asset management FAIR AI/ML +35

Senior Full Time

USD 105K+

Managed Care, Claims Vendor Management Sr Specialist
Virtual, IL, US

Zurich Insurance

Process Efficiency Cost Savings Service Level Agreements Casualty insurance Insurance Industry Efficiency Claims Safety Contract management +9

Senior Full Time

USD 83K+

Senior Strategy Advancement Professional - Medicaid Capture Management
Remote US

Member Services Long-Term Services and Supports Managed care operations Social determinants Grievance and appeals Healthcare Management Strategy Consulting Articulate Social Determinants of Health +68

Senior Full Time

USD 84K+

Senior Business Intelligence Engineer
Remote US

SSMS Health Insurance Operations SQL programming C programming Analytics Solutions SSIS Visualizations Microsoft Office Applications Analyzing +67

Senior Mid Full Time

USD 78K+

Director, MM Underwriting-CL (Agribusiness)
Iowa - Des Moines, 1100 Locust Street

Customer Value Organizational Planning Agribusiness Technical Underwriting People Leadership Loss control Agency management Commercial Lines Commercial Insurance +29

Exec Senior Full Time

USD 121K+

Claims Team Manager, General Liability
Maitland, FL, US

Zurich Insurance

Claims operations Insurance legal statutes Commercial general liability Insurance Industry Knowledge Casualty insurance Insurance Industry Claims handling Technical Guidance Claims +18

Senior Mid Full Time

USD 120K+

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 Contract Remote Jobs Internship 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 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 PHP > 100K in Salary Remote Jobs with PHP > 140K in Salary Remote Jobs with PHP > 120K in Salary Remote Jobs with PHP > 200K in Salary Remote Jobs with PHP > 220K in Salary Remote Jobs with PHP > 160K in Salary Remote Jobs with PHP > 240K in Salary Remote Jobs with PHP > 280K in Salary Remote Jobs with PHP > 180K in Salary Remote Jobs with PHP > 300K in Salary Remote Jobs with PHP > 260K in Salary Remote Jobs with CAD > 100K in Salary Remote Jobs with GBP > 100K in Salary Remote Jobs with CAD > 120K in Salary