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Workers Compensation Claims Examiner - W2 Only

Remote

•

Today

Position: Claims Examiner - Workers Compensation Duration: 03+ Months contract length. Contract extension and/or Conversion to direct employee is possible Location: 100% Remote in California Pay Range: $50/hr to $54/hr on W2 without Benefits ship Required Manager Notes: Candidate with prior/current CA Indemnity and Litigated Workers Compensation experience is required.Self-Insured Plans (SIP) certification.Candidate Must Live in California: Prefer if someone could be in-office in either Rosevi

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Contract

50 - 54

Claims Examiner - Workers Compensation W2 Only

Remote

•

12d ago

Position: Claims Examiner - Workers Compensation Duration: 03+ Months contract length. Contract extension and/or Conversion to direct employee is possible Location: Remote in California Pay Range: $52/hr to $56/hr on W2 without Benefits ship Required. Manager Notes: Experience - min 3 years of experience is needed. Public entity and County of Los Angeles Experience is a plus.SIP is mandatory.Shift timings: 8:00 4:30 Primary Purpose: To analyze complex or technically difficult workers'' compen

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Contract

52 - 56

Claims Examiner - Workers Compensation W2 Only

Remote

•

Yesterday

Position: Claims Examiner - Workers Compensation Duration: 03+ Months contract length. Contract extension and/or Conversion to direct employee is possible Location: 100% Remote in California Pay Range: $48/hr to $52/hr on W2 without Benefits ship Required. Manager Notes: Experience - min 3 years of experience is needed. Workers Compensation Experience.SIP is Preferred. Education & Licensing Bachelor''s degree from an accredited college or university preferred. Professional certification as app

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Contract

48 - 52

Claims Representative - Liability W2 only

Remote

•

12d ago

Position: Claims Representative - Liability Duration: 02+ Months contract length. Contract extension and/or Conversion to direct employee is possible Location: 100% Remote ship Required. Manager Notes: Any specific skill/ certification/ experience: 3-4 years bodily injury claims low exposure up to 25KYears of experience: 3-4years Job Description: Duties: To process low level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards a

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Contract

20 - 25

Claims Adjuster

Hybrid in Baltimore, Maryland

•

11d ago

Claims AdjusterIntroduction:Immediate position for a Claims Adjuster / Processor! The selected candidate will process claims AND investigate/perform adjustments of complex Healthcare (payor) claims and ensure that claims are handled properly within authority limits, and in line with standard procedures and guidelines. The selected candidate will verify healthcare insurance claims by reviewing claims requirements; examining documentation and calculations; highlighting and summarizing out-of-line

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Contract

22 - 25

Senior Business Analyst Claims module

Remote

•

12d ago

Hiring for Senior Business Analyst Location - Remote Senior Business Analyst Claims module: Play the role of Claims Domain lead for MMIS health care projects. Drive the claims module and process, domain knowledge, performs analysis of business requirements, designs and develops documentation, ensures quality process, coordinates with customers. Works in team environment and provides guidance throughout the entire life cycle. Responsible to meet customer expectations, troubleshoot problems in th

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Full-time

$60,000 - $80,000

Claims Domain Test Manager - Remote with limited travel

Remote

•

22d ago

Claims Domain Test Manager Location: Atlanta, GA or remote with limited travel during critical phases 6+ months contract to Hire Play the role of Claims Domain test manager for MMIS health care projects. Drive the test strategy and process, domain knowledge, performs analysis of business requirements, designs and develops test plans, ensures quality process, coordinates with customers on delivery and deployments. Works in team environment and provides testing guidance throughout the entire life

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Contract, Third Party

Depends on Experience

Programmer Analyst - (Claims - Pharmacy / medical)

Remote

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28d ago

Medical Claims or Pharmacy claims or membership information. SQL Server and SQL writing Some recent experience with Data modeling & Data Warehousing (Any platform is ok, does not have to be snowflake) EDI transaction experience API integration into Data Warehouse with EDI 834 and 837.

