Claims Specialist
Baton Rouge, LA · Remote
Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist ... which insurance plan pays first when a member has multiple sources of coverage Experience ...
Baton Rouge, LA · Remote
Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist ... which insurance plan pays first when a member has multiple sources of coverage Experience ...
Baton Rouge, LA · Remote
Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist ... which insurance plan pays first when a member has multiple sources of coverage Experience ...
Marsh McLennan Agency (MMA) provides business insurance, employee health & benefits, retirement ... Remote work, but some travel is required * Charitable contribution match programs * Stock purchase ...
New
Marsh McLennan Agency (MMA) provides business insurance, employee health & benefits, retirement ... Remote work, but some travel is required * Charitable contribution match programs * Stock purchase ...
New
This role is eligible for fully remote work How you'll make an impact Supervise: Lead and encourage a Workers Compensation claims team handling a variety of caseload sizes and complexities to deliver ...
This role is eligible for fully remote work How you'll make an impact Supervise: Lead and encourage a Workers Compensation claims team handling a variety of caseload sizes and complexities to deliver ...
Baton Rouge, LA · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Investigates claim damages including communicating with the insured, internal claims adjusters, and ...
Baton Rouge, LA · On-site +1
USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Investigates claim damages including communicating with the insured, internal claims adjusters, and ...
Baton Rouge, LA · On-site +1
$16.75 - $22.75/hr
Experience with medical billing, claims processing, and insurance follow-up (Reference Lab billing ... Opportunity for a partially remote schedule after 6 months of employment * We are a nationally and ...
Baton Rouge, LA · On-site +1
$16.75 - $22.75/hr
Experience with medical billing, claims processing, and insurance follow-up (Reference Lab billing ... Opportunity for a partially remote schedule after 6 months of employment * We are a nationally and ...
Baton Rouge, LA · On-site +1
$16.75 - $22.75/hr
Experience with medical billing, claims processing, and insurance follow-up (anesthesia billing ... Opportunity for a partially remote schedule after 6 months of employment * We are a nationally and ...
Baton Rouge, LA · On-site +1
$16.75 - $22.75/hr
Experience with medical billing, claims processing, and insurance follow-up (anesthesia billing ... Opportunity for a partially remote schedule after 6 months of employment * We are a nationally and ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Maintain a general operational understanding of providerrelated processes, including claims ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Maintain a general operational understanding of providerrelated processes, including claims ...
Baton Rouge, LA · On-site +1
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... These SMEs will be available to AEs when needed for support of claims resolution. * General ...
Baton Rouge, LA · On-site +1
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... These SMEs will be available to AEs when needed for support of claims resolution. * General ...
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... These SMEs will be available to AEs when needed for support of claims resolution. * General ...
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... These SMEs will be available to AEs when needed for support of claims resolution. * General ...
Brusly, LA · On-site +1
$42K - $150K/yr
This is a remote position. Compensation: $42,500.00 - $150,000.00 per year Becoming an Insurance Professional Insurance Professionals go by many names: Brokers, Underwriters, Claims Representatives ...
Brusly, LA · On-site +1
$42K - $150K/yr
This is a remote position. Compensation: $42,500.00 - $150,000.00 per year Becoming an Insurance Professional Insurance Professionals go by many names: Brokers, Underwriters, Claims Representatives ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Interpret claims data and connections to patient outcomes and utilization trends. * Interprets ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Interpret claims data and connections to patient outcomes and utilization trends. * Interprets ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Interpret claims data and connections to patient outcomes and utilization trends. * Interprets ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Interpret claims data and connections to patient outcomes and utilization trends. * Interprets ...
Baton Rouge, LA · On-site +1
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... items such as claims, payment integrity, provider data, credentialing, appeals disputes etc.
Baton Rouge, LA · On-site +1
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... items such as claims, payment integrity, provider data, credentialing, appeals disputes etc.
Baton Rouge, LA · On-site +1
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... items such as claims, payment integrity, provider data, credentialing, appeals disputes etc.
Baton Rouge, LA · On-site +1
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... items such as claims, payment integrity, provider data, credentialing, appeals disputes etc.
... Insurance Vice President Client Services - Claim Operations (Must Reside in LA) PRIMARY PURPOSE ... claims #hybrid#LI-REMOTE #sedgwick Sedgwickis an Equal Opportunity Employer and a Drug-Free ...
... Insurance Vice President Client Services - Claim Operations (Must Reside in LA) PRIMARY PURPOSE ... claims #hybrid#LI-REMOTE #sedgwick Sedgwickis an Equal Opportunity Employer and a Drug-Free ...
... Insurance Vice President Client Services - Claim Operations (Must Reside in LA) PRIMARY PURPOSE ... claims #hybrid#LI-REMOTE #sedgwick Sedgwickis an Equal Opportunity Employer and a Drug-Free ...
... Insurance Vice President Client Services - Claim Operations (Must Reside in LA) PRIMARY PURPOSE ... claims #hybrid#LI-REMOTE #sedgwick Sedgwickis an Equal Opportunity Employer and a Drug-Free ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... claims, payment integrity, provider data, credentialing, appeals disputes etc. * Support ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... claims, payment integrity, provider data, credentialing, appeals disputes etc. * Support ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... claims, payment integrity, provider data, credentialing, appeals disputes etc. * Support ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... claims, payment integrity, provider data, credentialing, appeals disputes etc. * Support ...
