Claims Examiner - Remote
Tampa, FL · Remote
Process claims end-to-end * Identify and escalate complex or unusual claims for further review or ... Medical, Dental, Vision, Life, HSA, 401(k) * Paid Time Off (PTO) * 7 paid holidays * A supportive ...
Claims Examiner - Remote
Tampa, FL · Remote
Process claims end-to-end * Identify and escalate complex or unusual claims for further review or ... Medical, Dental, Vision, Life, HSA, 401(k) * Paid Time Off (PTO) * 7 paid holidays * A supportive ...
Claims Examiner - Remote
Tampa, FL · On-site +1
Process claims end-to-end * Identify and escalate complex or unusual claims for further review or ... Medical, Dental, Vision, Life, HSA, 401(k) * Paid Time Off (PTO) * 7 paid holidays * A supportive ...
Claims Examiner - Remote
Tampa, FL · On-site +1
Process claims end-to-end * Identify and escalate complex or unusual claims for further review or ... Medical, Dental, Vision, Life, HSA, 401(k) * Paid Time Off (PTO) * 7 paid holidays * A supportive ...
Claims Processor
Jacksonville Beach, FL · Remote
$36 - $49/hr
This is a remote position. Summary Our insurance division is looking for a committed Claims ... Comprehensive health, dental, and vision insurance * Retirement savings plan with company matching
Posted today
Quick apply
Claims Processor
Jacksonville Beach, FL · Remote
$36 - $49/hr
This is a remote position. Summary Our insurance division is looking for a committed Claims ... Comprehensive health, dental, and vision insurance * Retirement savings plan with company matching
Posted today
Overview Bring your claims expertise to a remote team committed to service excellence and ... Manages and evaluates insurance claims to ensure accuracy and timely processing. * Investigates ...
Overview Bring your claims expertise to a remote team committed to service excellence and ... Manages and evaluates insurance claims to ensure accuracy and timely processing. * Investigates ...
Successfully complete training and demonstrate proficiency in assigned claims processes ... Medical, Dental, Vision, Life, HSA, 401(k) * Paid Time Off (PTO) * 7 paid holidays * A supportive ...
Successfully complete training and demonstrate proficiency in assigned claims processes ... Medical, Dental, Vision, Life, HSA, 401(k) * Paid Time Off (PTO) * 7 paid holidays * A supportive ...
Successfully complete training and demonstrate proficiency in assigned claims processes ... Medical, Dental, Vision, Life, HSA, 401(k) * Paid Time Off (PTO) * 7 paid holidays * A supportive ...
Successfully complete training and demonstrate proficiency in assigned claims processes ... Medical, Dental, Vision, Life, HSA, 401(k) * Paid Time Off (PTO) * 7 paid holidays * A supportive ...
Claims Adjuster Senior
Orlando, FL · Remote
Whether you're managing claims, supporting clients, or improving processes, you'll play a vital ... This role is eligible for fully remote work. How you'll make an impact * Apply claims management ...
Claims Adjuster Senior
Orlando, FL · Remote
Whether you're managing claims, supporting clients, or improving processes, you'll play a vital ... This role is eligible for fully remote work. How you'll make an impact * Apply claims management ...
Whether you're managing claims, supporting clients, or improving processes, you'll play a vital ... This role is eligible for fully remote work. How you'll make an impact * Apply claims management ...
Whether you're managing claims, supporting clients, or improving processes, you'll play a vital ... This role is eligible for fully remote work. How you'll make an impact * Apply claims management ...
Sr. Claim Representative/Claim Consultant
Lake Mary, FL · On-site +1
$62K - $127K/yr
The Marine Claims professional is responsible for maintaining and processing Marine claims. You ... This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ...
Sr. Claim Representative/Claim Consultant
Lake Mary, FL · On-site +1
$62K - $127K/yr
The Marine Claims professional is responsible for maintaining and processing Marine claims. You ... This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office ...
Claims Clerk
Tampa, FL · Remote
$12.03 - $21.99/hr
Claims Clerk (Remote) Ready to kickstart your career in a fastmoving, supportive environment? Join ... Handle clerical and administrative tasks to support the claims process Assist with documentation ...
