Claims Specialist with FineOS Remote Fulltime Responsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid ...
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Claims Specialist with FineOS Remote Fulltime Responsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid ...
Quick apply
Claims Specialist with FineOS Remote Fulltime Responsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid ...
Cincinnati, OH · On-site +1
$150K - $190K/yr
Key Responsibilities Claims Management & Investigation * Manage a portfolio of complex ... Personal insurance (auto/homeowners) discounts #LI-Hybrid #LI-Remote It's an exciting time for our ...
Cincinnati, OH · On-site +1
$150K - $190K/yr
Key Responsibilities Claims Management & Investigation * Manage a portfolio of complex ... Personal insurance (auto/homeowners) discounts #LI-Hybrid #LI-Remote It's an exciting time for our ...
Cincinnati, OH · Remote
The Casualty Claims Specialist will be responsible for investigating and settlement of automobile bodily injury claims. They will settle complex liability claims which require greater investigation ...
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Cincinnati, OH · Remote
The Casualty Claims Specialist will be responsible for investigating and settlement of automobile bodily injury claims. They will settle complex liability claims which require greater investigation ...
Cincinnati, OH · On-site +1
The P&C Corporate Claims Division consists of over 100 professionals who support Great American's highly-diversified P&C claims operations across the world. The division's functional teams include ...
Cincinnati, OH · On-site +1
The P&C Corporate Claims Division consists of over 100 professionals who support Great American's highly-diversified P&C claims operations across the world. The division's functional teams include ...
Cincinnati, OH · On-site +1
We are looking for a Claims Supervisor to join our AgriBusiness division in our Cincinnati, OH office. Great American's culture is built on connection, shared learning, and strong relationships. To ...
Cincinnati, OH · On-site +1
We are looking for a Claims Supervisor to join our AgriBusiness division in our Cincinnati, OH office. Great American's culture is built on connection, shared learning, and strong relationships. To ...
Cincinnati, OH · On-site +1
The Patient Accounting Representative bills claims electronically, verifies insurance and registration for patients, process, and mail paper claims. The Billing and Claims team works several ...
Cincinnati, OH · On-site +1
The Patient Accounting Representative bills claims electronically, verifies insurance and registration for patients, process, and mail paper claims. The Billing and Claims team works several ...
Cincinnati, OH · Remote
$17.25 - $23/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 ...
Cincinnati, OH · Remote
$17.25 - $23/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 ...
Handle escalated claims files involving complex contents damage. * Conduct a thorough coverage investigation of the loss and ensure the policy was applied correctly. * Use advanced video technology ...
Handle escalated claims files involving complex contents damage. * Conduct a thorough coverage investigation of the loss and ensure the policy was applied correctly. * Use advanced video technology ...
Cincinnati, OH · Remote
$15.50 - $21.25/hr
Next Stop Travel is a remote-based organization providing structured planning and coordination services to a broad client base. Our team is committed to delivering organized, accurate, and responsive ...
New
Cincinnati, OH · Remote
$15.50 - $21.25/hr
Next Stop Travel is a remote-based organization providing structured planning and coordination services to a broad client base. Our team is committed to delivering organized, accurate, and responsive ...
New
Cincinnati, OH · Remote
$15.50 - $21.25/hr
Customer Experience Service (Remote) We are seeking a detail-oriented Customer Experience Service to support clients throughout their journey. In this role, you will assist with coordinating client ...
Cincinnati, OH · Remote
$15.50 - $21.25/hr
Customer Experience Service (Remote) We are seeking a detail-oriented Customer Experience Service to support clients throughout their journey. In this role, you will assist with coordinating client ...
Cincinnati, OH · On-site +1
$15.25 - $21/hr
Remote Customer Support Representative | Work From Home | Flexible Schedule | Weekly Pay Company: AO | Globe Life Location: 100% Remote (United States) Build a Rewarding Career From Home Looking for ...
Cincinnati, OH · On-site +1
$15.25 - $21/hr
Remote Customer Support Representative | Work From Home | Flexible Schedule | Weekly Pay Company: AO | Globe Life Location: 100% Remote (United States) Build a Rewarding Career From Home Looking for ...
... claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries ... R Right by Right Purpose We are passionate about shaping careers and are hiring Remote Customer ...
... claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries ... R Right by Right Purpose We are passionate about shaping careers and are hiring Remote Customer ...
KY · On-site +1
$17/hr
Job Type: Full-time- Remote Customer Service Representative in Contact Center. SCHEDULE REQUIREMENTS: * Our Contact Center operates 7 days a week, 24 hours per day, including all holidays * Work ...
KY · On-site +1
$17/hr
Job Type: Full-time- Remote Customer Service Representative in Contact Center. SCHEDULE REQUIREMENTS: * Our Contact Center operates 7 days a week, 24 hours per day, including all holidays * Work ...
Covington, KY · Remote
$15.50 - $21/hr
-No prior industry experience required -Meet with clients on Zoom to help them enroll in benefit programs -Explain options in a clear, simple, and relatable way -Help clients complete online ...
Covington, KY · Remote
$15.50 - $21/hr
-No prior industry experience required -Meet with clients on Zoom to help them enroll in benefit programs -Explain options in a clear, simple, and relatable way -Help clients complete online ...
Cincinnati, OH · Remote
$15.25 - $21/hr
Remote Customer Service Representative! Live Reps is now hiring for (USA) remote, work from home 1099 positions (35 to 40 hrs. per week) This is an inbound and outbound campaign opportunity. Our ...
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Cincinnati, OH · Remote
$15.25 - $21/hr
Remote Customer Service Representative! Live Reps is now hiring for (USA) remote, work from home 1099 positions (35 to 40 hrs. per week) This is an inbound and outbound campaign opportunity. Our ...
| Aspect | Remote Claims Trainee | Remote Claims Processor |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may prefer related coursework | High school diploma or equivalent; relevant certifications optional |
| Work Environment | Training period, supervised, learning-focused | Full-time, independent, task-oriented |
| Employer & Industry Usage | Insurance companies, healthcare providers, government agencies | Insurance companies, third-party administrators, healthcare insurers |
The main difference is that a Remote Claims Trainee is in a learning phase, focusing on training and skill development, while a Remote Claims Processor handles claims independently after training. Trainees are supervised and gaining experience, whereas processors are responsible for processing claims efficiently and accurately.
For Remote Claims Trainee jobs in Independence, KY, the most frequently searched job titles are:
The top searched job categories for Remote Claims Trainee jobs in Independence, KY are:
Cities near Independence, KY with the most Remote Claims Trainee job openings:

Full-time
PTO
Re-posted 28 days ago
Responsibilities:
To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments.
Review and analyze the claim nuances, eligibility review, and type of claims (intermittent or continuous)
Review and analyze medical information (i.e. attending physician reports, medical records such as diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined.
Approval or denial on FMLA claims as per Insurance carrier, and employer’s guidelines
Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to US paid family law regulations.
Review claims for Not in good order cases, and work on securing missing documentations including employee, physician, or employer outreach.
Communicates clearly with the claimants and clients to set expectations on all aspects of claims process either by phone and/or written correspondence.
Reviews client critical deliverables, manages the overall workload, and second-level process escalation.
Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Refers cases as appropriate to team lead and clinical case management
Responsible for managing the day-to-day workload and first-level process escalation, and reviews processes for accuracy and timeliness where applicable in case of peer reviews.
Provide ideas to management on continuous improvement and service level management
Performs other duties or participates in special projects as assigned
Requirements:
1+ year of Disability/FMLA/PFL claims or insurance claims experience
Experience working with FINEOS
Working knowledge of medical terminology and documents, including APS, Diagnostic Tests, Imaging Tests reports
Knowledge of disability insurance claims, benefits administration, offsets and deductions, disability duration and medical management practices mandatory
Excellent oral and written communication, including presentation skills
Strong Analytical, decision making, problem solving, and people management skills
Computer experience with keyboarding skills and proficiency in using software applications and packages including MS Office (Excel, Word, PPT)
Willingness to embrace change in a fast paced work environment
A strong desire to continuously learn and improve
Identify escalated cases and work with Team Leader to develop a plan to address key issues.