Remote Adjudication Jobs

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Cook Children's Health Care System
Insurance Claims Follow-up
30+ days ago

Cook Children's Health Care System - XLarge

Remote from
Texas (USA)
Full time

Mid-level (2-5 years)

Medical Billing
Reimbursement Regulations
Insurance Follow-Up
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Desjardins
Disability Case Manager
30+ days ago

Desjardins - Banking - XLarge

Remote from
Canada
Full time
Return-to-Work Management
Medical Insurance Claims
Adjudication
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Trillium Health Resources
Senior Claims Specialist
30+ days ago

Trillium Health Resources - Insurance - SME

Remote from
Indiana (USA), North Carolina (USA)
Full time

Senior (5-10 years)

Adjudication
Auditing
Medical Coding
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simplesurance GmbH
Career Opportunities: Medical Team Leader - Manila (94139)
8 days ago

simplesurance GmbH - SME

Remote from
Philippines
Full time

Senior (5-10 years)

Clinical Governance
Case Management Systems
Advanced Negotiation
View Similar Jobs →
NTT DATA
Medical Claims Examiner - Remote U.S.
30+ days ago

NTT DATA - Information Technology & Services - XLarge

Remote from
Texas (USA)
Full time

Senior (5-10 years)

1 - 69K
Adjudication
Windows Software
Productivity Improvement
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EFI Global
Workers Compensation Claims Examiner | CT, MA, NH, RI, VT Jurisdictions | Dedicated Client | Remote
30+ days ago

EFI Global - Construction & Civil Engineering - SME

Remote from
Connecticut (USA), Massachusetts (USA), New Hampshire (USA) +2
Full time

Mid-level (2-5 years)

Adjudication
Claims And Litigation Management
Business Communication
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Sedgwick Ireland
Workers Compensation Claims Examiner | CT, MA, NH, RI, VT Jurisdictions | Dedicated Client | Remote
19 days ago

Sedgwick Ireland - Startup

Remote from
Connecticut (USA), Massachusetts (USA), New Hampshire (USA) +2
Full time

Mid-level (2-5 years)

Workers' Compensation
Adjudication
Claims And Litigation Management
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Delta Dental of Michigan
Government Programs Professional Services Representative
12 days ago

Delta Dental of Michigan - Insurance - SME

Remote from
Ohio (USA)
Full time
Dentistry
Dentistry
Adjudication
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Sedgwick Ireland
Claims Adjuster - Workers Compensation (REMOTE - Home State Lic, Med Only & Indemnity exp REQUIRED in: IL, MO, NJ, OK, NJ, TN)
19 days ago

Sedgwick Ireland - Startup

Remote from
Illinois (USA), Indiana (USA), Louisiana (USA) +5
Full time

Mid-level (2-5 years)

Settlement
Subrogation
Workers' Compensation
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Sedgwick Ireland
Claims Examiner - Workers Comp (REMOTE - Southeast State, FL exp required)
30+ days ago

Sedgwick Ireland - Startup

Remote from
Florida (USA), Georgia (USA)
Full time

Senior (5-10 years)

Workers' Compensation
Adjudication
Complaint Investigations
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EFI Global
Claim Examiner - Liability (REMOTE- Water Damage Claims Exp)
22 days ago

EFI Global - Construction & Civil Engineering - SME

Remote from
North Carolina (USA)
Full time

Senior (5-10 years)

Liability Law
Claims And Litigation Management
Subrogation
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Independence Pet Group
Claims Adjuster - Associate
30+ days ago

Independence Pet Group - Insurance - Large

Remote from
Ohio (USA)
Full time

Mid-level (2-5 years)

Veterinary Medicine
Medical Record Management
Adjudication
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Prescryptive Health, Inc.
Director, Digital Prescription Services
11 days ago

Prescryptive Health, Inc.

Remote from
Alabama (USA), Alaska (USA), Arizona (USA) +12
Full time

Mid-level (2-5 years)

Pharmaceutical Sciences
Pharmacy Benefit Management
Pharmacy Operations
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Guardian Pharmacy
Healthcare Benefits Navigator
27 days ago

Guardian Pharmacy - Large

Remote from
Georgia (USA)
Full time
Medicare Part D
Outbound Calls
Cold Calling
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ICONMA
Grievance &Appeals Coordinator
21 days ago

ICONMA - Human Resources, Staffing & Recruiting - Large

Remote from
Michigan (USA)
Full time

Expert & Leadership (>10 years)

Business Communication
Grievance Arbitration
Regulatory Compliance
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Erie Insurance Group
Career Opportunities: Inside Claims Representative I (45971)
5 days ago

Erie Insurance Group - Insurance - XLarge

Remote from
Tennessee (USA)
Full time
Complaint Investigations
Adjudication
Liability Law
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Paramount Commerce
Director, AML Financial Intelligence Unit & High-Risk Customer Management
30+ days ago

