Search Jobs | Dice.com

Workers Comp Claims Adjuster - Contract - HYBRID

Bernards, New Jersey

•

Today

Contract role - Full Health Benefits - Hybrid Schedule This Jobot Consulting Job is hosted by: Billy Mewton Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume. Salary: $32 - $36 per hour A bit about us: Our client, a leading insurance carrier / TPA, is seeking an experienced Workers' Compensation Claims Adjuster for a contract assignment. This role is responsible for managing a caseload of workers' compensation claims from inception through resolution,

Contract

USD 32.00 - 36.00 per hour

Claims UAT Tester

New York, New York

•

Today

Job DescriptionJob Title : Claims UAT Tester Location : 50 Water St #7, New York, NY 10004 Duration : 2+ Months Contract Education : Bachelor s degree or 8+ years related work experience post high school.5+ years of information technology quality assurance and systems/application testing experience Shift Details : M-F 9am - 5pm, 35hrs/week Job Description: Claims UAT is the last stage of the testing process prior to production move. The claims UAT Tester is the primary Claims Tester to validate

Full-time

Claims Reimbursement Analyst

Remote

•

Today

Claims Reimbursement Analyst Remote initially hybrid after 12 months 12 Months Denver/CO We are looking for a Claims Reimbursement Analyst for a Denver-based health plan client. This is a 12-month contract with potential to convert to full-time. The role focuses on complex Medicare reimbursement policy and claims adjudication not basic fee-for-service review. Ideal candidates have hands-on experience with Medicare reimbursement methodologies, can manually price claims without a tool, and can cl

Easy Apply

Contract, Third Party

Claims Reimbursement Analyst-Remote

Remote

•

Today

Claims Reimbursement Analyst 100% Remote Job Title: Claims Reimbursement Analyst Location: 100% Remote Job Type: Contract / Full-Time Job Summary: We are seeking a detail-oriented Claims Reimbursement Analyst to support claims processing, reimbursement analysis, and payment accuracy initiatives. The ideal candidate will have strong experience working with healthcare claims, payer systems, reimbursement methodologies, and data analysis within a healthcare environment. Responsibilities: Ana

Easy Apply

Contract, Third Party

$20 - $26

Sr. Epic Professional billing and claims analyst

Remote

•

Today

Job Title: Sr. Epic Professional billing and claims analyst Location: Fully remote Duration: 6 month contract Interview: Video Need genuine submission . Please check candidate should not be submitted prior to K-Force Please ask if they have been submitted to by anyone else UnityPoint areseeking a Senior Epic Professional Billing & Claims Analyst consultantto provide remote support for tickets and project-based workduring an active implementation and post-go-live period. This role will help ma

Easy Apply

Contract, Third Party

Depends on Experience

EPIC Resolute Certified - Claims Applications Analyst - REMOTE

Remote

•

17d ago

Bachelor's degree in health care information technology, computer science, or related area, and / or equivalent combination of experience / training. 5 7 years related clinical applications experience or equivalent combination of education, training and experience. Please verify any certificates and/or licenses required for the position: Epic Resolute HB or PB Claims and Remittance Admin certification. Job Function: Involves the design, building, testing, and implementation of clinical applicati

Easy Apply

Contract

$80 - $100

QA Test Engineer with Medicaid and Claims - Remote

Remote

•

9d ago

Should have strong MMIS health care domain experience and should have good knowledge of Medicaid and Medicare. Should have hands-on experience on claims processing and Adjudication processes. Must have good experience in Reference code/data sets required in Claims adjudication. Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems. In depth understanding of Claims and Claims lifecycleClaim System: Testing knowledge and E2E Tes

Easy Apply

Contract, Third Party

Depends on Experience

Sr. Pharmacy Claims Analyst

Remote

•

Yesterday

Position: Senior Pharmacy Claims Analyst Location: Remote Duration: 3 Months Contract-to-Hire Potential About the Role: We are seeking a Senior Pharmacy Claims Analyst with deep, hands-on expertise in prior authorization (PA) and the end-to-end drug approval lifecycle. In this role you will own the analysis and adjudication review of pharmacy claims from the point of submission by covered entities through to final approval or denial, including the management of clinically appropriate drug subst

Easy Apply

Contract

Depends on Experience

Sr. Manager, Claims Operations

New York, New York

•

4d ago

About us Coalition is the world's first Active Insurance provider designed to help prevent digital risk before it strikes. Founded in 2017, Coalition combines comprehensive insurance coverage and innovative cybersecurity tools to help businesses manage and mitigate potential cyberattacks. Opportunities to make an impact with bold thinking are real-and happening daily at Coalition. About the role Coalition's Claims team is redefining how policyholders experience claims-combining technical excelle

