ZipRecruiter

Log In

2

Remote Claim Reviewer Jobs in Indiana (NOW HIRING)

Berkley

Stop Loss Claims Analyst

Indianapolis, IN · Remote

$70K - $90K/yr

... Remote The company is an equal employment opportunity employer. Responsibilities As a Stop Loss Claims Analyst (aka Auditor), you'll perform quality review and evaluation of all claim submissions ...

Berkley

Stop Loss Claims Analyst

Indianapolis, IN · Remote

$70K - $90K/yr

... LI-Remote The company is an equal employment opportunity employer. As a Stop Loss Claims Analyst (aka Auditor), you'll perform quality review and evaluation of all claim submissions received and ...

Orthos Inc

Medical Biller - Remote

South Bend, IN · Remote

$18 - $23/hr

Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or ... or claim issues • Familiarity with CPT, ICD-10, and HCPCS coding terminology • Experience ...

Orthos Inc

Remote Medical Biller

South Bend, IN · Remote

$18 - $23/hr

Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or ... or claim issues • Familiarity with CPT, ICD-10, and HCPCS coding terminology • Experience ...

Orthos Inc

Remote Medical Biller

Mishawaka, IN · Remote

$16.75 - $21.50/hr

Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or ... or claim issues • Familiarity with CPT, ICD-10, and HCPCS coding terminology • Experience ...

Orthos Inc

Remote Medical Biller

Plymouth, IN · Remote

$16.50 - $21.25/hr

Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or ... or claim issues • Familiarity with CPT, ICD-10, and HCPCS coding terminology • Experience ...

Orthos Inc

Medical Biller - Remote

Mishawaka, IN · Remote

$16.75 - $21.50/hr

Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or ... or claim issues • Familiarity with CPT, ICD-10, and HCPCS coding terminology • Experience ...

OneAmerica

Long Term Care Claims Examiner

Indianapolis, IN · On-site +1

$21.16 - $32.45/hr

Request and review basic medical records and care plans. * Communicate claim status and decisions ... consider remote associates who are not local to Indianapolis, IN. The candidate will also be ...

Manulife

$89K - $105K/yr

This is a remote role open to any location in continental US Manulife is a leading international ... May process all aspects of auditing, formal appeal reviews and contestable claim review. * Audit ...

Deloitte

Hospital Billing Operator

Indianapolis, IN · Remote

$17.50 - $22.50/hr

This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... claim accuracy, reduce denials, and help clients optimize revenue cycle performance. * Review ...

Deloitte

Hospital Billing Coordinator

Indianapolis, IN · Remote

$50K - $60K/yr

This is a primarily remote role supporting enterprise Epic implementation, with minimal travel and ... claim accuracy, reduce denials, and help clients optimize revenue cycle performance. * Review ...

Great American Insurance Group

$110K - $120K/yr

Occasional Travel- may require overnight travel to tri-annual claim reviews and/or departmental meetings Qualifications * Although we typically require 10+ years of experience, we will consider ...

next page

Showing results 1-20

All JobsClaim Reviewer JobsRemote Claim Reviewer JobsRemote Claim Reviewer Jobs in Indiana

Remote Claim Reviewer information

How can I get a legitimate remote job?

To secure a legitimate remote claim reviewer position, focus on building relevant skills such as claims processing, attention to detail, and familiarity with insurance software. Search for remote job listings on reputable job boards, verify the company's legitimacy, and be cautious of scams. Having a reliable internet connection and a suitable home workspace also supports remote work success.

What does a claims reviewer do?

A claims reviewer evaluates insurance claims to determine their validity and ensure they meet policy requirements. They review documentation, verify information, and decide whether to approve, deny, or request additional details, often using specialized software and adhering to company policies and industry regulations.

How can I make 2000 a week working from home?

A remote claim reviewer can potentially earn $2,000 a week by handling a high volume of claims, gaining experience, and working full-time hours. Increasing efficiency, developing specialized knowledge, and working for companies that pay competitive rates can help achieve higher earnings. Certifications in claims processing or insurance can also improve earning potential.

What is the difference between Remote Claim Reviewer vs Remote Claims Processor?