Paramount Commerce - Fintech: Finance + Technology - SME

Remote from
Canada
Full time
Customer Risk
Transaction Monitoring
Risk Management
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Prolific
Data Quality Engineer, AI Business
13 days ago

Prolific - Research - Scaleup

Remote from
United Kingdom
Full time

Senior (5-10 years)

Data Quality Assessment
SQL (Programming Language)
Python (Programming Language)
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WellSense Health Plan
Coding and Compliance Auditor-Behavioral Health
30+ days ago

WellSense Health Plan - SME

Remote from
Massachusetts (USA)
Full time
ICD Coding (ICD-9/ICD-10)
Behavioral Health
CPT Coding
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University of Rochester
Clm Resltion Rep III, Hosp/Prv
8 days ago

University of Rochester - Education

Remote from
New York (USA)
Full time

Mid-level (2-5 years)

Accounts Receivable
Claims And Litigation Management
Business Communication
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NTT DATA
Medical Claims Processor - Remote
30+ days ago

NTT DATA - Information Technology & Services - XLarge

Remote from
Texas (USA)
Full time
Medical Insurance Claims
Adjudication
Microsoft Operating Systems
View Similar Jobs →
Regence BlueCross BlueShield of Oregon
Vice President Payment Integrity
30+ days ago

Regence BlueCross BlueShield of Oregon

Remote from
Idaho (USA), Oregon (USA), Utah (USA) +1
Full time

Expert & Leadership (>10 years)

Medical Coding
Advanced Analytics
Service Recovery
View Similar Jobs →
Soleo Health
Clearance Specialist - Intake Coordinator
30+ days ago

Soleo Health - XLarge

Remote from
Texas (USA)
Full time
44 - 51K
Medical Devices
Adjudication
Benefits Administration
View Similar Jobs →
Shields Health Solutions
Pharmacy Technician - Refill Calls
30+ days ago

Shields Health Solutions - SME

Remote from
Arizona (USA)
Full time
Pharmacy Experience
Adjudication
Data Entry
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Soleo Health
Clearance Specialist - Pacific Time - Intake Coordinator
15 days ago

Soleo Health - XLarge

Remote from
Texas (USA)
Full time

Expert & Leadership (>10 years)

Medical Devices
Adjudication
Prior Authorization
View Similar Jobs →
BizForce
Accounts Receivable Specialist (Dermatology Claims)
30+ days ago

BizForce - Human Resources, Staffing & Recruiting - TPE

Remote from
Philippines
Full time
Medical Billing
Accounts Receivable
Adjudication
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Sierra Solutions Group
Claims Specialist -REMOTE
13 days ago

Sierra Solutions Group - Scaleup

Remote from
Canada, California (USA)
Full time

Senior (5-10 years)

Benefits Administration
Adjudication
COBRA Administration
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Pharmacists Mutual Insurance Company
Vice President, Claims
Just Now

Pharmacists Mutual Insurance Company - Insurance - SME

New
Remote from
Illinois (USA), Iowa (USA), Kansas (USA) +4
Full time

Expert & Leadership (>10 years)

Litigation Management
Casualty Insurance
Claims And Litigation Management
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HCM Nexus
In-Patient Coding Denials Specialist
30+ days ago

HCM Nexus - Human Resources, Staffing & Recruiting - SME

Remote from
Philippines
Full time

Mid-level (2-5 years)

19 - 19K
Inpatient Coding
ICD 503
Cerner EHR
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Clover Health
Senior Manager, Dental Operations
5 days ago

Clover Health - Health Care - Scaleup

Remote from
United States
Full time

Senior (5-10 years)

168 - 168K
Dentistry
Vendor Management
Claims And Litigation Management
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NTT DATA
Xcelys Medical Claims - Team Lead
30+ days ago

NTT DATA - Information Technology & Services - XLarge

Remote from
Canada, California (USA)
Full time

Senior (5-10 years)

Medical Insurance Claims
Adjudication
Process Optimization
View Similar Jobs →
Tabula Rasa HealthCare
PAC Specialist
14 days ago

Tabula Rasa HealthCare - Large

Remote from
Ohio (USA)
Full time
Pharmacology
Adjudication
Prior Authorization
View Similar Jobs →
Engle Martin
Senior Property Adjuster - Savannah, GA
30+ days ago

Engle Martin - Insurance - SME

Remote from
Georgia (USA)
Full time

Senior (5-10 years)

96 - 96K
Damage Assessments
Construction Law
Xactimate (Claims Estimating Software)
View Similar Jobs →
NTT DATA
Remote Medical Claims Representative
30+ days ago

NTT DATA - Information Technology & Services - XLarge

Remote from
Illinois (USA)
Full time
34 - 69K
Medical Insurance Claims
Adjudication
Performance Management
View Similar Jobs →
IQVIA
Operation Specialist 2
19 days ago