Claims Clerk
Tampa, FL · Remote
$12.03 - $21.99/hr
Claims Clerk (Remote) Ready to kickstart your career in a fastmoving, supportive environment? Join ... Handle clerical and administrative tasks to support the claims process Assist with documentation ...
Claims Clerk
Tampa, FL · Remote
$12.03 - $21.99/hr
Claims Clerk (Remote) Ready to kickstart your career in a fastmoving, supportive environment? Join ... Handle clerical and administrative tasks to support the claims process Assist with documentation ...
Claims Clerk
Tampa, FL · Remote
$12.03 - $21.99/hr
Claims Clerk (Remote) Ready to kickstart your career in a fastmoving, supportive environment? Join ... Handle clerical and administrative tasks to support the claims process Assist with documentation ...
Workers Compensation Claims Trainee - Southeast
Orlando, FL · Remote
$60K/yr
Fully remote (candidates must physically reside in states specified although the role is remote ... claims process and build professional relationships within the organization. * Gradual Claim ...
Workers Compensation Claims Trainee - Southeast
Orlando, FL · Remote
$60K/yr
Fully remote (candidates must physically reside in states specified although the role is remote ... claims process and build professional relationships within the organization. * Gradual Claim ...
Claims Advocate
West Palm Beach, FL · Remote
... claims process. * Manage claims from first notice of loss through final resolution, including ... Comprehensive dental and vision coverage * Employee Assistance Program with confidential mental ...
Quick apply
Claims Advocate
West Palm Beach, FL · Remote
... claims process. * Manage claims from first notice of loss through final resolution, including ... Comprehensive dental and vision coverage * Employee Assistance Program with confidential mental ...
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.
Inside Senior Property Claims Adjuster
Tampa, FL · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Maintain accurate, thorough, and current claim file documentation throughout the claims process.
This role involves coordinating various functions, including billing, coding, claims processing ... HBiz complies with all applicable employment laws for remote and multi-state hiring and provides ...
This role involves coordinating various functions, including billing, coding, claims processing ... HBiz complies with all applicable employment laws for remote and multi-state hiring and provides ...
Process payment and / or denial based on policy coverage. * Assess exposure and sets proper ... Schedule: This position is remote from your home, but you are required to service the assigned ...
Process payment and / or denial based on policy coverage. * Assess exposure and sets proper ... Schedule: This position is remote from your home, but you are required to service the assigned ...
Liability Assoc. Claims Adjuster
Jacksonville, FL · On-site +1
$62K - $67K/yr
Remote, FL Reporting To: Cheri Sather Compensation: $62,000 - $67,000 / year Description Our Story ... Process form letters. * Maintain regular communication with clients, insureds, claimants, and other ...
Liability Assoc. Claims Adjuster
Jacksonville, FL · On-site +1
$62K - $67K/yr
Remote, FL Reporting To: Cheri Sather Compensation: $62,000 - $67,000 / year Description Our Story ... Process form letters. * Maintain regular communication with clients, insureds, claimants, and other ...
Casualty Specialist II
Marianna, FL · On-site +1
... the processing and payment of claims. * Records/updates status notes and documents results of ... REMOTE Equal Opportunity Employer This employer is required to notify all applicants of their ...
Casualty Specialist II
Marianna, FL · On-site +1
... the processing and payment of claims. * Records/updates status notes and documents results of ... REMOTE Equal Opportunity Employer This employer is required to notify all applicants of their ...
Remote Dental Claims Processing information
What is remote dental claims processing?
A Remote Dental Claims Processing job involves reviewing, verifying, and processing dental insurance claims from a remote location. Professionals in this role assess claim accuracy, ensure compliance with insurance policies, and communicate with providers or policyholders if additional information is needed. They use specialized software to submit claims, check eligibility, and resolve discrepancies. Strong attention to detail and knowledge of dental terminology and insurance policies are essential for success in this position.
What are the key skills and qualifications needed to thrive in remote dental claims processing?
To thrive in Remote Dental Claims Processing, you need a strong understanding of dental insurance policies, coding (such as CDT codes), and claims review procedures, often supported by experience in dental billing or a related certification. Familiarity with claims management software, electronic health records (EHR), and secure remote communication tools is typically required. Attention to detail, effective written communication, and time management are essential soft skills for success in this role. These skills ensure errors are minimized, claims are processed promptly, and communication with providers and payers remains clear and professional.
