US National Jobs - Remote, Work from Home, Part Time & Flexible Jobs

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1 to 50 of 98 for Insurance Claims

  • 100% Remote Job Full-Time Temporary
    US National 
    The Benefits Coding Analyst II maintains plan benefits, ensures compliance with guidelines, and coordinates benefit design documentation. Conducts research, codes policies, and assists with benefit development. Must have CPC certification and experien..
    100 Top Companies To Watch for Remote Jobs This employer was rated a Best Company to Work for in New York.
  • 100% Remote Job Full-Time Employee
    US National 
    Process dental claims efficiently with strong attention to detail. Follow standard operating procedures, navigate multiple computer applications, and deliver high-quality results independently. Collaborate with colleagues to meet productivity and...
    Employer is a Fortune 500 Company Employer named by Forbes and Statista as one of America's Best Employers for Diversity. A Training Magazine Top 125 for successful learning and development programs. The Human Rights Campaign named this employer as one of the Best Places to Work.
  • 100% Remote Job Full-Time Employee
    US National 
    Make accurate decisions on claims, provide timely disability claim decisions, superior customer service, administer claims for various group sizes, consult with legal, investigative and financial specialists.
    Employer is a Fortune 500 Company Employer named by Forbes and Statista as one of America's Best Employers for Diversity. A Training Magazine Top 125 for successful learning and development programs. The Human Rights Campaign named this employer as one of the Best Places to Work.
  • 100% Remote Job Full-Time Employee
    US National 
    Manage E-discovery and ESI collections, manage litigation holds, collect and organize data to support corporate litigation, and act as a technical advisor for internal counsel. Locate the appropriate resources and experts to provide information...
    Employer is a Fortune 500 Company Employer named by Forbes and Statista as one of America's Best Employers for Diversity. This employer is recognized by DiversityInc as a company with exceptional diversity-management achievements The Human Rights Campaign named this employer as one of the Best Places to Work. This company is listed as a Top 50 Employer for Equal Opportunity by Equal Opportunity Magazines.
  • New! Yesterday
    100% Remote Job Full-Time Employee
    US National 
    Independently review and analyze appeals related to cost containment programs. Review and analyze health care claims for accuracy. Consult with other entities for additional review.
  • 100% Remote Job Full-Time Employee
    US National 
    Develop a deep understanding of healthcare revenue cycle domain and claim submission process. Outline a roadmap for the claim submission squad prioritized around organizational goals. Perform discovery to identify impactful features.
  • 100% Remote Job Full-Time Employee
    US National 
    Analyze claims data, identify discrepancies, report errors to management. Communicate with stakeholders, develop reporting mechanisms, manage projects. Bachelor's degree and experience in medical insurance claims required.
  • 100% Remote Job Full-Time Employee
    US National 
    Communicate with providers, analyze data, track errors, identify opportunities, contribute to performance improvement, and participate in special projects. Qualifications: high school diploma, customer service/claims processing experience, basic sprea..
    100 Top Companies To Watch for Remote Jobs
  • New! 2 days ago
    100% Remote Job Full-Time Employee
    US National 
    Review, scan, and key incoming appeals. Sort, prep, and scan appeals and relevant information. Support incoming faxes and create coversheets for responses. Assist team members and perform other assigned tasks.
  • 100% Remote Job Full-Time Employee
    Tempe, AZ, Plano, TX, Bethlehem, PA, or US National 
    Lead a team of Absence Management Case Managers, set objectives, communicate progress, ensure adherence to quality standards, resolve complex customer issues, and collaborate with internal cross-functional teams.
    Employer is a Fortune 500 Company Employer named by Forbes and Statista as one of America's Best Employers for Diversity. A Training Magazine Top 125 for successful learning and development programs. The Human Rights Campaign named this employer as one of the Best Places to Work.
  • 100% Remote Job Full-Time Employee
    US National 
    Utilize claim management skills to investigate disputed claims, interpret plan language, and make accurate appeal determinations. Evaluate medical, financial, and other claim information in consultation with professionals to resolve disputes.
    Employer is a Fortune 500 Company Employer named by Forbes and Statista as one of America's Best Employers for Diversity. A Training Magazine Top 125 for successful learning and development programs. The Human Rights Campaign named this employer as one of the Best Places to Work.
  • 100% Remote Job Full-Time Employee
    Bala-Cynwyd, PA, Boston, MA, Hoffman Estates, IL, Indianapolis, IN, Lake Oswego, OR, Las Vegas, NV, Plano, TX, Suwanee, GA, Syracuse, NY, Tampa, FL, Weatogue, CT, or US National 
    Analyze, investigate, and evaluate losses to determine coverage and claim disposition. Establish appropriate reserves and prepare comprehensive reports. Manage the litigation process and actively participate in mediations.
    Employer is a Fortune 500 Company 100 Top Companies To Watch for Remote Jobs Company is considered to be a Military Friendly employer by militaryfriendly.com. Employer named by Forbes and Statista as one of America's Best Employers for Diversity. Named a Best Workplace for Diversity by Great Places to Work, based on employee surveys about inclusion, diversity, and representation. The Human Rights Campaign named this employer as one of the Best Places to Work. This company is listed as a Top 50 Employer for Equal Opportunity by Equal Opportunity Magazines.
  • New! 3 days ago
    100% Remote Job Full-Time Employee
    US National 
    Manage investigative case load, collect and preserve detailed information, prepare detailed post-audit investigative reports, and attend educational opportunities to keep apprised of developments in healthcare fraud.
  • 100% Remote Job Full-Time Employee
    US National 
    Manage a branch claims office, develop and implement policies and procedures, represent the branch in relationships with agents, insurers, and vendors, and collect and analyze information for resolving problems related to critical IT production services.
    Employer is a Fortune 500 Company Employer is a Forbes Global 2000 company, a ranking of the biggest, most powerful public companies in the world The U.S. Department of Defense recognizes this employer as a Military Spouse Employment Partner (MSEP)
  • 100% Remote Job Full-Time Employee
    US National 
    Manage a team of 5-7 claims handlers to handle complex, high-profile claims. Ensure strong coverage analysis, expense, and litigation management. Evaluate claims reserve practices, build relationships, and analyze claims trends.
    Employer is a Fortune 500 Company 100 Top Companies To Watch for Remote Jobs Company is considered to be a Military Friendly employer by militaryfriendly.com. Employer named by Forbes and Statista as one of America's Best Employers for Diversity. Named a Best Workplace for Diversity by Great Places to Work, based on employee surveys about inclusion, diversity, and representation. The Human Rights Campaign named this employer as one of the Best Places to Work. This company is listed as a Top 50 Employer for Equal Opportunity by Equal Opportunity Magazines.
  • New! 3 days ago
    100% Remote Job Full-Time Employee
    US National (Not hiring in CA, CO) 
    Investigates high-risk cargo loss and damage claims, evaluates liability and potential damages, collaborates with senior leaders to improve legal processes, represents the company in court proceedings, and develops litigation strategies.
  • 100% Remote Job Full-Time Employee
    US National 
    Responsible for processing and handling escalated claims, analyzing claims for validity, and providing resolutions. Communicates with internal and external partners, proactively manages target dates, and identifies and resolves operational obstacles.
    The U.S. Department of Defense recognizes this employer as a Military Spouse Employment Partner (MSEP)
  • 100% Remote Job Full-Time Employee
    US National 
    Manage an assigned caseload of Long Term Disability cases, evaluate customer eligibility, and interact with internal and external customers. Develop and document Strategic Case Plans, network with customers and physicians, and make fair, accurate, tim..
  • New! 5 days ago
    100% Remote Job Full-Time Employee
    US National 
    Perform initial evaluation of referral appropriateness, request additional clinical information, and use clinical expertise to determine medical necessity. Ensure timely case review and interact with Medical Director. Develop knowledge of company serv..
    100 Top Companies To Watch for Remote Jobs
  • 8 days ago
    100% Remote Job Full-Time Employee
    US National 
    Lead and manage a team of field staff to achieve performance metrics. Oversee programs and processes, provide feedback and recognition, and ensure quality and accuracy. Train and support new team members.
