Claims Specialist with FineOS Remote Fulltime Responsibilities: To provide Absence case management ... Reviews client critical deliverables, manages the overall workload, and second-level process ...
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Claims Specialist with FineOS Remote Fulltime Responsibilities: To provide Absence case management ... Reviews client critical deliverables, manages the overall workload, and second-level process ...
Quick apply
Claims Specialist with FineOS Remote Fulltime Responsibilities: To provide Absence case management ... Reviews client critical deliverables, manages the overall workload, and second-level process ...
Cincinnati, OH ยท On-site +1
$150K - $190K/yr
Contribute to continuous improvement of claims processes and best practices Qualifications Required ... Personal insurance (auto/homeowners) discounts #LI-Hybrid #LI-Remote It's an exciting time for our ...
Cincinnati, OH ยท On-site +1
$150K - $190K/yr
Contribute to continuous improvement of claims processes and best practices Qualifications Required ... Personal insurance (auto/homeowners) discounts #LI-Hybrid #LI-Remote It's an exciting time for our ...
... in remote locations across the country. * Responsible for performance, development and coaching of ... Provides vision, goals, and direction for claims process and outcome improvement initiatives ...
... in remote locations across the country. * Responsible for performance, development and coaching of ... Provides vision, goals, and direction for claims process and outcome improvement initiatives ...
... remote candidates. Job title and salary will be dependent upon successful applicant's level of ... process. Learn more at *Excludes seasonal employees and interns.
... remote candidates. Job title and salary will be dependent upon successful applicant's level of ... process. Learn more at *Excludes seasonal employees and interns.
Florence, KY ยท Remote
... Remote Claims & Policy Support Specialist. In this role, you will provide exceptional support to ... Process Evidence of Insurance (EOI) requests and other policy-related documentation. Assist with ...
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Florence, KY ยท Remote
... Remote Claims & Policy Support Specialist. In this role, you will provide exceptional support to ... Process Evidence of Insurance (EOI) requests and other policy-related documentation. Assist with ...
Cincinnati, OH ยท Remote
... process accounts and claims. Regularly monitors work queues and workflows in Epic, claims ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...
Cincinnati, OH ยท Remote
... process accounts and claims. Regularly monitors work queues and workflows in Epic, claims ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...
Cincinnati, OH ยท Remote
$19/hr
These positions are 100% fully remote**** The first 4-6 weeks consist of training from 10:00 am to ... Examine, review, process, calculate and (a) pay claims based on information, plan design, insurance ...
New
Cincinnati, OH ยท Remote
$19/hr
These positions are 100% fully remote**** The first 4-6 weeks consist of training from 10:00 am to ... Examine, review, process, calculate and (a) pay claims based on information, plan design, insurance ...
New
... 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 ...
... 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 ...
Cincinnati, OH 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 ...
Cincinnati, OH 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 ...
Fairfield, OH ยท Remote
$55/hr
Remote - offsite Hours: 40.0 Security Clearance: Overview W2 ONLY CONTRACT NO C2C, NO sponsorship ... Experience within Property & Casualty (P&C) insurance, including underwriting, claims, and policy ...
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Fairfield, OH ยท Remote
$55/hr
Remote - offsite Hours: 40.0 Security Clearance: Overview W2 ONLY CONTRACT NO C2C, NO sponsorship ... Experience within Property & Casualty (P&C) insurance, including underwriting, claims, and policy ...
Fairfield, OH ยท Remote
$55/hr
Remote - offsite Hours: 40.0 Security Clearance: Overview W2 ONLY CONTRACT NO C2C, NO sponsorship ... Experience within Property & Casualty (P&C) insurance, including underwriting, claims, and policy ...
Quick apply
Fairfield, OH ยท Remote
$55/hr
Remote - offsite Hours: 40.0 Security Clearance: Overview W2 ONLY CONTRACT NO C2C, NO sponsorship ... Experience within Property & Casualty (P&C) insurance, including underwriting, claims, and policy ...
Fairfield, OH ยท Remote
$55/hr
Remote - offsite Hours: 40.0 Security Clearance: Overview W2 ONLY CONTRACT NO C2C, NO sponsorship ... Experience within Property & Casualty (P&C) insurance, including underwriting, claims, and policy ...
Quick apply
Fairfield, OH ยท Remote
$55/hr
Remote - offsite Hours: 40.0 Security Clearance: Overview W2 ONLY CONTRACT NO C2C, NO sponsorship ... Experience within Property & Casualty (P&C) insurance, including underwriting, claims, and policy ...
Cincinnati, OH ยท Remote
Day in the Life of Practice Management Systems Analyst - Revenue Cycle & Claims Integration ... Evaluate process, make process improvements, and update process changes * Attend, participate in ...
