FreshRemote.Work

Sign in

We're shutting down by the end of this month! Looking for coding jobs? Check out foojobs.com 👀

Claims Remote Jobs

242 fresh jobs found

Client Success Analyst II
Remote, United States

Training Material Preparation Incident Diagnosis Origami platform Project participation Training and Onboarding Origami No-code platform System Configuration Client satisfaction +31

Entry Mid Full Time

USD 66K+

RCIS Crop Claims Specialist, MO: Atchison, Holt, Nodaway, and Gentry
Virtual, MO, US

Zurich Insurance

Cat team participation Loss estimation Crop insurance industry Crop adjuster proficiency program (CAP) CERTS Crop damage assessment Remote assistance Negligence principles Claim review Claim documentation +26

USD 47K+

Clinical Program Pharmacist Principal- REMOTE
Home, United States

Prime Therapeutics

Pharmacy Knowledge Clinical criteria Clinical Product Development Pharmacy Benefit Management (PBM) Clinical Guidelines Pharmacy benefit management Product Roadmap User Acceptance Testing Retail +30

3 years Senior Mid Full Time

USD 124K+

Medical Director - Medicare Grievances and Appeals - Weekend
Remote US, United States

Health claims analysis Preservice appeals Healthcare Provider Collaboration Rehab Remote work setup Appeals processing Health claims Hospitalist Medical background +52

Exec Mid Full Time

USD 246K+

Care Management Support Coordinator II
Remote-OR, United States

Centene Corporation

Educational material handling Record documentation Benefit knowledge Healthcare call center Member Onboarding Community resource linkage Health plan resources Holidays Policy Adherence +41

Entry Mid Full Time

USD 55K+

Senior Pharmacy Resolution Specialist
Remote-FL, United States

Centene Corporation

Pharmacy retail Clinical reference Pharmacy hospital Pharmacy overrides Pharmacy issues Pharmacy resolution Medication determination Benefit questions Authorization requests +34

Entry Senior Full Time

USD 64K+

Clinical Account Manager - Georgia PDL - Remote
Home, United States

Prime Therapeutics

Upselling Strategies Contract Renewal Support Benefit Optimization Care Management Centers Service Level Agreement Management Pharmacy Product Knowledge Claims Payment Accuracy Benefit Analysis Strategic Business Planning +61

USD 108K+

Clinical Pharmacist - Remote
Home, United States

Prime Therapeutics

RxClaim Drug List Maintenance Medispan Point of Service Messaging Benefit Plan Management PBM Experience Drug Utilization Review Queries AS400 +37

Entry Full Time

USD 108K+

Pharmacy Operations Specialist I
Remote-FL, United States

Centene Corporation

Benefit Setup Quality Process Improvement Training material creation Medicaid Experience Special Projects Holidays Paid time off End-user support Pharmacy operations +42

USD 44K+

Senior E&S Private/Non-Profit Underwriter
Virtual, AZ, US

Zurich Insurance

Underwriting support Exposure Evaluation Market Facing Technical Underwriting Sales Execution Risk Engineering Casualty insurance Regulatory Guidelines Insurance Industry +22

Senior Mid Full Time

USD 94K+

Drug Rebate Analyst - Remote US
Any city, TX, US, 99999

Gainwell Technologies

Pharmaceutical utilization Pdf editing software Medicaid drug rebates Drug rebate systems Process manager Primss Nitro pro Ssrs reports Independent task management +44

Entry Senior Mid Full Time

USD 33K+

Principal Clinical Program Pharmacist - Remote
Home, United States

Prime Therapeutics

Clinical Criteria Development Clinical Product Development PBM Experience Product Roadmap Execution Clinical criteria Claims Data Analysis Data synthesis Clinical Guidelines Pharmacy benefit management +30

Senior Mid Part Time

USD 124K+

Associate Counsel - Melville / Suffolk, NY (Remote)
NY Melville (Office) - JPS, United States

Dispositive hearings Technical and procedural knowledge Trial defense Legal briefs Legal opinions Legal Memoranda File documentation Examinations under oath Civil Litigation +17

USD 118K+

Lead SIU Investigator
TX Dallas (Field), United States

Statement Taking Trucking Claims Information Evaluation Database Inquiry Procedural knowledge Multi-line Claims Stress management Auto Claims Claims handling +17

Senior Mid Full Time

USD 84K+

Senior Analyst, Claims Production
Remote

Business Communication Healthcare Claims Cost reduction Operational strategy Business Insights Lean Six Sigma Cross-functional Teamwork Knowledge Management Technology Platform +39

