Claims Specialist
Baton Rouge, LA · Remote
Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist ... which insurance plan pays first when a member has multiple sources of coverage Experience ...
Baton Rouge, LA · Remote
Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist ... which insurance plan pays first when a member has multiple sources of coverage Experience ...
Baton Rouge, LA · Remote
Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist ... which insurance plan pays first when a member has multiple sources of coverage Experience ...
Phoenix, AZ · On-site +1
W/C INSURANCE CLAIMS SPECIALIST 2 Apply now Job No: 542849 Work Type: Full-time Location: PHOENIX ... All work, including remote work, should be performed within Arizona unless an exception is properly ...
Phoenix, AZ · On-site +1
W/C INSURANCE CLAIMS SPECIALIST 2 Apply now Job No: 542849 Work Type: Full-time Location: PHOENIX ... All work, including remote work, should be performed within Arizona unless an exception is properly ...
$17.50 - $24.50/hr
This full-time opportunity offers a consistent schedule of Monday-Friday 8AM-5PM (remote) . If you ... Pet Insurance * Employee referral bonus program * Teamwork: We believe in teamwork and having fun ...
$17.50 - $24.50/hr
This full-time opportunity offers a consistent schedule of Monday-Friday 8AM-5PM (remote) . If you ... Pet Insurance * Employee referral bonus program * Teamwork: We believe in teamwork and having fun ...
$17.50 - $24.50/hr
This full-time opportunity offers a consistent schedule of Monday-Friday 8AM-5PM (remote) . If you ... Pet Insurance * Employee referral bonus program * Teamwork: We believe in teamwork and having fun ...
$17.50 - $24.50/hr
This full-time opportunity offers a consistent schedule of Monday-Friday 8AM-5PM (remote) . If you ... Pet Insurance * Employee referral bonus program * Teamwork: We believe in teamwork and having fun ...
$17.50 - $24.50/hr
This full-time opportunity offers a consistent schedule of Monday-Friday 8AM-5PM CST (remote) . If ... Pet Insurance * Employee referral bonus program * Teamwork: We believe in teamwork and having fun ...
$17.50 - $24.50/hr
This full-time opportunity offers a consistent schedule of Monday-Friday 8AM-5PM CST (remote) . If ... Pet Insurance * Employee referral bonus program * Teamwork: We believe in teamwork and having fun ...
$17 - $18.50/hr
... pet insurance, FSA plans, and retailer discounts. Career Growth and Culture At TP, we prioritize a ... Filling/documenting claims for customers who have been in accident * Assist customers with setting ...
$17 - $18.50/hr
... pet insurance, FSA plans, and retailer discounts. Career Growth and Culture At TP, we prioritize a ... Filling/documenting claims for customers who have been in accident * Assist customers with setting ...
... pet insurance, FSA plans, and retailer discounts. Career Growth and Culture At TP, we prioritize a ... Filling/documenting claims for customers who have been in accident * Assist customers with setting ...
... pet insurance, FSA plans, and retailer discounts. Career Growth and Culture At TP, we prioritize a ... Filling/documenting claims for customers who have been in accident * Assist customers with setting ...
... pet insurance, FSA plans, and retailer discounts. Career Growth and Culture At TP, we prioritize a ... Filling/documenting claims for customers who have been in accident * Assist customers with setting ...
... pet insurance, FSA plans, and retailer discounts. Career Growth and Culture At TP, we prioritize a ... Filling/documenting claims for customers who have been in accident * Assist customers with setting ...
Lansing, MI · Remote
$73K/yr
... contractual and legal obligations. To ensure timely service, while providing appropriate and ... insurance designation required. Preferred : * Designation in CPCU preferred. Note: This is a remote ...
Lansing, MI · Remote
$73K/yr
... contractual and legal obligations. To ensure timely service, while providing appropriate and ... insurance designation required. Preferred : * Designation in CPCU preferred. Note: This is a remote ...
Lansing, MI · Remote
$73K/yr
... contractual and legal obligations. To ensure timely service, while providing appropriate and ... insurance designation required. Preferred : * Designation in CPCU preferred. Note: This is a remote ...
Lansing, MI · Remote
$73K/yr
... contractual and legal obligations. To ensure timely service, while providing appropriate and ... insurance designation required. Preferred : * Designation in CPCU preferred. Note: This is a remote ...
Lansing, MI · Remote
$73K/yr
... contractual and legal obligations. To ensure timely service, while providing appropriate and ... insurance designation required. Preferred : * Designation in CPCU preferred. Note: This is a remote ...
Lansing, MI · Remote
$73K/yr
... contractual and legal obligations. To ensure timely service, while providing appropriate and ... insurance designation required. Preferred : * Designation in CPCU preferred. Note: This is a remote ...
MA · On-site +1
$83K/yr
This role is primarily remote, with a light-touch office cadence - just two in-office days per ... insured wording, contractual indemnity, other insurance, primary/excess interaction, SIRs ...
MA · On-site +1
$83K/yr
This role is primarily remote, with a light-touch office cadence - just two in-office days per ... insured wording, contractual indemnity, other insurance, primary/excess interaction, SIRs ...
... remote classroom training is required . PTO will be restricted during this period. About the Opportunity Join our Disability Insurance (DI) Claims team as an analyst in a dynamic, client-centered ...
... remote classroom training is required . PTO will be restricted during this period. About the Opportunity Join our Disability Insurance (DI) Claims team as an analyst in a dynamic, client-centered ...
Portland, OR · Remote
$52K - $85K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
Quick apply
Portland, OR · Remote
$52K - $85K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
... remote classroom training is required . PTO will be restricted during this period. About the Opportunity Join our Disability Insurance (DI) Claims team as an analyst in a dynamic, client-centered ...