Cincinnati, OH ยท Remote
Day in the Life of Practice Management Systems Analyst - Revenue Cycle & Claims Integration ... Evaluate process, make process improvements, and update process changes * Attend, participate in ...
Cincinnati, OH ยท On-site +1
... days in office; remote considered in exceptional circumstances) Essential Functions * Lead a ... process changes, or product improvements. * Partner with Claims leadership to identify and deliver ...
Cincinnati, OH ยท On-site +1
... days in office; remote considered in exceptional circumstances) Essential Functions * Lead a ... process changes, or product improvements. * Partner with Claims leadership to identify and deliver ...
Cincinnati, OH ยท On-site +1
The ideal candidate will oversee operational execution, remote dispatch teams, and broker ... Partner with finance and compliance for documentation accuracy, billing, claims, and regulatory ...
Cincinnati, OH ยท On-site +1
The ideal candidate will oversee operational execution, remote dispatch teams, and broker ... Partner with finance and compliance for documentation accuracy, billing, claims, and regulatory ...
Cincinnati, OH ยท On-site +1
$16.75 - $20.50/hr
Process all new and refill prescriptions. * Open orders as needed, verify eligibility, proof and ... Flexible Spending Accounts (FSA) * Employee Assistance Programs * Paid Time Off (PTO) and Tuition ...
Cincinnati, OH ยท On-site +1
$16.75 - $20.50/hr
Process all new and refill prescriptions. * Open orders as needed, verify eligibility, proof and ... Flexible Spending Accounts (FSA) * Employee Assistance Programs * Paid Time Off (PTO) and Tuition ...
Cincinnati, OH ยท On-site +1
$125K/yr
Orchestrate collaboration with underwriting, claims, billing, technology, and reporting teams to ... Champion continuous improvement initiatives to enhance relationship management processes and best ...
Cincinnati, OH ยท On-site +1
$125K/yr
Orchestrate collaboration with underwriting, claims, billing, technology, and reporting teams to ... Champion continuous improvement initiatives to enhance relationship management processes and best ...
Cincinnati, OH ยท On-site +1
$125K/yr
Orchestrate collaboration with underwriting, claims, billing, technology, and reporting teams to ... Champion continuous improvement initiatives to enhance relationship management processes and best ...
Cincinnati, OH ยท On-site +1
$125K/yr
Orchestrate collaboration with underwriting, claims, billing, technology, and reporting teams to ... Champion continuous improvement initiatives to enhance relationship management processes and best ...
Cincinnati, OH ยท On-site +1
$100K - $132K/yr
This role is designated as remote, giving you the flexibility to primarily work from home while ... Experience with fired equipment, including boilers, heaters, and similar process equipment.
Cincinnati, OH ยท On-site +1
$100K - $132K/yr
This role is designated as remote, giving you the flexibility to primarily work from home while ... Experience with fired equipment, including boilers, heaters, and similar process equipment.
West Chester, OH ยท Remote
$50K - $75K/yr
... policy changes, billing questions, claims support, and coverage reviews. * Build strong ... Process endorsements, renewals, and policy servicing requests accurately. * Maintain accurate ...
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West Chester, OH ยท Remote
$50K - $75K/yr
... policy changes, billing questions, claims support, and coverage reviews. * Build strong ... Process endorsements, renewals, and policy servicing requests accurately. * Maintain accurate ...
$11.53 - $12.79
2% of jobs
$12.79 - $14.05
6% of jobs
$14.05 - $15.31
9% of jobs
$15.96 is the 25th percentile. Wages below this are outliers.
$15.31 - $16.56
14% of jobs
$16.56 - $17.82
18% of jobs
The median wage is $17.86 / hr.
$17.82 - $19.08
17% of jobs
$19.77 is the 75th percentile. Wages above this are outliers.
$19.08 - $20.34
16% of jobs
$20.34 - $21.60
7% of jobs
$21.60 - $22.85
4% of jobs
$22.85 - $24.11
4% of jobs
$24.11 - $25.37
2% of jobs
$11
$18
$25
| Aspect | Remote Fsa Claims Processor | Remote Health Insurance Claims Processor |
|---|---|---|
| Certifications | Typically requires knowledge of FSA regulations, basic insurance processing certifications | Requires understanding of health insurance policies, claims processing certifications |
| Work Environment | Remote, administrative setting handling FSA claims | Remote, administrative setting handling health insurance claims |
| Industry Usage | Common in benefits administration, HR departments | Common 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.
The most popular types of Fsa Claims Processor jobs in Cincinnati, OH are:
For Remote Fsa Claims Processor jobs in Cincinnati, OH, the most frequently searched job titles are:
The top searched job categories for Remote Fsa Claims Processor jobs in Cincinnati, OH are:
Cities near Cincinnati, OH with the most Remote Fsa Claims Processor job openings:

Full-time
PTO
Re-posted 22 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.