Senior Full Time

USD 54K+

Nurse/Coder Ideation Specialist- Remote
Any city, NE, US, 99999

Gainwell Technologies

Ad Hoc Claim Review Claims Recovery Claim Selection Strategies Clinical and Coding Solutions Healthcare Payment Methodologies Training Standards Itemized Bill Review Coding certification Clinical content development +70

USD 80K+

Senior Business Intelligence Developer
Remote, United States

Business Requirements Gathering AI-driven automation Data documentation Origami No-code platform Cloud operations ETL Processes Data Models Data accuracy +40

Senior Full Time

USD 122K+

Senior Technical Account Manager
Remote, United States

Web and mobile app access Adoption Strategies Cloud-based SaaS AI-driven automation Origami platform Product configuration Origami Policy Management No-code platform +27

Senior Full Time

USD 105K+

Utilization Management Dental Hygienist
Remote US, United States

Technology platform proficiency Dental treatments evaluation CDT coding Dental hygiene Medical and dental utilization management Grievance and appeals processing Remote work setup Claims review CPT coding +39

USD 65K+

Claims Analyst - Remote US
Any city, AR, US, 99999

Gainwell Technologies

Claim overpayment recovery Claims denial management Pre-payment audits Pharmacy claims analysis Federal and state payment policies Data Trend Analysis Workflow Documentation Benefit configuration Claims review +40

USD 44K+

Claims Research & Resolution Representative 2
Work at Home - Wisconsin, United States

Data Computation Internet Troubleshooting Claims research Claims settlement Claims operations Computations Interviewing Technology Claims investigation Claims resolution +52

Entry Mid Full Time

USD 40K+

Lead Data Analyst
Remote-MO, United States

Centene Corporation

Office Work Source to target mapping Java programming Script development Workplace Flexibility Programming concepts C programming Python programming Data Profiling +58

Senior Mid Full Time

USD 100K+

Field Claim Specialist II, Property (Ft. Collins) $2500 Sign-on Bonus
Colorado-Work from Home-2, United States

Onsite inspection Claims estimation Virtual inspection Property claims adjusting Property claims handling Property damage claims Exclusions Construction knowledge Claims systems +38

USD 55K+

Business Analyst III ( Claims, Excel)
Remote-NH, United States

Centene Corporation

Operational performance analysis Holidays Best Practices Implementation System diagnosis Paid time off Policy Formulation Implementation processes Problem diagnosis Tuition reimbursement +42

Senior Mid Full Time

USD 68K+

Business Analyst III (Encounters , SQL)
Remote-CA, United States

Centene Corporation

Claims system knowledge HIPAA Transactions Healthcare analysis Amisys Implementation processes Process redesign Business applications Operational reporting Office Work +35

Senior Mid Full Time

USD 68K+

Reinsurance Specialist
Edina - Minnesota, United States

Regulatory Controls Business Trends Contract Law Microsoft Office Applications Retirement Office applications Advisory Reinsurance Retirement programs +30

USD 61K+

Outbound Customer Service Advocate II
Remote-PA, United States

Centene Corporation

Benefits Campaigns Office Work Directory Audits Information Gathering Campaign Support Demographics Documentation Escalation Handling Basic Troubleshooting Provider support +49

Entry Full Time

USD 55K+

Senior Recovery Data Analyst
Remote-FL, United States

Centene Corporation

Office Work Xcelys Claims operations Amisys Workplace Flexibility Reconciliation Claims processing Coordination Claims +12

Senior Full Time

USD 68K+

Medical Director, Behavioral Health Services - Washington
Remote-WA, United States

Centene Corporation

Office Work Medical Review Processes Authorization requests Workplace Flexibility Evidence-based medicine Clinical Practice Guidelines Appeals management Claims review Managed care experience +37

Exec Senior Full Time

USD 210K+

Associate Director, Michigan Medicaid Provider Services
Work at Home - Michigan, United States

Claims Education Provider performance Provider communications Provider Recruitment Recruitment Strategy Driver safety Team performance Claims analysis Driver’s license +81

USD 115K+

Director, Healthcare Analytics
Remote-MO, United States

Centene Corporation

Office Work ROI evaluation Microsoft powerbi Claims pricing Workplace Flexibility Provider contracts Stored Procedures Indexing Geospatial Analysis +68

Exec Senior Full Time

USD 145K+

Supervisor, Claims (State)
Remote-CA, United States

Centene Corporation

Operational gap resolution Dental terminology Office services Office Work Vision claims Overtime management CDT Procedure implementation Workload prioritization +50