Full-time

USD 126,000.00 per year

Application Claims Architect – Claims IVR & Amazon Connect

Remote or Hybrid in Phoenix, Arizona

•

7d ago

Application Claims Architect Claims IVR & Amazon ConnectRole SummaryThe Application Claims Architectis responsible for designing and governing the endtoend Claims IVR architectureon Amazon Connect, ensuring seamless integration with existing Claims systems, compliant handling of customer data, and a scalable, modernized customer experience. This role bridges IVR modernization, lightweight AI/Virtual Agent capabilities, and Claims application integration, while honoring the constraint of no new

Easy Apply

Contract

Depends on Experience

Technical Business Analyst with Claims Module experience- Remote

Remote

•

15d ago

Minimum of 8+ years of experience in health care experience especially in MMIS domain.In depth understanding of Claims and Claims lifecycle:Claim submission Paper and EDI X12Adjudication Payment Cycle (Finance)ReportingEncounters and CapitationEDI X12 formats like837P/I/DX12 formats 835,834,270/271,276/277Familiarity with systems like CMdS, GHS, Facets and etcAbility to validate Test scenarios and test plans, test data.SQL: To validate data in backend tables (e.g., claim status, payment details

Easy Apply

Third Party, Contract

$55

Claims Resolution Analyst Remote-Vermont

Remote or Burlington, Vermont

•

Today

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary The Claims Resolution Analyst is responsible for reviewing and researching suspended claims, identifying and resolving issues a

Full-time

USD 35,000.00 - 50,000.00 per year

Medical Claims Processor, Xcelys, Remote

Remote

•

10d ago

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our companys growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. For more than 25 years,NTT DATA Serviceshave focused on impacting the core of your business operations with industry-leading outsourcing ser

Easy Apply

Contract

Depends on Experience

Senior Majesco Configurator (Policy / Billing / Claims) - SMC 26-04318

Remote

•

Today

Job Title: Senior Majesco Configurator (Policy / Billing / Claims)Location: USA / Canada (Remote) Experience: 8 12 Years Role Summary We are seeking a skilled Senior Majesco Configurator with strong hands-on experience in configuring insurance platform modules such as Policy, Billing, or Claims. The ideal candidate will have deep domain knowledge and the ability to translate business requirements into effective system configurations. Key ResponsibilitiesConfigure Majesco modules based on busines

Easy Apply

Contract, Third Party

Depends on Experience

Life Insurance Claims Specialist

Remote

•

30+d ago

Our client, a major Life Insurance carrier is seeking a Life Insurance Claims Specialist for a long term (2 year minimum) contract position. This job can be worked remotely. The Life Insurance Claims Specialist will review contestable death claims, life insurance policy reinstatement requests, and evaluate Medical Information Bureau (MIB) inquiries for an existing book of business. Life Insurance Claims Specialist responsibilities include the following: Contestable claims review will require an

Easy Apply

Contract

$40 - $45

Lead Data Scientist - Clinical Informatics (Claims Specialization)

Remote or New York

•

Today

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary CVS Health's Analytics & Behavior Chan

Full-time

USD 130,295.00 - 260,590.00 per year

IT Project Manager (Claims Platform Implementation) - Remote (West Coast preference)

Remote

•

Today

IT Project Manager (Claims Platform Implementation) Primary Location: Remote V-Soft Consulting is currently hiring IT Project Manager (Claims Platform Implementation) our premier client in Remote. Education and Experience 8+ years of IT Project or Program Management experience leading large-scale healthcare systems implementations. Deep expertise in implementing or upgrading core claims platforms (QNXT strongly preferred). This includes a strong understanding of claims adjudication systems/wo

Easy Apply

Contract

Depends on Experience

Medical Claims Auditor (Remote - Texas)

Remote or Dallas, Texas

•

Today

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary The Medical Claims Auditor is responsible for reviewing and analyzing medical claims to ensure accuracy, compliance, and adhere

Full-time

USD 50,000.00 - 55,000.00 per year

Medical Claims Auditor (Remote - Texas)

Remote or Austin, Texas

•

Today

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary The Medical Claims Auditor is responsible for reviewing and analyzing medical claims to ensure accuracy, compliance, and adhere

Full-time

USD 50,000.00 - 55,000.00 per year

Medical Claims Auditor (Remote - Texas)

Remote or Houston, Texas

•

Today

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary The Medical Claims Auditor is responsible for reviewing and analyzing medical claims to ensure accuracy, compliance, and adhere

Full-time

USD 50,000.00 - 55,000.00 per year

Filter Results

Job post features

Posted date

Work settings

Employment type

Distance

Employer type

Work authorization