New England Claims Specialist
$52K - $85K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Communicates claim status with the customer, claimant and client * Adheres to client and carrier ...
$52K - $85K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Communicates claim status with the customer, claimant and client * Adheres to client and carrier ...
$52K - $85K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Communicates claim status with the customer, claimant and client * Adheres to client and carrier ...
OR · On-site +1
$68K - $92K/yr
... claim teams. Claims support will oversee internal team members who are designated/dedicated to ... Ensures claims are processed accurately within regulatory and company guidelines. * Liaison for ...
OR · On-site +1
$68K - $92K/yr
... claim teams. Claims support will oversee internal team members who are designated/dedicated to ... Ensures claims are processed accurately within regulatory and company guidelines. * Liaison for ...
Exempt Location: In-Officeor Remote Summary: We are looking for a highly capable Senior ... Processing mail and prioritizing workload. * Responsible for telephone calls and written ...
Exempt Location: In-Officeor Remote Summary: We are looking for a highly capable Senior ... Processing mail and prioritizing workload. * Responsible for telephone calls and written ...
Exempt Location: In-Officeor Remote Summary: We are looking for a highly capable Senior ... Processing mail and prioritizing workload. * Responsible for telephone calls and written ...
Exempt Location: In-Officeor Remote Summary: We are looking for a highly capable Senior ... Processing mail and prioritizing workload. * Responsible for telephone calls and written ...
Exempt Location: In-Officeor Remote Summary: We are looking for a highly capable Senior ... Processing mail and prioritizing workload. * Responsible for telephone calls and written ...
Exempt Location: In-Officeor Remote Summary: We are looking for a highly capable Senior ... Processing mail and prioritizing workload. * Responsible for telephone calls and written ...
Fully Remote Group Benefit Solutions delivers comprehensive insurance and absence management ... Independently conduct claim eligibility determinations and manage on-going claims for benefits ...
Fully Remote Group Benefit Solutions delivers comprehensive insurance and absence management ... Independently conduct claim eligibility determinations and manage on-going claims for benefits ...
Experience in medical claim processing is a plus * Bi-lingual (English/Spanish) is a plus The pay ... Remote #LI-DNP IQVIA is a leading global provider of clinical research services, commercial ...
Experience in medical claim processing is a plus * Bi-lingual (English/Spanish) is a plus The pay ... Remote #LI-DNP IQVIA is a leading global provider of clinical research services, commercial ...
Experience in medical claim processing is a plus * Bi-lingual (English/Spanish) is a plus The pay ... Remote #LI-DNP IQVIA is a leading global provider of clinical research services, commercial ...
Experience in medical claim processing is a plus * Bi-lingual (English/Spanish) is a plus The pay ... Remote #LI-DNP IQVIA is a leading global provider of clinical research services, commercial ...
OR · On-site +1
$65K - $85K/yr
In-Office or Remote Summary: We are looking for a highly capable Workers' Compensation Claims ... The position emphasizes strong claim management fundamentals, timely resolution, thorough ...
OR · On-site +1
$65K - $85K/yr
In-Office or Remote Summary: We are looking for a highly capable Workers' Compensation Claims ... The position emphasizes strong claim management fundamentals, timely resolution, thorough ...
Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... Educate internal and external teams on medical review processes, coverage determinations, and ...
Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... Educate internal and external teams on medical review processes, coverage determinations, and ...
Portland, OR · Remote
$97K - $156K/yr
Supervise section personnel for claim decisions on new and continuing disability claims, customer ... Experience managing projects, resources, processes that include automation on offshore resources.
Portland, OR · Remote
$97K - $156K/yr
Supervise section personnel for claim decisions on new and continuing disability claims, customer ... Experience managing projects, resources, processes that include automation on offshore resources.
OR · On-site +1
This role is mostly remote with some onsite/travel requirements. Will consider candidates in the ... The position designs and directs the claims investigation process; evaluates each claim with ...
OR · On-site +1
This role is mostly remote with some onsite/travel requirements. Will consider candidates in the ... The position designs and directs the claims investigation process; evaluates each claim with ...
Portland, OR · On-site +1
$97K - $156K/yr
Supervise section personnel for claim decisions on new and continuing disability claims, customer ... Experience managing projects, resources, processes that include automation on offshore resources.
Portland, OR · On-site +1
$97K - $156K/yr
Supervise section personnel for claim decisions on new and continuing disability claims, customer ... Experience managing projects, resources, processes that include automation on offshore resources.
$42K - $57K/yr
Fully Remote Group Benefit Solutions delivers comprehensive insurance and absence management ... The Claim Manager's decisions have a direct impact on customers' health, well-being and sense of ...