  • 100% Remote Job Full-Time Employee
    US National 
    Investigate litigated commercial general liability claims, determine liability, review coverages, settle claims, and handle both 1st and 3rd party claims. Serve as a mentor and subject matter expert for less experienced adjusters. Requires 8+ years of..
    Employer is a Fortune 500 Company Employer named by Forbes and Statista as one of America's Best Employers for Diversity. This employer is recognized by DiversityInc as a company with exceptional diversity-management achievements The Human Rights Campaign named this employer as one of the Best Places to Work. This company is listed as a Top 50 Employer for Equal Opportunity by Equal Opportunity Magazines.
  • 100% Remote Job Full-Time Employee
    US National 
    Conduct proactive investigation of the underlying facts and circumstances; retain and utilize proper experts; select and utilize counsel. Evaluate coverage issues and identify risk transfer opportunities.
    Employer is a Fortune 500 Company Employer is a Forbes Global 2000 company, a ranking of the biggest, most powerful public companies in the world This employer is one of the well-respected Barron's 400 stock index
  • 100% Remote Job Full-Time Employee
    US National 
    Develops program design and pricing for new and existing clients that are selling and administering warranty programs. Conducts periodic reviews of assigned programs to ensure that the programs are desirable from an Actuarial viewpoint and producing the..
    Employer is a Fortune 500 Company Employer is a Forbes Global 2000 company, a ranking of the biggest, most powerful public companies in the world This employer is one of the well-respected Barron's 400 stock index
  • 100% Remote Job Full-Time Employee
    US National 
    Lead the Claims and Benefit function, design and build scalable processes, automate and improve them. Implement regulatory and business requirements, monitor key controls, and drive accountability throughout the organization.
    Employer named by Forbes and Statista as one of America's Best Employers for Diversity.
  • 100% Remote Job Full-Time Employee
    US National 
    Managing diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution. Properly setting claim reserves, taking into account how different policy wordings impact the claims reserving process.
  • 100% Remote Job Full-Time Employee
    US National 
    Investigate and resolve Homeowners claims of minor to moderate complexity in a timely and efficient manner. Document with photographs, measurements, recorded interviews as needed, write a repair estimate to capture damages, and complete thorough...
    Employer is a Fortune 500 Company Employer is a Forbes Global 2000 company, a ranking of the biggest, most powerful public companies in the world The U.S. Department of Defense recognizes this employer as a Military Spouse Employment Partner (MSEP)
  • 100% Remote Job Full-Time Employee
    US National 
    Responsible for the preparation of accurate medical and pharmacy claims for home infusion therapy services to various payers (e.g. commercial Rx Card Payers, Government Payers, Employer/ Institutional Payers, and Medical).
  • 100% Remote Job Full-Time Employee
    US National 
    Provide clear and comprehensive communication to insureds, plan holders, attorneys, and others by phone, e-mail and mail with respect to issues in dispute. Mentor Specialists by serving as an advisor and provide guidance on the interpretation...
    100 Top Companies To Watch for Remote Jobs Company is considered to be a Military Friendly employer by militaryfriendly.com. The Human Rights Campaign named this employer as one of the Best Places to Work.
  • 19 days ago
    100% Remote Job Full-Time Employee
    US National 
    you will enjoy an independent and team work oriented environment. We will provide you with the processes, training and support that will enable you to succeed throughout your career.
  • 100% Remote Job Full-Time Employee
    US National 
    Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer. Protects customer information by keeping all information confidential. Responsible for consistently meeting .....
  • 100% Remote Job Full-Time Employee
    US National 
    Develop and execute the claims operational strategy and model, create dashboards, and drive transparency on results. Own the customer claims experience, deploy claims technology, and build a culture of service excellence. Lead, mentor, and coach team ..
