Remote until all staff return to onsite work; onsite presence required thereafter. Equipment Pickup ... Technical Expertise & Problem Resolution: * Independently resolve issues through advanced system ...
Quick apply
Remote until all staff return to onsite work; onsite presence required thereafter. Equipment Pickup ... Technical Expertise & Problem Resolution: * Independently resolve issues through advanced system ...
Quick apply
Remote until all staff return to onsite work; onsite presence required thereafter. Equipment Pickup ... Technical Expertise & Problem Resolution: * Independently resolve issues through advanced system ...
Assess the responsibilities assigned to insurance billing and coding specialists and electronic claims processors. * Describe the health care delivery system. * Explain the responsibilities of the ...
Assess the responsibilities assigned to insurance billing and coding specialists and electronic claims processors. * Describe the health care delivery system. * Explain the responsibilities of the ...
Assess the responsibilities assigned to insurance billing and coding specialists and electronic claims processors. * Describe the health care delivery system. * Explain the responsibilities of the ...
Quick apply
Assess the responsibilities assigned to insurance billing and coding specialists and electronic claims processors. * Describe the health care delivery system. * Explain the responsibilities of the ...
Durham, NC · Remote
This position is 100% remote. All Duke University remote workers must reside in one of the ... Collaborate with appeal and edit coders for expedient resolution of accounts. Use authorized ...
Durham, NC · Remote
This position is 100% remote. All Duke University remote workers must reside in one of the ... Collaborate with appeal and edit coders for expedient resolution of accounts. Use authorized ...
Durham, NC · Remote
This position is 100% remote. All Duke University remote workers must reside in one of the ... Collaborate with appeal and edit coders for expedient resolution of accounts. Use authorized ...
Durham, NC · Remote
This position is 100% remote. All Duke University remote workers must reside in one of the ... Collaborate with appeal and edit coders for expedient resolution of accounts. Use authorized ...
Durham, NC · Remote
This position is 100% remote. All Duke University remote workers must reside in one of the ... Collaborate with appeal and edit coders for expedient resolution of accounts. Use authorized ...
Durham, NC · Remote
This position is 100% remote. All Duke University remote workers must reside in one of the ... Collaborate with appeal and edit coders for expedient resolution of accounts. Use authorized ...
Durham, NC · Remote
This position is 100% remote. All Duke University remote workers must reside in one of the ... Collaborate with appeal and edit coders for expedient resolution of accounts. Use authorized ...
Durham, NC · Remote
This position is 100% remote. All Duke University remote workers must reside in one of the ... Collaborate with appeal and edit coders for expedient resolution of accounts. Use authorized ...
Cary, NC · Remote
$30 - $35/hr
Monday-Friday (4 days onsite - 1 remote) Hours: 8:00 AM - 5:00 PM Job Summary: The Order Processing ... Escalate complex order issues to management for resolution. * Support billing processes by ...
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Cary, NC · Remote
$30 - $35/hr
Monday-Friday (4 days onsite - 1 remote) Hours: 8:00 AM - 5:00 PM Job Summary: The Order Processing ... Escalate complex order issues to management for resolution. * Support billing processes by ...
Cary, NC · Remote
$55K - $65K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Member-centric service specialist- escalated member/provider outreach * Establish relationships ... This is a remote position.
Quick apply
Cary, NC · Remote
$55K - $65K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Member-centric service specialist- escalated member/provider outreach * Establish relationships ... This is a remote position.
Cary, NC · Remote
$50 - $70/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Cary, NC · Remote
$50 - $70/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Durham, NC · Remote
$50 - $70/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Durham, NC · Remote
$50 - $70/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Raleigh, NC · Remote
$50 - $70/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Raleigh, NC · Remote
$50 - $70/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Cary, NC · Remote
$50 - $70/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Cary, NC · Remote
$50 - $70/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Durham, NC · Remote
$50 - $70/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Durham, NC · Remote
$50 - $70/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Durham, NC · On-site +1
$50K - $87K/yr
Medical
Retirement
PTO
... resolution, and operational planning. - Travel extensively within the assigned region to conduct ... M. The Night Before The End Date This Position Is Eligible For A Fully Remote Work Option ...
New
Durham, NC · On-site +1
$50K - $87K/yr
Medical
Retirement
PTO
... resolution, and operational planning. - Travel extensively within the assigned region to conduct ... M. The Night Before The End Date This Position Is Eligible For A Fully Remote Work Option ...
New
Raleigh, NC · Remote
$50 - $70/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Raleigh, NC · Remote
$50 - $70/hr
Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... conflicting claims within or between documents. * Provide structured, well-reasoned written ...
