• Claims Quality Auditor

    UCLA Health (Los Angeles, CA)
    …be responsible for monthly random and focus audits of all claim processing activities to identify inaccurate claims adjudication. This will involve reviewing ... UB04 and CMS 1500 healthcare claims and adjustments for accuracy, and appropriate application ...resolutions, adjustments, appeals, and reopen guidelines * Understanding of Claim Adjustment Reasons and Remittance Advice Remark codes *… more
    UCLA Health (09/17/25)
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  • Automotive Claims Adjuster

    Insight Global (Phoenix, AZ)
    …in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing , as well as the ability to navigate multiple software ... Job Description Key Responsibilities: The automotive claims adjuster handles inbound calls from dealerships and...Must be willing to work Saturdays occasionally. A high-speed home internet connection and a quiet at -… more
    Insight Global (09/24/25)
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  • Claims Specialist - USFHP

    Pacific Medical Centers (Seattle, WA)
    …large group practice setting. + Experience with areas of specialty claim processing (COB, Adjustments, Point of Service, Home Health and Encounters). + ... needs. Responds to Customer Service Requests and resolves problem claim situations. Providence caregivers are not simply valued -...years in Managed Care operations. + 1 year of Claims processing experience, in a TPA, MSO,… more
    Pacific Medical Centers (08/27/25)
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  • Medical Insurance Claims Follow-up

    HCA Healthcare (Overland Park, KS)
    …Medical Insurance Claims Follow-up Specialist, you will be responsible for processing insurance accounts to address claim issues and thereby affect payment ... **Description** **Introduction** This Work from Home position requires that you live and will...organization that invests in you as a Medical Insurance Claims Follow-up Specialist? At Parallon, you come… more
    HCA Healthcare (10/04/25)
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  • Medical Claims Processor

    NTT DATA North America (MO)
    …: Non-Exempt **Department** : Operations **Level** : Entry to mid-level **Location** : Work at Home **Pay Rate: 17.00-18.00** **In this Role the candidate will ... be responsible for:** + Processing of Professional and Hospital claim forms...Work independently to research, review and act on the claims * Prioritize work and adjudicate claims … more
    NTT DATA North America (08/08/25)
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  • Remote - Claims Adjuster - Automotive

    Reynolds & Reynolds (Wichita, KS)
    …will include, but are not limited to:-\tAnswering inbound calls-\tProvide information about claim processing and explain the different levels of contract ... coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the...have a quiet designated work space to work from home ~^~Must have reliable internet with at least… more
    Reynolds & Reynolds (10/04/25)
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  • Claims Compliance Coord I

    Aflac (Columbia, SC)
    …determine the regulatory impact to Aflac's policies and services related to claims processing ; assists with ongoing audits reviewing existing department ... yourself, are you the duck? If so, there's a home , and a flourishing career for you at...of contact for Aflac Trust on processes involving policyholder claims management at the associate level; provides… more
    Aflac (10/04/25)
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  • Project Manager - Healthcare Claims…

    Integra Partners (Troy, MI)
    …is responsible for leading complex projects and initiatives related to claims adjudication, processing , compliance, and operational improvements. This role ... operations, and vendor teams to resolve system defects, improve processing accuracy, and optimize turnaround times. + Manage stakeholder...required. EXPERIENCE: + 5+ years of experience in healthcare claims management, with at least 3 years… more
    Integra Partners (09/18/25)
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  • Claims and Insurance Paralegal

    Essentia Health (Duluth, MN)
    …development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home , we provide flexible scheduling, ... and instituting legal holds, and managing the systematic tracking, processing and closing of all insurance claims ...Risk Management in improving the overall quality of care at Essentia and to develop relevant training and educational… more
    Essentia Health (09/16/25)
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  • Subject Matter Expert- Claims

    APTIM (Santa Fe, NM)
    … management software, databases, and other technology tools that facilitate claim processing , documentation, and communication. + Proficient in assessing ... Expert (SME) provides specialized technical expertise in support of claims review, evaluation, and documentation for disaster-related compensation. This...+ Respect and flexibility to live a full life at work and at home … more
    APTIM (10/02/25)
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