Remote Adjudication Jobs

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TD Securities
Fraud Agent I
30+ days ago

TD Securities

Remote from
New Jersey (USA)
Full time

Junior (1-2 years)

44 - 59K
Fraud Investigation
Fraud Detection
Analytics
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Delta Dental of Michigan
Professional Services Representative
30+ days ago

Delta Dental of Michigan - Insurance - SME

Remote from
Michigan (USA)
Full time
Dentistry
Dentistry
Adjudication
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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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Tabula Rasa HealthCare
PAC Specialist
13 days ago

Tabula Rasa HealthCare - Large

Remote from
Ohio (USA)
Full time
Call Center Experience
Pharmacy Experience
Drug Education
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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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Mitacs
Research Review Specialist
15 days ago

Mitacs - Research - SME

Remote from
Canada
Full time
Proposal Development
Artificial Intelligence
Adjudication
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Blue Cross NC
Senior Strategic Advisor, Healthcare
16 days ago

Blue Cross NC - Insurance - XLarge

Remote from
North Carolina (USA)
Full time

Senior (5-10 years)

Adjudication
Prospective Payment Systems
Medicare
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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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Cotiviti
Senior Auditor Quality - OPSP
4 days ago

Cotiviti - Large

Remote from
United States
Full time

Senior (5-10 years)

Inpatient Coding
Clinical Auditing
Medical Necessity
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Sedgwick
Workers' Compensation Claims Examiner | NY & VT Jurisdictional Knowledge | Remote
16 days ago

Sedgwick - Insurance - Large

Remote from
Connecticut (USA), Delaware (USA), Maine (USA) +10
Full time

Mid-level (2-5 years)

Workers' Compensation
Adjudication
Medical Insurance Claims
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EFI Global
Claim Examiner - Liability (REMOTE- Water Damage Claims Exp)
30+ 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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EFI Global
(Remote) Claims Examiner - Workers Compensation | AZ, CO, UT Jurisdictions
20 days ago

EFI Global - Construction & Civil Engineering - SME

Remote from
Arizona (USA), Colorado (USA), Oklahoma (USA) +1
Full time

Senior (5-10 years)

Settlement
Adjudication
Complaint Investigations
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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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Groundworks
Human Resources Manager
23 days ago

Groundworks - Large

Remote from
Canada
Full time

Mid-level (2-5 years)

115 - 115K
HR Operations
Employee Relations
Talent Acquisition
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Lilt
Legal & Compliance AI Rater/Evaluator - Japanese
30+ days ago

Lilt - Scaleup

Remote from
Japan
Fixed term
Legal Analysis
Red Teaming
Regulatory Compliance
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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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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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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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Sedgwick Ireland
Workers' Compensation Claims Examiner | NY & VT Jurisdictional Knowledge | Remote
16 days ago

Sedgwick Ireland - Startup

Remote from
Connecticut (USA), Delaware (USA), Maine (USA) +10
Full time

Mid-level (2-5 years)

Settlement
Adjudication
Claims And Litigation Management
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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)
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Delta Dental of Michigan
Government Programs Professional Services Representative
30+ days ago

Delta Dental of Michigan - Insurance - SME

Remote from
Ohio (USA)
Full time
Dentistry
Dentistry
Adjudication
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Etsy
Policy Enforcement Manager, Content Compliance
30+ days ago

Etsy - Online Marketplace and E-commerce - XLarge

Remote from
New York (USA)
Full time

Senior (5-10 years)

Adjudication
Policy Enforcement
Compliance Risk Management
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Prescryptive Health, Inc.
Director, Digital Prescription Services
30+ 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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Tecsa
Claims and Research Analyst
21 days ago

Tecsa

Remote from
Illinois (USA)
Full time

Mid-level (2-5 years)

Reimbursement Regulations
Adjudication
Claims And Litigation Management
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Aspire General Insurance
Senior Bodily Injury Claims Adjuster
30+ days ago

Aspire General Insurance

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

Senior (5-10 years)

Settlement
Personal Injury Law
Liability Law
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Tabula Rasa HealthCare
Pharmacy Technician - Start of Care
16 days ago

Tabula Rasa HealthCare - Large

Remote from
Ohio (USA)
Full time
Pharmacology
Electronic Prescription (eRx)
Online Pharmacy Systems
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Prolific
Data Quality Engineer, AI Business
30+ 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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Soleo Health
Clearance Specialist - Pacific Time - Intake Coordinator
30+ days ago

Soleo Health - XLarge

Remote from
Texas (USA)
Full time

Expert & Leadership (>10 years)

Medical Devices
Adjudication
Prior Authorization
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simplesurance GmbH
Career Opportunities: Medical Team Leader - Manila (94139)
30+ days ago

simplesurance GmbH - SME

Remote from
Philippines
Full time

Senior (5-10 years)

Clinical Governance
Case Management Systems
Advanced Negotiation
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Guidehouse
Healthcare Analytics – Payor/Provider Finance Data and AI, Managed Care Contracting & Optimization
29 days ago