  • 100% Remote Job Full-Time Employee
    Hartford, CT, San Antonio, TX, Lake Mary , FL, Phoenix, AZ, Aurora, IL, New York, NY, Danbury, CT, or US National 
    Responsible for the analysis, investigation, evaluation, negotiation, and resolution of minimal to moderately complex claims requiring thorough investigations including telephone contacts with the involved parties, technical expertise, and complex...
  • 23 days ago
    100% Remote Job Full-Time Employee
    US National 
    Process insurance claims accurately and timely, resolve claim issues, communicate outcomes, provide support to customer teams, identify operational issues, and contribute to improving claims processes.
  • 100% Remote Job Full-Time Employee
    US National 
    Responsible for making claim payments decisions on a wide variety of claims within department standards. Responsible for researching, analyzing, and making payment decisions on moderately complicated claims based on medical coding guidelines and policies.
    A Training Magazine Top 125 for successful learning and development programs.
  • 100% Remote Job Full-Time Employee
    US National 
    Perform premium audits, resolve audit disputes, communicate final audit results to customers and partners, oversee audit dispute process, develop training programs, ensure compliance with audit standards. High school diploma or GED required. 3+ years...
    Employer is a Red Herring Top 100 Finalist for most innovative companies in either North America or Europe
  • 100% Remote Job Full-Time Employee
    US National 
    Ordering and correcting audited claims, collecting on outstanding accounts, resolving coding errors, providing research, creating reports, participating in audits, and preparing reports for management.
    The Human Rights Campaign named this employer as one of the Best Places to Work. This employer is one of the well-respected Barron's 400 stock index
  • Hybrid Remote Job Full-Time Employee
    South Jordan, UT, Cleveland, OH, Princeton, NJ, Saint Louis, MO, Albany, NY, Nashua, NH, Fort Lauderdale, FL, Scottsdale, AZ, or US National 
    Examine, investigate, and settle insurance claims. Determine coverage, manage expenses, establish reserves, work with defense counsel, and fulfill reporting requirements. Bachelor's degree and claims handling experience required.
    Employer is a Fortune 500 Company Employer is a Forbes Global 2000 company, a ranking of the biggest, most powerful public companies in the world This employer is one of the well-respected Barron's 400 stock index
  • 26 days ago
    100% Remote Job Full-Time Employee
    US National 
    Handle cyber, tech, and media claims from FNOL to close, evaluate pending claims and recommend accurate reserves, handle litigation and third-party liability claims, maintain documentation, assess liability and damage data, collaborate with vendors &...
  • 100% Remote Job Full-Time Temporary
    US National 
    Responsible for managing revenue cycle projects, analyzing trends, & developing workflows. Builds collaborative relationships with other departments & vendors. Leads meetings, tracks outcomes, and educates teams on performance improvement.Develop goals.
  • 100% Remote Job Full-Time Employee
    US National 
    Providing support in monitoring controls and compliance to improve claim performance. Responsibilities include developing guidelines, driving technology solutions, overseeing quality assurance, and building fraud identification and investigation capab..
    A 50 Best Small & Medium Workplace by Great Places to Work and Entrepreneur. Great Places to Work has recognized this company as a Best Workplace for Women. This employer was rated a Best Company to Work for in New York.
  • 26 days ago
    100% Remote Job Full-Time Employee
    US National 
    Review managed care contracts, compare with healthcare claims to identify underpayments for clients. Build relationships, examine claims, contact insurers, prepare correspondence, maintain regular contact with necessary parties.
  • 100% Remote Job Full-Time Employee
    US National 
    Provide first-line assistance for member's questions relating to post-service coverage of medical treatment or services which includes researching and resolving benefit claims issues, billing discrepancies, coding errors, insurance claims processing...
  • 100% Remote Job Full-Time Employee
    US National 
    Handle assigned cases in a timely manner to resolve healthcare claims issues through research, customer service, and collaboration with plan documents, carriers, providers, and members. Utilize resources to ensure claims are processed per established...
  • 100% Remote Job Full-Time Employee
    US National 
    Manage legal business practices and analytics for a Claims Legal organization. Develop communication plans, collaborate with stakeholders, and provide analytics-based insights. Monitor and analyze operational performance indicators and assess new...