$42K - $57K/yr
Fully Remote Group Benefit Solutions delivers comprehensive insurance and absence management ... The Claim Manager's decisions have a direct impact on customers' health, well-being and sense of ...
Milwaukie, OR · On-site +1
$19.43 - $21.86/hr
... claim edits, processing, authorizations and medical necessity reviews; researches and provides ... A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work.
Milwaukie, OR · On-site +1
$19.43 - $21.86/hr
... claim edits, processing, authorizations and medical necessity reviews; researches and provides ... A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work.
OR · Remote
$60K - $65K/yr
FQHC Billing Account Manager - remote Compensation: $60,000 - $65,000 annually Nexus HR is seeking ... Monitor key RCM metrics such as clean claim rate, days in A/R, denial trends, and collection ...
Quick apply
OR · Remote
$60K - $65K/yr
FQHC Billing Account Manager - remote Compensation: $60,000 - $65,000 annually Nexus HR is seeking ... Monitor key RCM metrics such as clean claim rate, days in A/R, denial trends, and collection ...
OR · Remote
$60K - $65K/yr
FQHC Billing Account Manager - remote Compensation: $60,000 - $65,000 annually Nexus HR is seeking ... Monitor key RCM metrics such as clean claim rate, days in A/R, denial trends, and collection ...
OR · Remote
$60K - $65K/yr
FQHC Billing Account Manager - remote Compensation: $60,000 - $65,000 annually Nexus HR is seeking ... Monitor key RCM metrics such as clean claim rate, days in A/R, denial trends, and collection ...
OR · Remote
$20 - $27.25/hr
Identifies areas of opportunities for process improvements, automation, and efficiencies. Creates ... Proficiency with medical or claim billing systems, Microsoft Excel, reporting software, and basic ...
OR · Remote
$20 - $27.25/hr
Identifies areas of opportunities for process improvements, automation, and efficiencies. Creates ... Proficiency with medical or claim billing systems, Microsoft Excel, reporting software, and basic ...
Portland, OR · Remote
Communicating claim activity and processing with the claimant and the client. * Reporting claims to ... Hearing, vision and talking #claimsexaminer#claims #hybrid#LI-REMOTE#Sedgwick #Hotjobs #portland ...
Portland, OR · Remote
Communicating claim activity and processing with the claimant and the client. * Reporting claims to ... Hearing, vision and talking #claimsexaminer#claims #hybrid#LI-REMOTE#Sedgwick #Hotjobs #portland ...
Portland, OR · Remote
$34.75 - $47.25/hr
Communicating claim activity and processing with the claimant and the client. * Reporting claims to ... Hearing, vision and talking #claimsexaminer#claims #hybrid#LI-REMOTE#Sedgwick #Hotjobs #portland ...
Portland, OR · Remote
$34.75 - $47.25/hr
Communicating claim activity and processing with the claimant and the client. * Reporting claims to ... Hearing, vision and talking #claimsexaminer#claims #hybrid#LI-REMOTE#Sedgwick #Hotjobs #portland ...
$12.71 - $14.09
2% of jobs
$14.09 - $15.48
6% of jobs
$15.48 - $16.87
9% of jobs
$17.59 is the 25th percentile. Wages below this are outliers.
$16.87 - $18.25
14% of jobs
$18.25 - $19.64
18% of jobs
The median wage is $19.68 / hr.
$19.64 - $21.03
17% of jobs
$21.79 is the 75th percentile. Wages above this are outliers.
$21.03 - $22.41
16% of jobs
$22.41 - $23.80
7% of jobs
$23.80 - $25.18
4% of jobs
$25.18 - $26.57
4% of jobs
$26.57 - $27.96
2% of jobs
$12
$20
$27
| Aspect | Remote Claim Processor | Remote Claims Examiner |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may require insurance or healthcare certifications | High school diploma or equivalent; often requires insurance or healthcare-related certifications |
| Work Environment | Home-based, independent work setting | Home-based, independent work setting |
| Industry Usage | Insurance, healthcare, government agencies | Insurance, healthcare, government agencies |
| Job Focus | Processing insurance claims, data entry, verifying information | Reviewing and adjudicating insurance claims, ensuring compliance |
Both roles are remote positions within the insurance and healthcare industries, requiring similar credentials and work environments. The main difference lies in their focus: Remote Claim Processors handle initial claim processing and data entry, while Remote Claims Examiners review and make decisions on claims to ensure accuracy and compliance.

$52K - $85K/yr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 27 days ago
7.9
Based on 51 frontline employees who took The Breakroom Quiz
84th of 150 rated financial services
The Workers’ Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.
This is a remote role.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
KNOWLEDGE & SKILLS:
EDUCATION & EXPERIENCE:
PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $52,999 – $85,473
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CORVEL:
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote