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Remote Fsa Claims Processor Jobs in Nevada (NOW HIRING)

Risk Claims Manager

Las Vegas, NV ยท Remote

$85K - $95K/yr

This position has the potential to be remote. ESSENTIAL JOB DUTIES * Personally investigate and ... Knowledge of statistical process control desirable.

Accounts Receivable Specialist- Remote

Reno, NV ยท On-site +1

$19.14 - $28.72/hr

Responsibilities Remote opportunity Independence Physician Management (IPM), a subsidiary of UHS ... Corrects and reprocesses claims for payment in a timely manner. Proceeds with appeals process as ...

Epic Denials Management Operator

Las Vegas, NV ยท Remote

$17.25 - $23/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...

Senior Stop Loss Underwriter

Las Vegas, NV ยท On-site +1

$90K - $125K/yr

Remote (United States) About Acrisure A global fintech leader, Acrisure empowers millions of ... Review employer census data, claims experience, and large claimant reports * Evaluate specific and ...

Stop Loss Underwriter

Las Vegas, NV ยท On-site +1

$60K - $85K/yr

Remote (United States) About Acrisure A global fintech leader, Acrisure empowers millions of ... Review employer census data, claims experience, and large claimant reports * Evaluate specific and ...

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Remote Fsa Claims Processor information

What is a remote FSA claims processor?

Remote FSA Claims Processors are professionals who review, verify, and process Flexible Spending Account (FSA) claims submitted by employees. Working from a remote location, they ensure that claims meet eligibility requirements, comply with IRS guidelines, and are supported by appropriate documentation. They communicate with clients or participants to resolve discrepancies and may use specialized software to manage claims efficiently. Their role is essential in facilitating timely reimbursements for healthcare and dependent care expenses.

What skills and qualifications are needed to be a remote FSA claims processor?

To thrive as a Remote FSA Claims Processor, you need a thorough understanding of healthcare reimbursement, insurance terminology, and claims adjudication, usually supported by a high school diploma or equivalent experience. Familiarity with claims processing software, HIPAA compliance standards, and document management systems is typically required. Strong attention to detail, excellent organizational skills, and effective written communication help you excel in this remote role. These skills and qualifications are crucial to accurately processing claims, ensuring regulatory compliance, and delivering timely customer service.

How does a remote FSA claims processor collaborate with other departments while working virtually?

As a Remote FSA Claims Processor, you'll regularly interact with colleagues in customer service, compliance, and IT departments through digital channels such as email, instant messaging, and video conferencing. Collaboration is essential for resolving complex claims, clarifying policy details, and ensuring data accuracy. Remote processors often participate in virtual team meetings and may use shared platforms to track claim statuses and updates. Strong communication skills and responsiveness are key to maintaining seamless workflow and meeting processing deadlines.

What is the difference between Remote Fsa Claims Processor vs Remote Health Insurance Claims Processor?

AspectRemote Fsa Claims ProcessorRemote Health Insurance Claims Processor
CertificationsTypically requires knowledge of FSA regulations, basic insurance processing certificationsRequires understanding of health insurance policies, claims processing certifications
Work EnvironmentRemote, administrative setting handling FSA claimsRemote, administrative setting handling health insurance claims
Industry UsageCommon in benefits administration, HR departmentsCommon in insurance companies, healthcare providers

While both roles involve processing insurance-related claims remotely, the Remote Fsa Claims Processor specializes in flexible spending account claims, focusing on FSA-specific regulations. The Remote Health Insurance Claims Processor handles broader health insurance claims, often requiring more extensive knowledge of health policies. Both roles are remote, administrative, and industry-related, but they differ in scope and certification requirements.

What are the most commonly searched types of Fsa Claims Processor jobs in Nevada?

The most popular types of Fsa Claims Processor jobs in Nevada are:

What are popular job titles related to Remote Fsa Claims Processor jobs in Nevada?

For Remote Fsa Claims Processor jobs in Nevada, the most frequently searched job titles are:

What cities in Nevada are hiring for Remote Fsa Claims Processor jobs?

Cities in Nevada with the most Remote Fsa Claims Processor job openings:

Premises Liability Claims Adjuster National Accounts (Remote)

CCMSI

Las Vegas, NV โ€ข Remote

$75K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago


Job description

Multi-Line Claim Consultant โ€“ Premises Liability / General Liability (National Accounts)

Location: Remote
Schedule: 7.5-Hour Workday | Flexible Start Time
Salary Range: $75,000 โ€“ $85,000 annually

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with clients to solve their most complex risk management challenges through innovative claim solutions, collaborative problem-solving, and an unwavering commitment to service excellence.

As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim management solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Workยฎ and an employee-owned organization where talented claim professionals are empowered to grow, contribute, and make an impact.