USD 52K+

Business Analyst - Remote
Virginia Remote, United States

Analytical Principles Contract configuration Database Knowledge Qnxt Claims Configuration Statistical Tools Acute care Information systems Healthcare systems +21

USD 61K+

Director, Claims Specialty Lines
TX Dallas (Office), United States

Claims handling Claims management Interviewing Litigation Conflict Resolution Claims Operational Efficiency Performance Written communication +9

USD 120K+

Project Administrator
Portland - SW Columbia, United States

Notice of completion Insurance premium worksheets Certificate of insurance Notice of award Contractor insurance Insurance systems Claims data management Insurance manual Insurance credits +55

Entry Full Time

USD 36K+

Data Analyst III (SQL, Snowflake)
Remote-TX, United States

Centene Corporation

Office Work Data quality audits Workplace Flexibility Data projects Data loading Analytical support Quality audits Data reconciliation Project Implementation +41

Senior Mid Full Time

USD 68K+

Healthcare Analytics Data Analyst III
Remote-MO, United States

Centene Corporation

Data Scripts Data Impact Assessment Office Work Social Science Research Health Data Analysis Workplace Flexibility Microsoft powerbi Data troubleshooting Large databases +81

Senior Mid Full Time

USD 68K+

Emergency Road Service, Field Representative
NC-HMNC Empl Work From Home, United States

Automotive repair Analyzing Industry Best Practices Screening Supervisory Conflict Resolution Claims Administrative Performance Metrics +12

USD 65K+

Field Claim Specialist II, Property (Denver Metro) $2500 Sign-on Bonus
Colorado-Work from Home-3, United States

Virtual inspection Property claims handling Property damage claims Exclusions Claims systems Customer Value Mitigation Property and casualty Xactimate +30

USD 55K+

Senior Medical Coding Reviewer
Remote-MO, United States

Centene Corporation

Office Work Workplace Flexibility Provider education Guidelines Medical Coding Health Plan Appeals Medical Records Procedures +16

Senior Full Time

USD 66K+

Vice President, Network Strategy & Management
Remote-FL, United States

Centene Corporation

Network strategy Contracting Strategy Claims Configuration Provider contracts Government programs Reimbursement strategy Provider Contracting Network Operations Network development +31

USD 231K+

Data Analyst III (SQL, Power BI)
Remote-FL, United States

Centene Corporation

Data quality audits Data projects Data loading Analytical support Quality audits Data reconciliation Project Implementation Data Extraction HEDIS +39

Senior Mid Full Time

USD 68K+

Customer Care Specialist I (Must live in Ohio)
Ohio WFH, United States

Professional Phone Etiquette Typing 35 WPM Phone Etiquette Windows Environment Customer Care Grammar Computer Proficiency Eligibility Credentialing +20

USD 35K+

Manager - M&A Data Acquisition and Integration
Dayton WFH, United States

Healthcare payer TOGAF Population health System Configuration Technical Specifications Project Planning Business Requirements Eligibility Utilization management +42

USD 92K+

Medical Review Analyst
Full Time Remote - North Carolina, United States

Computer application software Medical literature Claims analysis Medical policy Medical necessity Medical Records Clinical expertise Healthcare services Claims +12

USD 68K+

Senior Life, Absence Disability Consultant
Irvine - Von Karman, United States

Benefits design Financial evaluations Renewal Strategies Plan Design Insurance experience Retirement Benchmarking Retirement programs Power +22

Senior Full Time

USD 115K+

Consultant, Program Underwriting - Alternative Ventures (Property)
Ohio-Work from Home-2, United States

Marine insurance Environmental insurance Excess and surplus lines Coverage options Policy structure Energy insurance Rate filings Loss ratio analysis Warranty insurance +65

USD 108K+

RCIS Crop Claims Field Adjuster II
Virtual, CO, US

Zurich Insurance

Crop damage assessment Claim review Negligence principles Aerial photo analysis Map reading Crop claims Crop insurance Claims adjusting Field Inspections +19

USD 48K+

Consultant, Brokerage Excess Underwriting - E&S/Specialty
Arizona - Scottsdale, 18700 North Hayden Road, United States

Actuarial support Premium pricing Reinsurance placement Insurance Law Underwriting policies Claims review Broker management Business knowledge Technical Underwriting +33

USD 94K+

Grievance & Appeals Coordinator I
Remote-NY, United States

Centene Corporation

Claims research Grievance resolution Managed care experience Grievances Researching Medical management Health Services Organizing HEDIS +16

Entry Mid Full Time

USD 38K+

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