What are some typical challenges faced in remote dental claims processing and how can they be managed?
Working in remote dental claims processing often involves balancing a high volume of claims while ensuring each claim is accurately coded and documented, which can be challenging when dealing with complex dental procedures or discrepancies in submitted information. Staying updated on ever-changing insurance policies and payer requirements is also essential. Success in this role often depends on strong organizational skills, proactive communication with team members and providers, and continual professional development. Utilizing workflow management tools and keeping a well-organized digital workspace can help streamline tasks and reduce errors. Many employers also offer ongoing training and support to help remote team members stay current and succeed in their roles.
What are popular job titles related to Remote Dental Claims Processing jobs in Florida?
For Remote Dental Claims Processing jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Remote Dental Claims Processing jobs in Florida look for?
The top searched job categories for Remote Dental Claims Processing jobs in Florida are:
What cities in Florida are hiring for Remote Dental Claims Processing jobs?
Cities in Florida with the most Remote Dental Claims Processing job openings:
Claims Examiner - Remote
Tampa, FL • Remote
Imagenet
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 23 days ago
Job description
Claims Examiner - Remote
Job Type: Full-time
Work Setup: This is a fully remote position
Work Hours:Pacific Time Zone
We are looking forExperienced Claims Examiner to join our rapidly growing team.
Experience isrequiredfor this position.
Job Overview:
As a Claims Examiner, you will be responsible for accurately reviewing, investigating, and processing medical claims and provider dispute requests in accordance with payer guidelines, contractual agreements, regulatory requirements, and internal policies.
Responsibilities:
- Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of appropriate reimbursement methodologies.
- Review and investigate provider dispute requests, appeals, and reconsiderations related to processed medical claims.
- Verify patient eligibility, provider credentialing, and coverage details to facilitate accurate claims processing.
- Communicate with internal resources, and internal stakeholders to resolve claim discrepancies, request additional information, or clarify issues.
- Participate in ongoing training and professional development activities.
- Maintain accurate and detailed records of claims processing activities.
- Review claim forms and supporting documents
- Determine eligibility, verify data accuracy
- Request additional information when needed
- Process claims end-to-end
- Identify and escalate complex or unusual claims for further review or investigation.
- Participate in ongoing training and professional development activities.
- Handle more complex claims with multiple services, providers
Experience:
- At least 1-2 years of experience working closely with healthcare claims or in a claims processing/adjudication environment.
- Experience processing Provider Dispute Resolution (PDR), appeals, reconsiderations, or claim adjustments is highly preferred.
- Understanding of health claims processing/adjudication
- Ability to perform basic to intermediate mathematical computation routines
- Medical terminology strongly preferred
- Understanding of ICD-9 & ICD-10
- Basic MS office computer skills
- Ability to work independently or within a team
- Time management skills
- Written and verbal communication skills
- Attention to detail
- Must be able to demonstrate sound decision-making skills
What We Offer
- Remote work offered
- Equipment provided
- Paid trainingto set you up for success
- Comprehensive benefits:Medical, Dental, Vision, Life, HSA, 401(k)
- Paid Time Off (PTO)
- 7 paid holidays
- A supportive team and a company that values internal growth
Ready to Grow Your Career?
We'd love to meet you! Click"Apply Now"and tell us why you'd be a great addition to the Imagenet team.
About Imagenet
Imagenet is a technology-forward healthcare operations partner with more than 25 years of experience helping healthcare payers manage critical administrative and operational processes. Founded in 2000 and headquartered in Tampa, Florida, Imagenet supports 150+ health plans through its payer clients.
Our teams help improve efficiency, accuracy, visibility, and service across complex healthcare operations, including digital mailroom, claims adjudication, contact center, member communications, and related administrative functions. By combining experienced operational teams, proven processes, and purpose-built workflow technology, Imagenet helps payers keep essential processes moving for the members, providers, and communities they serve.
Imagenet operates 10 secure facilities across the U.S. and one secure facility in Manila, Philippines.
Joining Imagenet means contributing to work that supports the healthcare operations members and providers rely on every day.