AspectRemote Claim ReviewerRemote Claims Processor
Required CredentialsHigh school diploma or equivalent; insurance knowledge often preferredHigh school diploma or equivalent; basic insurance or data entry skills
Work EnvironmentHome-based, independent review settingHome-based, processing claims and data entry
Industry UsageInsurance companies, third-party administratorsInsurance companies, healthcare providers
Common Search IntentComparing roles involving claim review and evaluationRoles focused on processing and data entry of claims

The main difference is that Remote Claim Reviewers evaluate and assess insurance claims for accuracy and validity, often requiring insurance knowledge. Remote Claims Processors handle the entry and processing of claims, focusing on data entry and administrative tasks. Both roles are remote and industry-specific but differ in responsibilities and skill requirements.

What companies hire remote claims adjusters?

Remote claims adjusters are hired by insurance companies, third-party claims organizations, and independent adjusting firms. Major insurers and specialized claims companies often offer remote positions that require knowledge of claims processing, insurance policies, and relevant certifications. These roles typically involve reviewing claims, assessing damages, and working with digital tools from home.
What are popular job titles related to Remote Claim Reviewer jobs in Indiana? For Remote Claim Reviewer jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Remote Claim Reviewer jobs in Indiana look for? The top searched job categories for Remote Claim Reviewer jobs in Indiana are:
Remote Claim Reviewer jobs near you
Stop Loss Claims Analyst

Stop Loss Claims Analyst

Berkley

Indianapolis, IN • Remote

$70K - $90K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Job description

Company Details

Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With our entrepreneurial culture and a strong emphasis on analytics, we can help employers better manage their risk. We offer a broad range of products, including employer stop loss, benefit captives, provider stop loss, HMO reinsurance, and specialty accident. The key to Berkley's success is our nimble approach to risk - our ability to quickly understand, think through, and devise a plan that addresses each client's challenges, coupled with the strong backing of a Fortune 500 company. Our parent company, W. R. Berkley Corporation, is one of the largest and best managed property/casualty insurers in the United States.

#LI-AV1  #LI-Remote

The company is an equal employment opportunity employer.

Responsibilities

As a Stop Loss Claims Analyst (aka Auditor), you'll perform quality review and evaluation of all claim submissions received and logged into our claims system to determine whether the amount requested is eligible for reimbursement.

This position can either be fully remote (if not within a commutable distance to the office) or based in one of our offices:

  • Hamilton Square, NJ
  • West Hartford, CT
  • Marlborough, MA
  • Kulpsville, PA

We offer hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.

What you can expect:

  • Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent
  • Internal mobility opportunities 
  • Visibility to senior leaders and partnership with cross functional teams
  • Opportunity to impact change
  • Benefits - competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education

We'll count on you to: 

  • Process an average of 5 to 7 claims per day
  • Maintain a processing accuracy of 99% or better
  • Determine, on a timely basis, the eligibility of assigned claim by applying the appropriate contractual provisions to the medical facts and specifications of the claim
  • Review and adjudicate claims within approved authority limits
  • Maintain assigned claim block and assist other team members while meeting departmental guidelines
  • Document rationale of claim decisions based on review of the contractual provisions, plan specifications and the analysis of medical records, etc.
  • Elevate issues to next level of supervision, as appropriate
Qualifications

What you need to have:

  • 3-5+ years stop loss claims experience
  • Prior experience handling first dollar payer insurance (medical healthcare claims)
  • Experience with medical billing practices, CPT codes, revenue codes, and/or universal billing
  • Ability to use mathematics to adjudicate claims
  • Detail oriented with a high degree of accuracy and ability to multitask
  • Strong problem solving, decision-making, reporting and analytical skills
  • Must possess good judgment and work effectively with internal business areas, peers and co-workers
  • Demonstrated proficiency in Microsoft Office software 

What makes you stand out:

  • Prior experience handling stop loss claims at the reinsurance level (medical healthcare claims)
  • Ability to work independently, prioritize, organize and assign own work to meet deadlines
  • Ability to accept changing priorities with a minimum of disruption
Additional Company DetailsWe do not accept any unsolicited resumes from external recruiting firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees including: Base Salary Range: $70,000 - $90,000 Benefits include: Health, dental, vision, dental, life, disability, wellness, paid time off, 401(k) and generous profit-sharing plan The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.Sponsorship DetailsSponsorship not Offered for this RoleEmployment Type: OTHER

Apply