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Remote Claim Reviewer Jobs in Washington (NOW HIRING)

Senior Underwriting Consultant

Washington, DC · On-site +1

$111K - $131K/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 ...

Medical Billing Specialist

Fairfax, VA · On-site +1

$18.50 - $24/hr

Remote / On-site Department: Revenue Cycle Management Overview: CMCI is seeking a detail-oriented ... Accuratelyprocess, review, and submit medical claims. * Verify CPT,ICD-10, and HCPCS codes to ...

Epic Denials Management Operator

Mclean, VA · Remote

$18.25 - $24.25/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Review hospital account records and payer remittance records, communicate with relevant Client RCM ...

Epic Denials Management Operator

Rosslyn, VA · Remote

$20.50 - $27.25/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Review hospital account records and payer remittance records, communicate with relevant Client RCM ...

Epic Denials Management Operator

Washington, DC · Remote

$20.50 - $27.25/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Review hospital account records and payer remittance records, communicate with relevant Client RCM ...

Showing results 21-40

Remote Claim Reviewer information

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.

Outside Property Associate Claim Rep - Silver Spring, MD

Veteran Jobs - 2023 Mar 01 - Veterans Resources

Silver Spring, MD • Remote

$52K - $86K/yr

Full-time

Posted 17 days ago


Job description


ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps.
Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Job Category
Claim
Compensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. 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. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range
$52,600.00 - $86,800.00
Target Openings
1
What Is the Opportunity?
Job Description Summary
LOCATION REQUIREMENT: This field position services Insureds/Agents in the Montgomery County, MD area. The selected candidate must reside in the assigned territory. Ideal locations include Rockville, Silver Spring, and Gaithersburg, MD. 
*You will be issued a company vehicle for this position.*
As an Associate Claim Rep, Outside Property, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals. This position focuses on developing your skills and knowledge to successfully manage 1st party property claims.   This program is typically 9-12 months and upon successful completion of this program you will have the skills needed to handle claims independently and progress toward full claims handling responsibility.      This position is based remotely with work at residential and commercial locations with a combination of mobile work, work from your primary residence, or the nearest Travelers office.
What Will You Do?
Actively participate in structured training classes covering insurance policies, specific claim processes, systems, and procedures, including virtual, classroom, and on-the-job training.
Review, investigate, and document 1st party property claims under close supervision.
Gather information from policyholders, claimants, witnesses, and third-party providers.
Learn to investigate and evaluate all relevant facts and information (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact). Determine and apply coverage for building damages per policy terms.
Establish accurate scope of damages for building and contents losses and utilizes as a basis for written estimates and/or computer assisted estimates.
Provide timely and professional communication to customers, claimants, and internal stakeholders.
Maintain accurate records of claim activity in claim management systems.
Demonstrate openness to continuous learning, particularly in AI and digital transformation.
Adapt to new technology implementations, system upgrades, and digital tool rollouts while maintaining productivity and service quality.
In order to perform the essential functions of this role, acquisition and maintenance of Insurance License(s) and/or a UAS Remote Pilot Certification may be required to comply with federal, state, and Travelers requirements. Generally, required Insurance License(s) must be obtained within three months of starting the role, and ongoing continuing education requirements must be maintained as mandated.
This position requires participation in our Catastrophe Response Program, which could include deployment to assist our customers in other states.
This position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position.
Perform other duties as assigned.