... remote classroom training is required . PTO will be restricted during this period. About the Opportunity Join our Disability Insurance (DI) Claims team as an analyst in a dynamic, client-centered ...
Claims Specialist with FineOS Remote Fulltime Responsibilities: To provide Absence case management ... Approval or denial on FMLA claims as per Insurance carrier, and employer's guidelines Analyzes ...
Quick apply
Claims Specialist with FineOS Remote Fulltime Responsibilities: To provide Absence case management ... Approval or denial on FMLA claims as per Insurance carrier, and employer's guidelines Analyzes ...
CA · Remote
$99K - $110K/yr
We are actively hiring for a Commercial Claims Insurance Analyst - Remote Your Role: Seasoned professional with a strong understanding of the functional area who supports overall business strategy ...
New
CA · Remote
$99K - $110K/yr
We are actively hiring for a Commercial Claims Insurance Analyst - Remote Your Role: Seasoned professional with a strong understanding of the functional area who supports overall business strategy ...
New
Charlotte, NC · Remote
$52K - $85K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
Quick apply
Charlotte, NC · Remote
$52K - $85K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
$17.50 - $24.50/hr
This full-time opportunity offers a consistent schedule of Monday-Friday 9AM-5:30PM CST (remote ... Pet Insurance * Employee referral bonus program * Teamwork: We believe in teamwork and having fun ...
$17.50 - $24.50/hr
This full-time opportunity offers a consistent schedule of Monday-Friday 9AM-5:30PM CST (remote ... Pet Insurance * Employee referral bonus program * Teamwork: We believe in teamwork and having fun ...
Charlotte, NC · Remote
$52K - $85K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
Quick apply
Charlotte, NC · Remote
$52K - $85K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...
$12.74 - $15.49
8% of jobs
$17.33 is the 25th percentile. Wages below this are outliers.
$15.49 - $18.25
25% of jobs
The median wage is $20.35 / hr.
$18.25 - $21
22% of jobs
$21 - $23.75
15% of jobs
$25.01 is the 75th percentile. Wages above this are outliers.
$23.75 - $26.51
11% of jobs
$26.51 - $29.26
5% of jobs
$29.26 - $32.01
3% of jobs
$32.01 - $34.77
3% of jobs
$34.77 - $37.52
3% of jobs
$37.52 - $40.28
3% of jobs
$40.28 - $43.03
1% of jobs
$12
$23
$43
| Aspect | Contractual Remote Pet Insurance Claims | Remote Pet Insurance Customer Service Representative |
|---|---|---|
| Credentials | Insurance claims processing certification, knowledge of policies | Customer service skills, insurance product knowledge |
| Work Environment | Remote, claims processing systems, documentation | Remote, call centers, communication platforms |
| Employer & Industry | Insurance companies, pet insurance providers |
Contractual Remote Pet Insurance Claims specialists focus on evaluating and processing insurance claims, requiring specific claims processing certifications. In contrast, Remote Pet Insurance Customer Service Representatives handle customer inquiries and support, emphasizing communication skills. Both roles are remote and industry-specific, but their core functions and required credentials differ.
Cities with the most Contractual Remote Pet Insurance Claims job openings:
The most popular types of Remote Pet Insurance Claims jobs are:
States with the most job openings for Contractual Remote Pet Insurance Claims jobs include:
Job Description STRATEGIC STAFFING SOLUTIONS HAS AN OPENING. This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C eligibility for this position.
Visa Sponsorship is Available. The details are below. "Beware of scams.
S3 never asks for money during its onboarding process." Job Title: Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist will support claims operations by accurately processing claims edits, determining primacy for Coordination of Benefits, adjusting previously paid claims, and initiating procedures to recover funds on overpaid claims. This position will analyze, investigate, and resolve problem cases, execute recovery processes, and complete special projects while complying with applicable laws and regulations. Required Qualifications High school diploma or equivalent At least 2 years of medical claims-processing experience Strong analytical ability, including logical, systemic, and investigative thinking Strong oral and written communication skills Strong human-relations skills Working knowledge of relevant PC software Ability to prioritize multiple streams of work effectively Preferred Qualifications Coordination of Benefits processing experience Hands-on experience determining which insurance plan pays first when a member has multiple sources of coverage Experience identifying primary and secondary coverage Experience reviewing and updating claims based on COB rules Experience applying COB primacy rules, including subscriber status, effective dates, plan type, and Medicare coordination Experience communicating with members, providers, and other insurers to verify coverage information Experience correcting overpayments, initiating refunds or reprocessing claims, and maintaining accurate claim records Experience working within claims systems and following regulatory and compliance requirements, including HIPAA Responsibilities Review, research, and update claims, including recalculating benefits on previously processed claims Process claims edits according to contractual benefits and provider-reimbursement rules Initiate refund requests when necessary Identify denial codes, edits, and processing codes associated with coordinated and non-coordinated claims Request medical records when required Communicate orally and in writing with internal and external contacts to establish accurate claims records Review quality audits for correction or routing within 48 hours of receipt Research and determine the correct order of benefits for payment by applicable plans Make necessary corrections to COB records Notify the appropriate departments when Medicare has determined primacy incorrectly Analyze, investigate, and resolve problem cases involving COB records, adjusted claims, and overpayments Review previously processed claims to ensure payment consistency and maximize overpayment recovery Execute procedures to recover funds from providers, subscribers, or beneficiaries when overpayments occur Support training, implementations, documentation, and special projects Assist with matters involving internal-audit findings, provider-status changes, and system errors Perform other job-related duties within the scope of the position
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Professional, scientific, and technical services
201 - 500 Employees
Sparta, NJ, US