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OR · Remote
$45 - $68/hr
Remote Description: Responsible for claims testing for health care projects. Drive the test strategy and process, domain knowledge, perform analysis of business requirements, designs and develops ...
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Be Seen First
OR · Remote
$45 - $68/hr
Remote Description: Responsible for claims testing for health care projects. Drive the test strategy and process, domain knowledge, perform analysis of business requirements, designs and develops ...
OR · On-site +1
... national origin, disability, or status as a protected veteran. #LI-Remote We Are Sapiens ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...
OR · On-site +1
... national origin, disability, or status as a protected veteran. #LI-Remote We Are Sapiens ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...
OR · Remote
... Claims and our data and digital software solutions targeting the Tier-1 to 4 carriers (including ... disability, or status as a protected veteran. #LI-Remote
OR · Remote
... Claims and our data and digital software solutions targeting the Tier-1 to 4 carriers (including ... disability, or status as a protected veteran. #LI-Remote
OR · On-site +1
... national origin, disability, or status as a protected veteran. #LI-Remote We Are Sapiens ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...
OR · On-site +1
... national origin, disability, or status as a protected veteran. #LI-Remote We Are Sapiens ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...
OR · On-site +1
... national origin, disability, or status as a protected veteran. #LI-Remote We Are Sapiens ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...
OR · On-site +1
... national origin, disability, or status as a protected veteran. #LI-Remote We Are Sapiens ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...
OR · On-site +1
... national origin, disability, or status as a protected veteran. #LI-Remote We Are Sapiens ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...
OR · On-site +1
... national origin, disability, or status as a protected veteran. #LI-Remote We Are Sapiens ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...
OR · On-site +1
... national origin, disability, or status as a protected veteran. #LI-Remote We Are Sapiens ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...
OR · On-site +1
... national origin, disability, or status as a protected veteran. #LI-Remote We Are Sapiens ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...
OR · On-site +1
... national origin, disability, or status as a protected veteran. #LI-Remote We Are Sapiens ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...
OR · On-site +1
... national origin, disability, or status as a protected veteran. #LI-Remote We Are Sapiens ... claims, reinsurance, decisioning, and finance and compliance. With more than 600 insurers in over ...
OR · On-site +1
Remote Insurance is changing fast. The conversations that start pipeline happen earlier, smarter ... religion, disability, or any other characteristic. Sapiens is an E-Verified & Equal Opportunity ...
OR · On-site +1
Remote Insurance is changing fast. The conversations that start pipeline happen earlier, smarter ... religion, disability, or any other characteristic. Sapiens is an E-Verified & Equal Opportunity ...
OR · On-site +1
$86K - $112K/yr
US - Remote Position Summary The role of the Senior Business Analyst is to provide an IT interface ... This includes but not limited to Whole Life, Term, Disability Income and Universal life products
OR · On-site +1
$86K - $112K/yr
US - Remote Position Summary The role of the Senior Business Analyst is to provide an IT interface ... This includes but not limited to Whole Life, Term, Disability Income and Universal life products
$30.5K - $35.9K
1% of jobs
$35.9K - $41.3K
3% of jobs
$41.3K - $46.7K
5% of jobs
$51.5K is the 25th percentile. Wages below this are outliers.
$46.7K - $52.1K
17% of jobs
$52.1K - $57.5K
11% of jobs
The median wage is $62.3K / yr.
$57.5K - $62.9K
14% of jobs
$62.9K - $68.3K
13% of jobs
$73.6K is the 75th percentile. Wages above this are outliers.
$68.3K - $73.7K
11% of jobs
$73.7K - $79.1K
10% of jobs
$79.1K - $84.5K
9% of jobs
$84.5K - $89.9K
6% of jobs
$30.5K
$64.5K
$89.9K
A Remote Disability Claims job involves reviewing and processing disability claims from applicants to determine their eligibility for benefits. Professionals in this role assess medical records, employment history, and policy guidelines to make informed decisions. They may communicate with claimants, healthcare providers, and insurance companies to gather necessary information. This position is performed entirely online, allowing employees to work from home while ensuring accurate and timely claim resolutions. Strong analytical skills, attention to detail, and knowledge of disability policies are essential for success in this field.
One common challenge in remote disability claims work is managing complex cases without face-to-face collaboration, which requires strong self-organization and proactive communication with team members. You may also encounter technical issues or need to stay updated on changing regulations and policies without immediate in-person support. Balancing thorough claims investigations with efficiency is key, as is maintaining confidentiality and data security while working from home. Many remote teams use regular video meetings, instant messaging platforms, and shared documentation tools to help overcome these challenges and stay connected.
To excel in a Remote Disability Claims role, candidates typically need experience in claims processing, knowledge of disability insurance policies, and strong attention to detail, often supported by a background in healthcare, insurance, or related fields. Familiarity with specialized claims management software, secure document handling systems, and sometimes industry certifications such as CPCU or AIC can be advantageous. Standout professionals possess excellent communication skills, empathy, problem-solving abilities, and the ability to work independently while meeting deadlines. These competencies are crucial for accurately evaluating claims, providing quality customer service, and ensuring compliance in a remote work environment.
For Remote Disability Claims jobs in Remote, OR, the most frequently searched job titles are:
The top searched job categories for Remote Disability Claims jobs in Remote, OR are:
Cities near Remote, OR with the most Remote Disability Claims job openings:
$45 - $68/hr
Full-time
Posted 9 days ago
Job description
Job Title: Healthcare Claims EDI BA/QA
Duration: 06 Months (Contract to Hire) – W2 Only
Location: Remote
Description:
Responsible for claims testing for health care projects. Drive the test strategy and process, domain knowledge, perform analysis of business requirements, designs and develops test plans, ensures quality process, coordinates with customers on delivery and deployments. Works in team environment and provides testing guidance throughout the entire life cycle. Responsible to meet customer expectations, troubleshoot problems in the application and assisting customers in implementation decisions.
1. Candidate should have strong health care domain experience and should have good knowledge of Medicaid and Medicare.
2. Candidate should have hands-on experience on claims processing and Adjudication processes.
3. Must have good experience in Reference code/data sets required in Claims adjudication.
4. Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems.
5. Should be able to run queries and perform basic system analysis, RCA etc.,
6. Should work closely with the client and development team during the stages of development, and conduct demos at completion of milestone, track and close feedback from such demos
7. Must have excellent written and spoken communication skills. Should be able to multitask between internal team and clients based on priority tasks
8. Work Closely with Dev, architecture and Design teams to define the GUI view and platform requirements, which is the foundation of the product.
9. In depth understanding of Claims and Claims lifecycle
10. Claim Types
11. Claim Formats:
- EDI X12 formats like 837P/I/D
- X12 formats 835, 834, 270/271, 276/277
12. Claim System:
- Familiarity with systems like CMdS, GHS, Facets and etc
Testing knowledge and E2E Testing
Primus Software Corporation. Primus Software Corporation is a global staff augmentation firm providing a wide-range of talent on-demand and total workforce solutions. We have excellent domain expertise in all verticals. We provide long term solutions with quality as our main focus. To learn more about Primus Software Corporation, please visit our website www.primussoftcom. I recently came across your resume on job boards, and I wanted to reach out to you regarding an exciting job opportunity that I believe aligns perfectly with your skills and experience.
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It services
201 - 500 Employees
Duluth, GA, US
1996