Specialty Claims Adjuster
Dublin, OH · Hybrid
Manage claim files through prompt evaluation, accurate documentation, and consistent follow-up. * ... Familiarity with claims processing systems and documentation best practices. This Role Might Be a ...
Dublin, OH · Hybrid
Manage claim files through prompt evaluation, accurate documentation, and consistent follow-up. * ... Familiarity with claims processing systems and documentation best practices. This Role Might Be a ...
Dublin, OH · Hybrid
Manage claim files through prompt evaluation, accurate documentation, and consistent follow-up. * ... Familiarity with claims processing systems and documentation best practices. This Role Might Be a ...
Columbus, OH · On-site
$17.50 - $23/hr
... remote. Must reside within Central Ohio area. Summary: Responsible for the timely processing of ... Provides follow-up on claim edits, rejections, denials, and outstanding professional claims in a ...
Columbus, OH · On-site
$17.50 - $23/hr
... remote. Must reside within Central Ohio area. Summary: Responsible for the timely processing of ... Provides follow-up on claim edits, rejections, denials, and outstanding professional claims in a ...
... remote. Must reside within Central Ohio area. Summary: Responsible for the timely processing of ... Provides follow-up on claim edits, rejections, denials, and outstanding professional claims in a ...
... remote. Must reside within Central Ohio area. Summary: Responsible for the timely processing of ... Provides follow-up on claim edits, rejections, denials, and outstanding professional claims in a ...
Manage claim files through prompt evaluation, accurate documentation, and consistent follow-up. * ... Familiarity with claims processing systems and documentation best practices. This Role Might Be a ...
Quick apply
Manage claim files through prompt evaluation, accurate documentation, and consistent follow-up. * ... Familiarity with claims processing systems and documentation best practices. This Role Might Be a ...
... processes, and claim mixes evolve * Ensure staffing strategy and model logic align with broader ... Otherwise, this role is remote. The ideal candidate will have: * Bachelor's Degree plus a minimum ...
... processes, and claim mixes evolve * Ensure staffing strategy and model logic align with broader ... Otherwise, this role is remote. The ideal candidate will have: * Bachelor's Degree plus a minimum ...
... processes, and claim mixes evolve * Ensure staffing strategy and model logic align with broader ... Otherwise, this role is remote. The ideal candidate will have: * Bachelor's Degree plus a minimum ...
... processes, and claim mixes evolve * Ensure staffing strategy and model logic align with broader ... Otherwise, this role is remote. The ideal candidate will have: * Bachelor's Degree plus a minimum ...
Delaware, OH · Remote
$93K - $110K/yr
This is a remote role open to any location in continental US Manulife is a leading international ... May process all aspects of auditing, formal appeal reviews and contestable claim review. * Audit ...
Delaware, OH · Remote
$93K - $110K/yr
This is a remote role open to any location in continental US Manulife is a leading international ... May process all aspects of auditing, formal appeal reviews and contestable claim review. * Audit ...
Columbus, OH · Remote
$29.05 - $67.97/hr
... claim reviews, medical claims and previously denied cases in which an appeal has been made, or is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing ...
New
Columbus, OH · Remote
$29.05 - $67.97/hr
... claim reviews, medical claims and previously denied cases in which an appeal has been made, or is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing ...
New
Columbus, OH · Remote
$29.05 - $67.97/hr
... claim reviews, medical claims and previously denied cases in which an appeal has been made, or is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing ...
New
Columbus, OH · Remote
$29.05 - $67.97/hr
... claim reviews, medical claims and previously denied cases in which an appeal has been made, or is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing ...
New
Columbus, OH · On-site +1
$63K - $82K/yr
Candidates located in Ohio, Montana, Virginia and Minnesota are eligible for 100% remote work, as ... the processing of the claim. * Assesses actual damages associated with claims and conducts ...
Columbus, OH · On-site +1
$63K - $82K/yr
Candidates located in Ohio, Montana, Virginia and Minnesota are eligible for 100% remote work, as ... the processing of the claim. * Assesses actual damages associated with claims and conducts ...
Columbus, OH · On-site +1
$126K/yr
Candidates located in Ohio, Montana, Virginia and Minnesota are eligible for 100% remote work, as ... the processing of the claim. * Assesses actual damages associated with claims and conducts ...
Columbus, OH · On-site +1
$126K/yr
Candidates located in Ohio, Montana, Virginia and Minnesota are eligible for 100% remote work, as ... the processing of the claim. * Assesses actual damages associated with claims and conducts ...
Columbus, OH · On-site +1
$67K - $126K/yr
Candidates located in Ohio, Montana, Virginia and Minnesota are eligible for 100% remote work, as ... the processing of the claim. * Assesses actual damages associated with claims and conducts ...
Columbus, OH · On-site +1
$67K - $126K/yr
Candidates located in Ohio, Montana, Virginia and Minnesota are eligible for 100% remote work, as ... the processing of the claim. * Assesses actual damages associated with claims and conducts ...
$110K - $145K/yr
Risk Manager - Insurance Fully Remote: applicants in Eastern or Central Time Zone Supporting ... Monitor claim trends and recommend corrective actions to reduce future losses and improve ...