IQVIA - Health Care - Large

Remote from
Brazil
Full time

Mid-level (2-5 years)

Pharmacovigilance
Drug Regulatory Affairs
Data Entry
View Similar Jobs →
NTT DATA
Medical Claims Processor - Remote
30+ days ago

NTT DATA - Information Technology & Services - XLarge

Remote from
Texas (USA)
Full time

Senior (5-10 years)

Medical Insurance Claims
Adjudication
Microsoft Operating Systems
View Similar Jobs →
EFI Global
Liability Claims Representative | General Liability
20 days ago

EFI Global - Construction & Civil Engineering - SME

Remote from
New Jersey (USA)
Full time

Mid-level (2-5 years)

Personal Injury Law
Adjudication
Claims And Litigation Management
View Similar Jobs →
NTT DATA
Xcelys Medical Claims Examiner
29 days ago

NTT DATA - Information Technology & Services - XLarge

Remote from
Canada, California (USA)
Full time
Vendor Contracts
Medical Coding
Adjudication
View Similar Jobs →
BMO Harris Bank
Credit Risk Model Validation
29 days ago

BMO Harris Bank - Banking - XLarge

Remote from
Arizona (USA), Colorado (USA), Idaho (USA) +6
Full time

Senior (5-10 years)

SAS (Software)
Credit Risk Modeling
Python (Programming Language)
View Similar Jobs →
Sedgwick Ireland
Workers Compensation Claims Manager | VA Jurisdictional Experience Required | Dedicated Client | Remote
19 days ago

Sedgwick Ireland - Startup

Remote from
Virginia (USA)
Full time

Senior (5-10 years)

Workers' Compensation Claims
Adjudication
Claims And Litigation Management
View Similar Jobs →
Allied Benefit Systems, LLC
Refund Specialist
30+ days ago

Allied Benefit Systems, LLC - Unicorn

Remote from
Illinois (USA)
Full time

Senior (5-10 years)

ICD Coding (ICD-9/ICD-10)
Medical Insurance Claims
Adjudication
View Similar Jobs →
BMO
Credit Risk Model Validation
29 days ago

BMO - Financial Services - XLarge

Remote from
Arizona (USA), Colorado (USA), Idaho (USA) +6
Full time

Senior (5-10 years)

Model Risk Management
SAS (Software)
Credit Risk Modeling
View Similar Jobs →
Cambia Health Solutions
Vice President Payment Integrity
30+ days ago

Cambia Health Solutions - Health, Sport, Wellness & Fitness - XLarge

Remote from
Idaho (USA), Oregon (USA), Utah (USA) +1
Full time

Expert & Leadership (>10 years)

Payment Processing
Business Process Improvement
Statistical Analysis
View Similar Jobs →
Allianz
Career Opportunities: Medical Team Leader - Manila (94139)
30+ days ago

Allianz - Financial Services - Large

Remote from
Philippines
Full time

Senior (5-10 years)

Clinical Governance
Advanced Case Management
Adjudication
View Similar Jobs →
Soleo Health
Clearance Specialist - Intake Coordinator
30+ days ago

Soleo Health - XLarge

Remote from
Texas (USA)
Full time

Expert & Leadership (>10 years)

Reimbursement Regulations
Intraosseous Infusion
Prior Authorization
View Similar Jobs →
Tabula Rasa HealthCare
Certified Pharmacy Technician - Engagement (12:30PM - 9:00PM ET)
13 days ago

Tabula Rasa HealthCare - Large

Remote from
Ohio (USA)
Full time
Pharmacology
Medical Prescription
Pharmacist Assistance
View Similar Jobs →
Sedgwick Ireland
Client Services - DIrector (REMOTE)
8 days ago

Sedgwick Ireland - Startup

Remote from
Florida (USA), Georgia (USA), Idaho (USA) +11
Full time

Expert & Leadership (>10 years)

Account Management
Customer Retention
Adjudication
View Similar Jobs →
LegalVision
Construction Lawyer 2-5 PQE
30+ days ago

LegalVision - Legal Services - SME

Remote from
United Kingdom
Full time

Mid-level (2-5 years)

Construction Law
Construction Permitting
Contract Management
View Similar Jobs →
Johnson & Johnson Innovative Medicine
Principal Clinical Safety Specialist- Shockwave Medical (Remote)
30+ days ago

Johnson & Johnson Innovative Medicine

Remote from
Minnesota (USA)
Full time

Expert & Leadership (>10 years)

Patient Safety
Regulatory Compliance
Adverse Event Monitoring
View Similar Jobs →
Highmark Health
Senior Stop Loss Claims Analyst
7 days ago

Highmark Health

Remote from
United States, Austria, Canada +12
Full time

Mid-level (2-5 years)

19 - 96K
Medical Insurance Claims
Adjudication
Medical Abbreviations
View Similar Jobs →
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