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Contract

$50 - $60

Claims Specialist

Remote

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6d ago

Job Description: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 r

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Full-time

47,000 - 55000

Claims Project Manager

Remote

•

Today

Job Title: Claims Project Manager Job Location: Remote / Home Based Description: AgreeYa is a global Systems Integrator and is seeking an experienced Claims Project Manager / Scrum Master to join our growing team. The ideal candidate will have a strong background in healthcare or insurance claims processing, project delivery, and Agile methodologies. This role requires dual responsibility as both a Project Manager and Scrum Master, leading large-scale platform modernization and transformation

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Contract

Depends on Experience

Project Manager (Healthcare Claims Domain)

East Hartford, Connecticut

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3d ago

Job Description Project Manager (Healthcare Claims Domain)Position: Project Manager (PM) Domain: Healthcare Claims Experience: 10+ Years Location: Hartford, CT Job SummaryWe are looking for an experienced Project Manager with strong Healthcare Claims domain expertise to lead and manage large-scale enterprise projects. The ideal candidate should have proven experience managing projects with budgets exceeding $3M and successfully delivering complex healthcare initiatives involving claims process

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Third Party, Contract

Depends on Experience

Director of Claims - W2 only

Hybrid in Las Vegas, Nevada

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27d ago

Position: Director of Claims W2 Only Direct Hire role Location: Las Vegas, NV (Hybrid work schedule -3 days per week in office) Skills: Education & Licensing Bachelor''s degree from an accredited college or university preferred. CPCU, ARM, AIM, and/or AIC certifications preferred. Licenses as required.Experience: Ten (10) years claims management experience including three (3) years prior supervisory experience or equivalent combination of education and experience required.Skills & Knowledge: St

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Full-time

Depends on Experience

Healthcare Claims Integration Consultant (Dual Claims Aetna / Medicare / Medicaid)

Remote

•

5d ago

Overview Engagement Type: Remote High-priority, immediate start Start Timeline: ASAP (Target onboarding: Early-July) We are seeking a highly experienced Healthcare Claims Integration Consultant to support a strategic healthcare initiative focused on dual claims processing, payer integration, and cost optimization in collaboration with Aetna and related healthcare programs. This role is critical to supporting a large-scale healthcare transformation involving Medicare and Medicaid coordination, du

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Contract

$150,000 - $160,000

Senior Healthcare Business Analyst (Payer Claims / Medicare / Medicaid)

Remote

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18d ago

Job Title: Senior Healthcare Business Analyst (Payer Claims / Medicare / Medicaid)Location: [Remote]Employment Type: Full-Time Job DescriptionWe are seeking an experienced Senior Healthcare Business Analyst with extensive knowledge of the healthcare payer domain and strong expertise in commercial claims processing, Medicare, and Medicaid systems. The ideal candidate will serve as a liaison between business stakeholders and technical teams, driving requirements gathering, solution design, and su

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Full-time

$60,000 - $80,000

Epic PB/PB Claims Analyst

Morrisville, North Carolina

•

Today

EPIC PB/CLAIMS ANALYST | REMOTE (EST) The Select Group is seeking an Epic PB/PB Claims Analyst to support a large Community Connect initiative with one of our top healthcare partners. This individual will play a key role in supporting Professional Billing (PB) and PB Claims workflows, revenue cycle optimization initiatives, and implementation efforts related to onboarding affiliated entities into the Epic environment. They will assist with workflow analysis, build support, testing, troubleshoot

Full-time

Claims Data Quality Analyst

New Jersey

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Today

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility . Position Overview The Claims Division is seeking a team member to join the Claims Operations Team as a Data Quality Analyst. In this role the responsibilities include, but not limited to, examining co

Full-time

USD 75,000.00 - 95,000.00 per year

Workers Comp, Lost Time Claims Subject Matter Expert (User Research) - AI SaaS

Remote or New York, New York

•

Today

About Us: EvolutionIQ's mission is to deliver state of the art technology that helps insurance claims teams make claims handling more accurate, fair, and efficient, so that more people impacted by injury or illness can continue their lives with dignity and stability. We are currently experiencing massive growth and to accomplish our goals, we are hiring world-class talent who want to help build and scale internally, and transform the insurance space. Our team is our #1 priority, and we have been

Full-time

Sr Epic Resolute (Billing & Claims) Certified Analyst

Morrisville, North Carolina

•

Today

Job Description Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: UNC Health is seeking an experienced Epic Resolute Certified Analyst to support our Community Connect program. This role supports external partner clinics using UNC Health's Epic platform, with a focus on professional billing (PB), claims management, and end-to-end revenue cycle workflow

Full-time

Compensation information provided in the description

Experienced Claims Business Analyst

New York, New York

•

Today

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Full-time

USD 86,800.00 - 124,000.00 per year

Senior AI Software Engineer, Risk - Insurance Claims Management

San Francisco, California

•

Today

At Lyft, our mission is to improve people's lives with the world's best transportation. To accomplish this, we start with our community by creating an open, inclusive, and diverse organization. About the Team The Risk Tech engineering organization is committed to tangibly reducing accident frequency, saving lives, and managing costs to enhance the safety and affordability of rides. Claim Management is a core financial function for Lyft. Each claim touches complex workflows, multiple stakehold

Full-time

USD 148,000.00 - 185,000.00 per year

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