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Claims Examiner - Workers Compensation - W2 Only

Remote

•

7d ago

Position: Claims Examiner - Workers Compensation - W2 only Location: 100% Remote Required Skills: Workers Compensation ExperiencePrimary Purpose: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and

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Contract

$45 - $50

SAP Consultant Warranty Claims

Remote

•

14d ago

Job Description: We are looking for an experienced SAP Warranty Claims Consultant with 13+ years of SAP experience and a dedicated focus on Warranty Claims processing within SAP CS/SM/WTY for a leading global heavy equipment and construction manufacturing client. This is a warranty claims-focused role not a general service management or vendor management position. The ideal candidate must have deep, hands-on expertise in both Customer Claims (IC/OC) and Vendor Claims (OV/IV) processing, with a

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Third Party, Contract

Depends on Experience

Senior Claims Technical Specialist - Financial Lines

Remote

•

Today

Job Title: Senior Claims Technical Specialist - Financial Lines Location: This can be onsite (NYC, Chicago, or Plano, Texas) or remote, but there would be some travel expectations for mediations, settlement conferences, etc. Duration: 12+ Months Senior Claims Technical Specialistspecifically need staff familiar with Architects' and Engineers' Errors and Omissions claims. (This is must-have.) Job Summary:The purpose of this role is to oversee the examination, evaluation, and processing of comple

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Contract, Third Party

Depends on Experience

Disability Claims Specialist (LTD)

Remote

•

20d ago

We are looking for a LTD Disability Claims Specialist for a 12+ Months contract position. Please send your resume along with hourly rate expectation if interested. Position: LTD Disability Claims Specialist Location: Remote Duration: 12+ Months Part time position: 20 hours per week (Must be able to work during normal business hours within their residential time zone) Required: 3+ years of LTD/IDI Insurance Claims experiencePrior experience with independent judgement and decision making while re

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Contract

Up to 50

EPIC Resolute Certified - Claims Applications Analyst - REMOTE

Remote

•

14d 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

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Contract

$80 - $100

Epic Resolute Professional Billing Claims Remittance

Remote

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22d ago

Title- Senior Systems Analyst (Application Analyst - Epic Resolute Professional Billing & Claims and Remittance) Location- Oakland, CA/Hybrid/Remote Job Description: Job Title: Application Analyst - Epic Resolute Professional Billing & Claims and Remittance Role Description: We are seeking a skilled and experienced Application Analyst with expertise in Epic Resolute, and Claims and Remittance modules to join our dynamic team. This Epic Applications Analyst plays a critical role in the implementa

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Contract

Depends on Experience

Claims Technical Specialist

Remote or Hybrid in Texas City, Texas

•

2d ago

Title: Senior Claims Technical Specialist - Financial Lines Location: 2400 Dallas Parkway, Ste. 350, Plano, TX Duration: 12+ Months Job Description: Manage a diverse portfolio of complex claims which includes conducting fact, liability and loss investigations and interpreting insurance contracts in an effective and efficient mannerEvaluate and negotiate the resolution of assigned claims in a timely manner, within appropriate authority and in accordance with applicable laws, regulations, statute

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Contract, Third Party

$90 - $100

Senior Majesco Configurator (Policy / Billing / Claims) (Remote)

Remote

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2d ago

Job Role: Senior Majesco Configurator (Policy / Billing / Claims) Location: Canada/USA- Remote Exp. Start date: 1st Week of May Duration: 6+ Months Year of Experience: 8-12 Years Role Summary Looking for a hands-on Majesco Configurator with deep expertise in configuring Policy, Billing, or Claims modules. Key Responsibilities Configure Majesco modules based on business requirements Work closely with business and BA teams for requirement analysis Perform product configuration, rule setup

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Contract, Third Party

$75 - $80

Technical Architect – Salesforce (Vlocity Insurance / Claims)

Remote

•

Today

Key Responsibilities 1. Platform & Architecture Assessment Evaluate current Salesforce + Vlocity (Insurance/Claims) implementationAssess usage of:Claims data modelOmniScripts, FlexCards, DataRaptorsIntegration procedures and APIsIdentify deviations from Vlocity best practices and over-customization risks2. CSR Workflow & Friction Analysis Analyze end-to-end claims lifecycle:Intake Triage Investigation Adjudication PayoutPartner with business stakeholders to map day in the life workflowsIdent

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Contract

40 - 50

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

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Contract, Third Party

Depends on Experience

IFS Warranty/ Claims Consultant

Remote or Hybrid in Albany, New York

•

Today

Vega Consulting is hiring! IFS Warranty/ Claims Consultant for a contract to hire job opportunity with our direct client located in Albany, N.Y. Travel to client site once a month to Albany, N.Y. Prefer Candidates that will convert to Full time employment. IFS Sales/Claims and Warranty Consultant will support implementation and optimization of IFS Applications across sales and warranty modules. This role involves aligning business requirements with IFS and CPQ capabilities, performing system con

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Contract

Depends on Experience

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

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Contract

Depends on Experience

QA Manager - Healthcare EDI Claims 837, 835

Remote

•

Yesterday

Skill Matrix: Skill Rating 1-5 Exp QA Manager EDI transactions (e.g., 837, 835, 270/271, 276/277) MMIS ( Medicaid Management information system ) SQL ALM, JIRA Job Description: Lead end-to-end testing activities for healthcare projects, including requirement analysis, test planning, test estimation, and risk assessment.Develop test plans and test schedules.Resource must understand how claims work(EDI 837), how claims get priced and paid. How does the member benefit works after the claim submiss

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Full-time

Up to $120,000

Senior 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 101,970.00 - 203,940.00 per year

Lead Data Scientist - Clinical Informatics (Claims Specialization)

Remote or New York

•

Today

Full-time

USD 130,295.00 - 260,590.00 per year

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

Full-time

USD 50,000.00 - 55,000.00 per year

Medical Claims Auditor (Remote - Texas)

Remote or Houston, Texas

•

Today

Full-time

USD 50,000.00 - 55,000.00 per year

SAP S/4 Service Warranty claims with Automobile expereince

Remote

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8d ago

Job Description An SAP S/4 Service Warranty Consultant is responsible for designing, configuring, and optimizing Warranty Management processes within the SAP S/4HANA Service (formerly CS/SM) module. The role involves implementing endtoend warranty workflows, integrating service processes with logistics and finance, and ensuring accurate warranty claims processing for both internal and external stakeholders. Key Responsibilities Must Skills: S/4 services Warranty claims with Automobile

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Contract, Third Party

Depends on Experience

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