• Remote Claim Adjudication…

    Insight Global (Woonsocket, RI)
    …/SM will support a new strategic initiative focused on new initiative supporting claim adjudication progression. This role is ideal for a seasoned professional ... Job Description Insight Global is seeking a Project Manager/Scrum Master for a fully remote...PM /SM tools: o Jira o Clarity (for budget management ) o SharePoint * Ability to serve in dual… more
    Insight Global (10/07/25)
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  • Claims Adjudication Specialist

    Mass Markets (Killeen, TX)
    …1-3 years of experience in one or more of the following: call center, claims adjudication , insurance adjusting, or technical customer service (preferably in a ... plan environment). + Proficiency with computers is essential. + Proficiency in claims management systems, contact center platforms, and MS Office products.… more
    Mass Markets (08/28/25)
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  • Claims Representative ( Remote )

    Adecco US, Inc. (Minneapolis, MN)
    …Qualifications:** + Prior healthcare or insurance industry experience. + Knowledge of claim adjudication processes and eligibility criteria. **What's in this ... Adecco is assisting a local client recruiting for Claims Representative opportunities for a local client. This...Shift: Monday - Friday | 8:00 AM - 4:30 PM CST + Location: 100% Remote (Telecommute)… more
    Adecco US, Inc. (10/09/25)
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  • Xcelys Sr. Claims Examiner - Remote…

    NTT DATA North America (Ontario, CA)
    … systems / operational improvements **Required Qualifications and skills:** -5+ years claims adjudication experience -1+ year experience in Xcelys or equivalent ... Claims Examiner to join our team working 100% Remote and work on the PST hours of 8...on the PST hours of 8 am - 5 pm . This is a temporary role 3 months with... claims adjudication systems -1 year of expertise… more
    NTT DATA North America (09/27/25)
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  • Remote Sr. Medical Claims Analyst

    TEKsystems (Orlando, FL)
    Senior Medical Claims Analyst ( Remote ) Contract Duration: Through January 2026 (with potential for extension) Location: Remote (US based) Schedule: Flexible ... hours, 8 hours within 7 AM - 5 PM CST About the Role We're seeking a detail-oriented and analytical Senior Claims Analyst to join our team. This role is ideal… more
    TEKsystems (10/11/25)
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  • Project Manager - Healthcare Claims…

    Integra Partners (Troy, MI)
    The Project Manager - Healthcare Claims Management (Subject Matter Expert) is responsible for leading complex projects and initiatives related to claims ... , with at least 3 years in a project management capacity. + Deep knowledge of claims adjudication systems (eg, QNXT, Facets, HealthEdge) and HIPAA EDI… more
    Integra Partners (09/18/25)
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  • Sr. Medical Claims Examiners (3+ years…

    NTT DATA North America (Ontario, CA)
    …process enhancements + Feedback from peer and leadership reviews **Required:** + 5+ years claims adjudication experience + 3+ years of experience in Xcelys ... join our US based team. This is a 100% remote role. **Must be able to work 8:00 am-5:00... role. **Must be able to work 8:00 am-5:00 pm Pacific time zone** **Purpose** To serve as a...claims adjudication systems + Expertise in coding… more
    NTT DATA North America (09/27/25)
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  • HC and Insurance Operations Analyst

    NTT DATA North America (Oklahoma City, OK)
    …with empathy and detail. Pay for this Role $22hr **Key Responsibilities:** + **End-to-End Claim Management :** Handle every aspect of the claim process, from ... required benefits.** **Role Overview:** We are seeking a dedicated Claims Case Manager to provide comprehensive claim ...benefits and claims . + 2 years of claims adjudication experience, preferably in life, and… more
    NTT DATA North America (10/01/25)
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  • Patient Benefit Specialist- Remote

    KPH Healthcare Services, Inc. (Syracuse, NY)
    …and training employees **Job Summary:** Responsible for all aspects related to adjudication and billing of specialty prescriptions in a call center environment. ... **Responsibilities** **Job Duties:** + Responsible for monitoring adjudication queue(s) + Responsible for contacting members and prescribers on non-covered items +… more
    KPH Healthcare Services, Inc. (09/11/25)
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  • Technical Operations Director ( Remote )

    CareFirst (Baltimore, MD)
    …ensure career growth and succession planning. + Direct the business analyst and project management functions which support SDLC functions, including design and ... technology and related operational best practices in the areas of transaction adjudication , eCommerce, and data management and reporting tools to champion,… more
    CareFirst (10/10/25)
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