Guidehouse - Professional Services - Large

Remote from
Illinois (USA)
Full time

Mid-level (2-5 years)

SQL (Programming Language)
ETL (Extract Transform Load)
Python (Programming Language)
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LIBERTY Dental Plan
System Configuration Analyst
16 days ago

LIBERTY Dental Plan

Remote from
California (USA)
Full time

Mid-level (2-5 years)

Utilization Management
Microsoft Access
Data Mining
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Sunshine Enterprise USA
Business Analyst (Policy remediation) - Contract - Remote
12 days ago

Sunshine Enterprise USA - Human Resources, Staffing & Recruiting - SME

Remote from
South Carolina (USA)
Fixed term
Medical Insurance Claims
Policy Enforcement
Adjudication
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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
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LIBERTY Dental Plan
System Configuration Analyst
16 days ago

LIBERTY Dental Plan - Insurance - Large

Remote from
California (USA)
Full time

Mid-level (2-5 years)

Utilization Management
System Configuration
New Business Development
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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 →
Brillio
Forward Deployed AI Engineers (FDEs) - R01563547
16 days ago

Brillio - Information Technology & Services - XLarge

Remote from
New York (USA)
Full time

Expert & Leadership (>10 years)

Prompt Engineering
Python (Programming Language)
Code Refactoring
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BMO
Credit Risk Model Validation
15 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
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University of Rochester
Clm Resltion Rep III, Hosp/Prv
30+ 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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WNS
Senior Disability Claims Examiner (LTD) (Virtual)
25 days ago

WNS - Consumer Services - Large

Remote from
Arizona (USA), Colorado (USA), Connecticut (USA) +12
Full time

Senior (5-10 years)

Medical Record Management
Adjudication
Long Term Disability Claims
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Sedgwick Ireland
Claims Examiner - Liability | Bodily Injury & General Liability | Multi State Jurisdiction | Licensing: Reciprocal Required - Remote
4 days ago

Sedgwick Ireland - Startup

Remote from
United States
Full time

Senior (5-10 years)

Personal Injury Law
Adjudication
Liability Law
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Soleo Health
Clearance Specialist - Intake Coordinator
30+ days ago

Soleo Health - XLarge

Remote from
Texas (USA)
Full time

Expert & Leadership (>10 years)

Benefits Realization Management
Infusions
Prior Authorization
View Similar Jobs →
MEDHOST
Claims Examiner
30+ days ago

MEDHOST

Remote from
Alaska (USA), District of Columbia (USA), Washington (USA)
Full time
Adjudication
Claims And Litigation Management
Medical Record Management
View Similar Jobs →
Tabula Rasa HealthCare
Certified Pharmacy Technician - Engagement (12:30PM - 9:00PM ET)
30+ days ago

Tabula Rasa HealthCare - Large

Remote from
Ohio (USA)
Full time
Pharmacology
Medical Prescription
Pharmacist Assistance
View Similar Jobs →
AMGEN
Clinical Scientist Associate Director – Cardiovascular Trials
29 days ago

AMGEN - Biotech: Biology + Technology - Large

Remote from
United States
Full time

Expert & Leadership (>10 years)

229 - 229K
Clinical Data Analysis
Cardiovascular Research
Endpoint Engineering
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Everest Clinical Research
Senior Clinical Project Manager (Remote)
3 days ago

Everest Clinical Research - Pharmaceuticals - SME

Remote from
United States
Full time

Senior (5-10 years)

Regulatory Compliance
Budget Management
Project Management
View Similar Jobs →
Assurant
Financial Services Claims Adjuster
4 days ago

Assurant - Insurance - Large

Remote from
United States
Full time

Mid-level (2-5 years)

Settlement
Underwriting
Adjudication
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WVU Hospitals — Ruby Memorial Hospital
Insurance Claim Spec
9 days ago

WVU Hospitals — Ruby Memorial Hospital

Remote from
United States
Full time

Junior (1-2 years)

Medical Billing
Claims And Litigation Management
Revenue Management
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Zing Health
Claims and Research Analyst
21 days ago

Zing Health - Startup

Remote from
Illinois (USA)
Full time

Mid-level (2-5 years)

Adjudication
Complaint Investigations
Claims And Litigation Management
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Boehringer Ingelheim
Career Opportunities: Senior Clinical Program Leader- Cardio Renal Metabolic (30857)
30+ days ago

Boehringer Ingelheim - Pharmaceuticals - XLarge

Remote from
United States
Full time
250 - 394K
Clinical Governance
Regulatory Compliance
Pre-Clinical Development
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Empire Life
Claim Manager
30+ days ago

Empire Life - Insurance - SME

Remote from
Canada, Alabama (USA), Colorado (USA) +1
Full time

Mid-level (2-5 years)

Return-to-Work Management
Disability Management
Medical Abbreviations
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