Raleigh, NC · Remote
All work (including remote work) must be conducted in the United States. Candidate must work EST ... resolution and proper reporting to relevant stakeholders. · Perform risk assessments on new ...
Quick apply
Raleigh, NC · Remote
All work (including remote work) must be conducted in the United States. Candidate must work EST ... resolution and proper reporting to relevant stakeholders. · Perform risk assessments on new ...
Cary, NC · Remote
$58K - $65K/yr
Medical
Dental
Vision
Life
Retirement
PTO
... resolution with members, pharmacies and prescribers of rejected pharmacy claims, coordinating ... This is a remote position.
Quick apply
Cary, NC · Remote
$58K - $65K/yr
Medical
Dental
Vision
Life
Retirement
PTO
... resolution with members, pharmacies and prescribers of rejected pharmacy claims, coordinating ... This is a remote position.
$12.38 - $15.06
8% of jobs
$16.85 is the 25th percentile. Wages below this are outliers.
$15.06 - $17.74
25% of jobs
The median wage is $19.78 / hr.
$17.74 - $20.41
22% of jobs
$20.41 - $23.09
15% of jobs
$24.31 is the 75th percentile. Wages above this are outliers.
$23.09 - $25.77
11% of jobs
$25.77 - $28.44
5% of jobs
$28.44 - $31.12
3% of jobs
$31.12 - $33.80
3% of jobs
$33.80 - $36.47
3% of jobs
$36.47 - $39.15
3% of jobs
$39.15 - $41.83
1% of jobs
$12
$22
$41
A Remote Claims Resolution Specialist is responsible for reviewing, analyzing, and resolving insurance claims from a remote location. They work with policyholders, providers, and internal teams to investigate claim issues, ensure accuracy, and facilitate timely payments or denials. This role requires strong attention to detail, problem-solving skills, and knowledge of insurance policies and regulations. Effective communication and the ability to work independently are essential for success in this position.
To succeed as a Remote Claims Resolution Specialist, you should have strong analytical and problem-solving abilities, knowledge of insurance policies, and relevant experience in claims processing or customer service. Familiarity with claims management software, CRM systems, and proficiency in digital communication tools are typically required, and some employers may prefer certification such as AIC (Associate in Claims). Excellent written communication, attention to detail, and the ability to manage time effectively set outstanding candidates apart. These skills are essential to ensure accurate, timely resolutions, maintain customer satisfaction, and uphold the integrity of the claims process in a remote setting.
As a Remote Claims Resolution Specialist, your daily tasks typically include reviewing and processing insurance claims, analyzing documentation, communicating with policyholders and adjusters, and investigating discrepancies or additional information needs. You'll spend much of your time resolving issues via phone, email, or chat, ensuring claims are handled efficiently and in compliance with company policies. Collaboration with other team members and departments is common, especially when complex or escalated cases arise. Staying organized and proactive is key to managing multiple cases and meeting deadlines in a remote work environment.

Other
Re-posted 25 days ago
Job Opportunity: Technical Specialist - Senior (766377)
Location: Raleigh, NC
Duration: 12 months (with option for extension)
Work Arrangement: Remote until all staff return to onsite work; onsite presence required thereafter.
Equipment Pickup/Return: Candidates must pick up equipment onsite on the first day and return it on the last day at their own expense.
Position Overview
Our client, NC DIT-Transportation, is seeking a highly skilled Technical Specialist - Senior to join the Account Management Team for a 12-month engagement. This lead role involves ticket assignment, training, queue management, and daily reconciliation with HR data. The ideal candidate will have advanced expertise in account management, Active Directory administration, and IT security, with a proven ability to resolve complex technical issues and lead team efforts.
Key Responsibilities
Required Qualifications
Advanced level resource with specialized knowledge and experience in account management administering Active Directory. Required 3 Years
Hands-on experience administering Microsoft Active Directory 2008/2012 in a multi-site and multi-domain organization. Required 3 Years
Advanced knowledge of appropriate security measures of the organization. Required 3 Years
Ability to proactively establish a positive relationship by demonstrating a sense of urgency in interactions with clients. Required 3 Years
Ability to analyze and assess client needs to develop effective and appropriate solutions. Required 3 Years
Ability to consult with clients and other IT professionals to resolve technical problems and ensure client satisfaction. Required 3 Years
Analysis of technical and user documentation for technical assistance and support Required 3 Years
Ability to work independently on tasks, develops own work, schedule and monitors progress against defined parameters. Required 3 Years
Demonstrates strong analytical and problem-solving skills w/ ability to diagnose and resolve highly visible production incidents methodically. Required 3 Years
Demonstrates initiative in solving problems associated with projects and daily work. Required 3 Years
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