$110K - $145K/yr
Risk Manager - Insurance Fully Remote: applicants in Eastern or Central Time Zone Supporting ... Monitor claim trends and recommend corrective actions to reduce future losses and improve ...
Otherwise, this role is remote. About the Role We are hiring a Senior Analyst or Consultant to join ... process changes, and newly adopted tools or vendor partnerships across the full claim lifecycle.
Otherwise, this role is remote. About the Role We are hiring a Senior Analyst or Consultant to join ... process changes, and newly adopted tools or vendor partnerships across the full claim lifecycle.
Columbus, OH · On-site
$17.50 - $23/hr
Processes all "Returned Mail" - including skip tracing and contacting doctor's offices for ... Knowledge of medical terminology, various claim forms, third party contracts and payment patterns ...
Columbus, OH · On-site
$17.50 - $23/hr
Processes all "Returned Mail" - including skip tracing and contacting doctor's offices for ... Knowledge of medical terminology, various claim forms, third party contracts and payment patterns ...
Columbus, OH · On-site
$17.50 - $23/hr
Processes all "Returned Mail" - including skip tracing and contacting doctor's offices for ... Knowledge of medical terminology, various claim forms, third party contracts and payment patterns ...
Columbus, OH · On-site
$17.50 - $23/hr
Processes all "Returned Mail" - including skip tracing and contacting doctor's offices for ... Knowledge of medical terminology, various claim forms, third party contracts and payment patterns ...
Columbus, OH · On-site
$17.50 - $23/hr
Processes all "Returned Mail" - including skip tracing and contacting doctor's offices for ... Knowledge of medical terminology, various claim forms, third party contracts and payment patterns ...
Columbus, OH · On-site
$17.50 - $23/hr
Processes all "Returned Mail" - including skip tracing and contacting doctor's offices for ... Knowledge of medical terminology, various claim forms, third party contracts and payment patterns ...
Columbus, OH · On-site
$17.50 - $23/hr
Processes all "Returned Mail" - including skip tracing and contacting doctor's offices for ... Knowledge of medical terminology, various claim forms, third party contracts and payment patterns ...
Columbus, OH · On-site
$17.50 - $23/hr
Processes all "Returned Mail" - including skip tracing and contacting doctor's offices for ... Knowledge of medical terminology, various claim forms, third party contracts and payment patterns ...
Westerville, OH · On-site +1
$18.25 - $23.25/hr
This position is eligible for a remote work arrangement after completion of an onboarding period ... claim. * Maintain the team code change log process to ensure second or third level review of code ...
Westerville, OH · On-site +1
$18.25 - $23.25/hr
This position is eligible for a remote work arrangement after completion of an onboarding period ... claim. * Maintain the team code change log process to ensure second or third level review of code ...
$18.25 - $23.25/hr
This position is eligible for a remote work arrangement after completion of an onboarding period ... claim. * Maintain the team code change log process to ensure second or third level review of code ...
$18.25 - $23.25/hr
This position is eligible for a remote work arrangement after completion of an onboarding period ... claim. * Maintain the team code change log process to ensure second or third level review of code ...
$11.61 - $12.88
2% of jobs
$12.88 - $14.14
6% of jobs
$14.14 - $15.41
9% of jobs
$16.07 is the 25th percentile. Wages below this are outliers.
$15.41 - $16.68
14% of jobs
$16.68 - $17.94
18% of jobs
The median wage is $17.98 / hr.
$17.94 - $19.21
17% of jobs
$19.90 is the 75th percentile. Wages above this are outliers.
$19.21 - $20.47
16% of jobs
$20.47 - $21.74
7% of jobs
$21.74 - $23.01
4% of jobs
$23.01 - $24.27
4% of jobs
$24.27 - $25.54
2% of jobs
$11
$18
$25
| Aspect | Remote Claim Processor | Remote Claims Examiner |
|---|---|---|
| Required Credentials | High school diploma or equivalent; some roles may require insurance or healthcare certifications | High school diploma or equivalent; often requires insurance or healthcare-related certifications |
| Work Environment | Home-based, independent work setting | Home-based, independent work setting |
| Industry Usage | Insurance, healthcare, government agencies | Insurance, healthcare, government agencies |
| Job Focus | Processing insurance claims, data entry, verifying information | Reviewing and adjudicating insurance claims, ensuring compliance |
Both roles are remote positions within the insurance and healthcare industries, requiring similar credentials and work environments. The main difference lies in their focus: Remote Claim Processors handle initial claim processing and data entry, while Remote Claims Examiners review and make decisions on claims to ensure accuracy and compliance.
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 19 days ago
7.3
Based on 7 frontline employees who took The Breakroom Quiz
209th of 261 rated insurance
APCO Holdings partners with dealerships across North America to deliver innovative vehicle protection products and services that enhance the ownership experience for customers and drive growth for our partners. Through our family of brands, we bring together industry expertise, technology, and data-driven insights to help dealers strengthen their finance and insurance performance and build lasting relationships with their customers.
Our teams work collaboratively across operations, technology, risk, finance, marketing, and sales to deliver solutions that create measurable value and support the continued growth of APCO and the partners we serve.
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Motor vehicle manufacturing
501 - 1,000 Employees
Norcross, GA, US
1984