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Manager Remote Auto Claims Adjuster Jobs in Utah

Deloitte

Epic Denials Management Operator

Salt Lake City, UT · Remote

$17.50 - $23.25/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role supporting enterprise Epic support ...

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All JobsAuto Claims Adjuster JobsManager Remote Auto Claims Adjuster JobsManager Remote Auto Claims Adjuster Jobs in Utah

Manager Remote Auto Claims Adjuster information

What is a manager remote auto claims adjuster?

A Manager Remote Auto Claims Adjuster is a professional who oversees a team of auto claims adjusters working remotely, ensuring that automobile insurance claims are processed efficiently and accurately. This role combines leadership responsibilities with technical knowledge of auto claims, including training staff, monitoring claim progress, resolving escalated issues, and maintaining compliance with company policies and industry regulations. Working remotely, the manager uses digital tools to coordinate team activities and facilitate communication between adjusters, clients, and other stakeholders.

How does a manager remote auto claims adjuster effectively oversee a distributed team and ensure consistent claim handling standards?

As a Manager Remote Auto Claims Adjuster, you’ll lead a team of adjusters working from various locations, which requires strong communication and organizational skills. Regular virtual meetings, clear documentation, and leveraging claims management software are essential to maintain oversight and ensure consistent processes. You’ll be responsible for reviewing complex claims, providing guidance, and mentoring team members to uphold company standards. Collaboration with other departments, such as legal and customer service, is common, and you’ll play a key role in driving continuous improvement initiatives for both team performance and customer satisfaction.

What are the key skills and qualifications needed to thrive as a manager remote auto claims adjuster, and why are they important?

To thrive as a Manager Remote Auto Claims Adjuster, you need expertise in auto insurance claims, leadership experience, and a relevant bachelor's degree or equivalent work background. Mastery of claims management systems, virtual collaboration tools, and familiarity with industry-specific software like Guidewire or Xactimate are typically required. Strong analytical skills, attention to detail, and effective communication are vital soft skills for managing remote teams and ensuring customer satisfaction. These skills are essential for accurately resolving claims, maintaining regulatory compliance, and leading distributed teams efficiently.

What is the difference between Manager Remote Auto Claims Adjuster vs Auto Claims Adjuster?

AspectManager Remote Auto Claims AdjusterAuto Claims Adjuster
CertificationsAdjuster license, management certificationsAdjuster license
Work EnvironmentRemote, supervisory roleRemote or in-office, hands-on claims handling
ResponsibilitiesOversees claims process, mentors staff, manages casesEvaluates claims, negotiates settlements, inspects damages

The main difference is that the Manager Remote Auto Claims Adjuster oversees claims teams and manages processes, while the Auto Claims Adjuster focuses on evaluating and settling individual claims. The manager role involves leadership and higher-level decision-making, whereas the adjuster role is more technical and case-specific.

What are popular job titles related to Manager Remote Auto Claims Adjuster jobs in Utah?

For Manager Remote Auto Claims Adjuster jobs in Utah, the most frequently searched job titles are:

What job categories do people searching Manager Remote Auto Claims Adjuster jobs in Utah look for?

The top searched job categories for Manager Remote Auto Claims Adjuster jobs in Utah are:

What cities in Utah are hiring for Manager Remote Auto Claims Adjuster jobs?

Cities in Utah with the most Manager Remote Auto Claims Adjuster job openings:

Manager Remote Auto Claims Adjuster jobs near you

Pharmacy Claims Adjudication Specialist

Onco360

Salt Lake City, UT • Remote

$23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

20th of 113 rated pharmacies

Job description

We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy working in Mountain Time Zone. This will be a Full-Time position. This is a remote/hybrid opportunity,
Shift times start at 10am Mountain Time Zone until 8pm Mountain Time Zone.
Full-Time position may work remotely but MUST HAVE ACTIVE UTAH PHARMACY TECHNICIAN credentials from the State Board of Pharmacy.
Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers.
Starting salary from $23.00 an hour and up
Sign-On Bonus: $5,000 for employees starting before October 31st, 2026.
We offer a variety of benefits including:
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Company paid benefits – life; and short and long-term disability
Pharmacy Adjudication Specialist Major Responsibilities:
The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections
Pharmacy Adjudication Specialists at Onco360...
  • Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.
  • Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding active claims information..
  • Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.
  • Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and tertiary pharmacy plans and reviews claim responses for accuracy before accepting the claim.
  • Contacts insurance companies to resolve third-party rejections and ensures pharmacy claim rejections are resolved to allow for timely shipping of medications. Performs outreach calls to patients or providers to reschedule their medication deliveries if claim resolution cannot be completed by ship date and causes shipment delays
  • Ensures copay cards are only applied to claims for eligible patients based on set criteria such as insurance type (Government beneficiaries not eligible)
  • Manages all funding related adjudications and works as a liaison to Onco360 Advocate team.
  • Assists pharmacy team with all management of electronically adjudicated claims to ensure all prescription delivery assessments are reconciled and copay payments are charged prior to shipment.
  • Serves as customer service liaison to patients regarding financial responsibility prior to shipments, contacts patients to communicate any copay discrepancy between quoted amount and claim and collects payment if applicable.
  • Documenst and submit requests for Patient Refunds when appropriate.
  • Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws.
  • Contributes to team effort by accomplishing related tasks as needed and other duties as assigned.
  • Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
Pharmacy Adjudication Specialist Qualifications and Responsibilities...
  • Education/Learning Experience
    • Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy Claims Adjudication
    • Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician, Specialty pharmacy experience
  • Work Experience
    • Required: 2+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience
    • Desired: 3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience
  • Skills/Knowledge
    • Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills
    • Desired: Knowledge of Foundation Funding, Specialty pharmacy experience
  • Licenses/Certifications
    • Required: Registration with Board of Pharmacy as required by state law
    • Desired: Certified Pharmacy Technician (PTCB)
  • Behavior Competencies
    • Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills

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