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Explore 41 Remote Claims Adjudication Jobs

OSH-RI logo

Manager Pharmacist, Pharmacy Appeals - Remote

OSH-RI

6 days ago

The Manager Pharmacist, Pharmacy Appeals oversees the pharmacy claims appeal process, ensuring compliance and leading a team in resolving complex issues.

USA
Full-time
All others
$123,250.00 - $228,800.00/year
Sutherland logo

Credentialing Specialist - Work from Home - Remote

Sutherland

2 weeks ago

Join Sutherland as a Credentialing Specialist, providing exceptional customer service in a work-from-home role.

KY, USA
Full-time
Customer Service
$13.50/hour
Spring Health logo

Manager, Payer Integrations - Remote

Spring Health

8 weeks ago

Join Spring Health as a Manager, Payer Integrations, leading a team to enhance payer integration processes in a remote setting.

Worldwide
Full-time
All others
$97,325 - $114,500/year

D.D.P.O.M

Government Programs Professional Review Claims Specialist - Remote

Delta Dental Plan of Michigan

10 weeks ago

The Government Programs Professional Review Claims Specialist analyzes and adjudicates dental claims to ensure accurate benefits administration.

USA
Full-time
All others
SmithRx logo

Benefits Configuration Analyst - Remote

SmithRx

10 weeks ago

Join SmithRx as a Benefits Configuration Analyst to support pharmacy benefit plans and enhance client experiences.

Worldwide
Full-time
All others

A.R

Senior Claim Benefit Specialist - Remote

Aetna Resources

11 weeks ago

Join CVS Health as a Senior Claim Benefit Specialist, where you will adjudicate complex claims and support your colleagues in a remote work environment.

USA
Full-time
Customer Service
$18.50 - $42.35/hour
Staff4Me logo

Benefit Plan Builder - Remote

Staff4Me

11 weeks ago

Join our team as a Benefit Plan Builder to configure and maintain client benefit plans using the RIMS processing system.

Philippines
Full-time
All others
Rightway logo

Pharmacy Customer Service Representative - Remote

Rightway

12 weeks ago

Join our team as a Pharmacy Customer Service Representative to assist members and providers with pharmacy benefit inquiries and ensure effective communication.

Worldwide
Full-time
Customer Service
$21 - $22/hour

C.T.M.L.I.C

Bilingual Life Insurance Case Coordinator - Remote

Company 1 - The Manufacturers Life Insurance Company

12 weeks ago

Join Manulife as a Bilingual Life Insurance Case Coordinator, where you will manage claims and provide exceptional service to clients across Canada.

Canada
Full-time
Customer Service
$44,775.00 - $74,625.00 CAD/year
Cobalt Benefits Group logo

Healthcare Benefits Claims Examiner Representative - Remote

Cobalt Benefits Group

13 weeks ago

Join Cobalt Benefits Group as a Healthcare Benefits Claims Examiner Representative, where you'll manage claims and provide exceptional service in employee benefits solutions.

USA
Full-time
Customer Service
Centivo logo

Plan & Benefits Configuration Specialist III - Remote

Centivo

13 weeks ago

The Plan & Benefits Configuration Specialist III will configure medical and dental plans to ensure accurate claims processing.

USA
Full-time
All others
Pie Insurance logo

Senior Claims Adjuster, Workers Compensation - Remote

Pie Insurance

14 weeks ago

The Senior Claims Adjuster will manage workers' compensation claims and ensure compliance with best practices while providing excellent customer service.

USA
Full-time
All others
$80,000 - $100,000/year

Algobrain

Technical Business Analyst (Healthcare Insurance) - Remote

Algobrain

14 weeks ago

Seeking a Technical Business Analyst with healthcare insurance experience and hands-on testing skills.

USA
Full-time
All others

I.T

Payer Maintenance Coordinator Lead - Remote

iRhythm Technologies

16 weeks ago

Join iRhythm as a Payer Maintenance Coordinator Lead to manage payer data and improve healthcare billing processes.

USA
Full-time
Finance / Legal
34.62 - 43.27 USD/hour

BuzzRx

Senior Product Manager - Claims Adjudication - Remote

BuzzRx

16 weeks ago

BuzzRx is seeking a Senior Product Manager to lead claims adjudication and enhance pharmacy technology solutions.

Worldwide
Full-time
Product