Job Summary

The Multi-Line Claim Consultant is responsible for the investigation, evaluation, negotiation, and resolution of liability claims within a dedicated national hospitality account. This role manages claims from assignment through final resolution while ensuring compliance with Corporate Claim Standards, client-specific handling instructions, and applicable state regulations.

This position primarily focuses on premises liability, bodily injury, and property damage claims arising from hospitality-related operations across multiple jurisdictions. The successful candidate will manage an inventory ranging from low to moderate complexity with select higher-complexity exposures based on experience and skill level.

Approximately 10โ€“20% of the inventory may involve litigation exposure, making strong investigation, negotiation, communication, and claim management skills critical to success.

This is an ideal opportunity for an experienced liability adjuster who enjoys working with a dedicated national client, managing claims independently, and delivering exceptional service in a collaborative environment.


What You'll Do
  • Investigate, evaluate, and adjust liability claims from assignment through closure
  • Handle premises liability, bodily injury, and property damage claims
  • Conduct liability investigations and analyze coverage, damages, and exposure
  • Establish and maintain appropriate reserves based on claim development
  • Review medical records, invoices, legal documentation, repair estimates, and related claim materials
  • Authorize and process claim payments within authority levels
  • Negotiate settlements with claimants, attorneys, and authorized representatives
  • Manage litigated files and coordinate with defense counsel when appropriate
  • Identify and pursue subrogation opportunities
  • Prepare claim reports, reserve recommendations, excess notifications, and file summaries
  • Coordinate communications with clients, claimants, vendors, attorneys, and other stakeholders
  • Maintain timely diary management and accurate claim documentation
  • Participate in claim reviews, training sessions, mediations, hearings, and settlement conferences as needed
  • Ensure compliance with Corporate Claim Standards and client-specific handling requirements

When We Hire Adjusters

At CCMSI, we look for professionals who take ownership of their files, communicate proactively, and consistently deliver quality outcomes. Successful adjusters combine strong technical claim expertise with exceptional client service and sound professional judgment.

Required Qualifications
  • 5+ years of liability claims handling experience
  • Active Adjuster License or Designated Home State (DHS) License required
  • Experience managing claims from investigation through resolution
  • Experience handling:
    • Premises Liability Claims
    • Bodily Injury Claims
    • Property Damage Claims
  • Strong liability investigation and claim evaluation skills
  • Experience establishing reserves and negotiating settlements
  • Ability to independently manage a claim inventory of approximately 130 files
  • Strong written and verbal communication skills
  • Excellent customer service and relationship management abilities
  • Strong diary management, organization, and time-management skills
  • Ability to work independently in a remote environment
  • Proficiency with Microsoft Office applications
  • Reliable attendance during established business hours
Preferred Qualifications
  • Hospitality claims experience
  • Premises liability expertise within hotels, resorts, restaurants, entertainment venues, or guest-facing operations
  • Litigation management experience
  • Experience working directly with defense counsel
  • Multi-jurisdiction claims experience
  • Experience handling claims in one or more of the following jurisdictions:
    • Louisiana
    • Florida
    • Illinois
    • Pennsylvania
    • Arizona
    • Colorado
    • Missouri
    • Mississippi
    • Ohio
  • Prior TPA experience
  • Additional active adjuster licenses

Why Youโ€™ll Love Working Here

  • 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
  • Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
  • Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
  • Career growth: Internal training and advancement opportunities
  • Culture: A supportive, team-based work environment 

How We Measure Success  

At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:  

  • Quality claim handling โ€“ thorough investigations, strong documentation, well-supported decisions
  • Compliance & audit performance โ€“ adherence to jurisdictional and client standards
  • Timeliness & accuracy โ€“ purposeful file movement and dependable execution
  • Client partnership โ€“ proactive communication and strong follow-through
  • Professional judgment โ€“ owning outcomes and solving problems with integrity
  • Cultural alignment โ€“ believing every claim represents a real person and acting accordingly

This is where we shine, and we hire adjusters who want to shine with us.

Compensation & Compliance

The posted salary reflects CCMSIโ€™s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance.

Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.
ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.
Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

Our Core Values

At CCMSI, we believe in doing whatโ€™s rightโ€”for our clients, our coworkers, and ourselves. We look for team members who:

  • Lead with transparency We build trust by being open and listening intently in every interaction.
  • Perform with integrity We choose the right path, even when it is hard.
  • Chase excellence We set the bar high and measure our success. What gets measured gets done.
  • Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
  • Win together Our greatest victories come when our clients succeed. 

We donโ€™t just work togetherโ€”we grow together. If that sounds like your kind of workplace, weโ€™d love to meet you.

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