Baton Rouge, LA · Remote
$15.25 - $21/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
Baton Rouge, LA · Remote
$15.25 - $21/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
While this role is not currently open, it is fully remote, and we welcome the opportunity to ... Identify gaps in coverage, review claims, secure existing business, and drive the sale of ...
While this role is not currently open, it is fully remote, and we welcome the opportunity to ... Identify gaps in coverage, review claims, secure existing business, and drive the sale of ...
$12.23 - $14.88
8% of jobs
$16.64 is the 25th percentile. Wages below this are outliers.
$14.88 - $17.52
25% of jobs
The median wage is $19.54 / hr.
$17.52 - $20.17
22% of jobs
$20.17 - $22.81
15% of jobs
$24.01 is the 75th percentile. Wages above this are outliers.
$22.81 - $25.45
11% of jobs
$25.45 - $28.10
5% of jobs
$28.10 - $30.74
3% of jobs
$30.74 - $33.39
3% of jobs
$33.39 - $36.03
3% of jobs
$36.03 - $38.67
3% of jobs
$38.67 - $41.32
1% of jobs
$12
$22
$41
A Remote Insurance Claims job involves reviewing, processing, and managing insurance claims from a remote location. Professionals in this role assess documentation, communicate with policyholders, and determine claim validity based on policy terms. They may work for insurance companies, third-party administrators, or as independent adjusters. Strong analytical, communication, and customer service skills are essential for success in this position.
To thrive in a Remote Insurance Claims role, you need a solid understanding of insurance policies, claims processing, and investigative techniques, often supported by experience in insurance or a related field. Familiarity with claims management software, customer relationship management (CRM) systems, and sometimes required certifications such as AIC (Associate in Claims) are important. Exceptional communication, active listening, time management, and problem-solving skills help professionals excel in remote, client-facing environments. These abilities ensure accuracy, efficiency, and positive customer experiences throughout the claims resolution process.
One common challenge in a Remote Insurance Claims role is maintaining effective communication with clients and team members while working outside a traditional office environment. Professionals overcome this by utilizing secure messaging, video conferencing, and robust claims management platforms to ensure consistent updates and collaboration. Staying organized and self-motivated is also key, as remote claims adjusters often manage a high volume of cases independently. Employers typically provide training and ongoing support to help remote employees navigate complex claims, maintain compliance, and deliver timely resolutions.
For Remote Insurance Claims jobs in Baton Rouge, LA, the most frequently searched job titles are:
The top searched job categories for Remote Insurance Claims jobs in Baton Rouge, LA are:
Cities near Baton Rouge, LA with the most Remote Insurance Claims job openings:

Job Description STRATEGIC STAFFING SOLUTIONS HAS AN OPENING. This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C eligibility for this position.
Visa Sponsorship is Available. The details are below. "Beware of scams.
S3 never asks for money during its onboarding process." Job Title: Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist will support claims operations by accurately processing claims edits, determining primacy for Coordination of Benefits, adjusting previously paid claims, and initiating procedures to recover funds on overpaid claims. This position will analyze, investigate, and resolve problem cases, execute recovery processes, and complete special projects while complying with applicable laws and regulations. Required Qualifications High school diploma or equivalent At least 2 years of medical claims-processing experience Strong analytical ability, including logical, systemic, and investigative thinking Strong oral and written communication skills Strong human-relations skills Working knowledge of relevant PC software Ability to prioritize multiple streams of work effectively Preferred Qualifications Coordination of Benefits processing experience Hands-on experience determining which insurance plan pays first when a member has multiple sources of coverage Experience identifying primary and secondary coverage Experience reviewing and updating claims based on COB rules Experience applying COB primacy rules, including subscriber status, effective dates, plan type, and Medicare coordination Experience communicating with members, providers, and other insurers to verify coverage information Experience correcting overpayments, initiating refunds or reprocessing claims, and maintaining accurate claim records Experience working within claims systems and following regulatory and compliance requirements, including HIPAA Responsibilities Review, research, and update claims, including recalculating benefits on previously processed claims Process claims edits according to contractual benefits and provider-reimbursement rules Initiate refund requests when necessary Identify denial codes, edits, and processing codes associated with coordinated and non-coordinated claims Request medical records when required Communicate orally and in writing with internal and external contacts to establish accurate claims records Review quality audits for correction or routing within 48 hours of receipt Research and determine the correct order of benefits for payment by applicable plans Make necessary corrections to COB records Notify the appropriate departments when Medicare has determined primacy incorrectly Analyze, investigate, and resolve problem cases involving COB records, adjusted claims, and overpayments Review previously processed claims to ensure payment consistency and maximize overpayment recovery Execute procedures to recover funds from providers, subscribers, or beneficiaries when overpayments occur Support training, implementations, documentation, and special projects Assist with matters involving internal-audit findings, provider-status changes, and system errors Perform other job-related duties within the scope of the position
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Professional, scientific, and technical services
201 - 500 Employees
Sparta, NJ, US