Work from Home Insurance Jobs

The Claims Systems Lead Analyst position will be the Subject Matter Expert for the PLEXIS Claims Manager (PCM) claims system and suite of eviCore Claims Products. This position will be the primary associate for production issue triage, new product configuration design, and process-improvement initiatives as the subject matter expert to business and IT for eviCore claims product setups/processes, the PCM claim system and related wrapper processes. **RESPONSIBILITIES:** + Resolve non-routine issues escalated from leadership, business, clients and junior team members + Work with subject matter experts, team leads and supervisors to identify solutions for procedural gap to support business needs + Analyze business and user requirements, and translate into proper system requirement specifications and creation of test plans/use cases to support end to end testing. + Responsible for leading discussions with cross-functional teams, to understand, and evaluate processes, procedures (standard...

The Accounts Receivable Processor will be responsible for all facets of accounts receivable to ensure a complete review of outstanding accounts receivable with a strong concentration in revenue cycle management. The Accounts Receivable claim examiner must have a thorough knowledge of government, commercial, and other types of insurance billing guidelines in multiple states to demonstrate effective judgment when processing all claims with outstanding balances.**RESPONSIBILITIES:**+ Research/rectify third party denials/edits, requests for information and other related correspondence+ Process a variety of Third Party Administrator (TPA) payments+ Willingness to learn different claim platforms within eviCore and also client claims platforms when necessary+ Analyzes and clears payment variances+ Verify patients' eligibility, coverage, and benefits and identify authorization requirements relates to working aged AR.+ Follow-up on outstanding account balances at 30-days from the date of...

**The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Associate - Liability (Work-at-Home/Remote) IF YOU CARE, THERE'S A PLACE FOR YOU HERE For a career path that is both challenging and rewarding, join Sedgwick's talented team of 27,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care...

**The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Associate - Liability (Work-at-Home/Remote) IF YOU CARE, THERE'S A PLACE FOR YOU HERE For a career path that is both challenging and rewarding, join Sedgwick's talented team of 27,000 colleagues around the globe. Sedgwick is a leading provider of technology-enabled risk, benefits and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. Whether they have a workplace injury, suffer property or financial loss or damage from a natural or manmade disaster, are involved in an auto or other type of accident, or need time away from work for the birth of a child or another medical situation, we are here to provide compassionate care...

**Organization:**S3-Sutter Shared Services-Utah**Position Overview:**Ensures timely and accurate posting of cash transactions, payments, adjustments, manual denials, insufficient fund checks/debit transactions, and general ledger accounting transactions. Reviews, researches, and resolves payment variances to minimize inappropriate payment variances from expected reimbursement, processes payments/refunds/adjustments.**Job Description** :**EDUCATION**HS Diploma: High School Diploma or General Education Diploma (GED) or equivalent education/experience**SKILLS AND KNOWLEDGE**Basic bookkeeping principles, general business procedures, knowledge of consumer collection and billing rules and regulations.Written and verbal communication skills.Ability to process requests quickly, accurately, and consistently with general supervision.Able to work with others in a flexible and cooperative manner.Proficient in using Microsoft Word, Excel, Visio and PowerPoint, and internet research.**Job...

Company Information:What we look forOur exceptional and motivated employees are our greatest strength. Our employees provide the highest level of customer service and help maintain our position as a leader in the global marketplace.Markel StyleThe Markel Style is what makes us stand out from our competitors. It's our core value which should underpin how we do business, while influencing our behavior and performance. We are looking for people who have potential and share our passion to live the Markel Style, which is described in more detail below.If you think you have these core attributes we want to hear from you.Job Summary:We have an excellent opportunity for a Claims Product Owner to join our US based team. The ideal candidate will be a strong leader within the Claims organization, combining an entrepreneurial mindset and practical 'get it done' work style with deep subject matter expertise in Claims processes. As an integral member of the Claims Leadership team this role will...

The Accounts Receivable Processor will be responsible for all facets of accounts receivable to ensure a complete review of outstanding accounts receivable with a strong concentration in revenue cycle management. The Accounts Receivable claim examiner must have a thorough knowledge of government, commercial, and other types of insurance billing guidelines in multiple states to demonstrate effective judgment when processing all claims with outstanding balances.**RESPONSIBILITIES:**+ Research/rectify third party denials/edits, requests for information and other related correspondence+ Process a variety of Third Party Administrator (TPA) payments+ Willingness to learn different claim platforms within eviCore and also client claims platforms when necessary+ Analyzes and clears payment variances+ Verify patients' eligibility, coverage, and benefits and identify authorization requirements relates to working aged AR.+ Follow-up on outstanding account balances at 30-days from the date of...

Welcome to the Biltagi Agency.We are currently looking for positive, coachable, motivated individuals to join our team! Our agents protect American families and their assets by providing suitable insurance products. Description: 1099 COMISSION-BASED position Remote/Work from home Commissions paid DAILY We generate our own LEADS Weekly corporate calls Full control over your scheduled and INCOME Ongoing mentorship, training provided Bonuses and incentive trips! Our agents call warm leads from families who have requested to be contacted by one of our agents to discuss Mortgage Protection. NO COLD CALLING OR DOOR KNOCKING! Generate quotes for new customers and go over coverage options with them. Follow our proven sales system and get paid for the work and time you invest in your business while giving a piece of mind to the families you protect. No previous sales experience is required we will train you.This is a position where you can start part-time if needed and build your...

Senior Insurance Service Professional The Hanover Insurance Group Full-time Remote, Office or Hybrid Opportunity Are you seeking an opportunity to join a nationally recognized Property & Casualty (P&C) Insurance organization? What about an organization recognized by Forbes as One of America's Top Employers and Business Insurance as A Best Place to Work? Randstad is seeking service-oriented professionals to join our insurance industry client, headquartered in Worcester, MA. This position is a permanent placement (direct hire) with our client and is ideal for those interested in joining a highly collaborative environment that truly fosters employee growth! This positions location is flexible including; one of the Hanover offices, hybrid, or remote (work from home). Job summary: As a member of the Customer Service Center team, you will work with independent insurance agents and their customers to create an outstanding service experience. By joining...

Job Description Our client, a leading Insurance Carrier, is continuing to grow and seeking to add a Remote Pennsylvania Workers Compensation Claims Examiner. This role will consist of handling moderate to complex Pennsylvania Workers Compensation claims from inception to close. Qualified candidates must be well-versed in Pennsylvania Workers Compensation Law and have the ability to work remotely! Handle moderate to complex workers compensation claims with minimal supervision and guidance from the manager. Investigate lost time claims by contacting injured workers, medical providers, and employer representatives; determine compensability under applicable state statutes. Communicate with medical providers to develop and authorize appropriate treatment plans. Review and analyze medical bills to confirm charges and treatments are injury-related and in accordance with the treatment plan. Actively coordinate transitional return to work for injured employees of assigned accounts....

Senior Insurance Service Professional The Hanover Insurance Group Full-time Remote, Office or Hybrid Opportunity Are you seeking an opportunity to join a nationally recognized Property & Casualty (P&C) Insurance organization? What about an organization recognized by Forbes as One of America's Top Employers and Business Insurance as A Best Place to Work? Randstad is seeking service-oriented professionals to join our insurance industry client, headquartered in Worcester, MA. This position is a permanent placement (direct hire) with our client and is ideal for those interested in joining a highly collaborative environment that truly fosters employee growth! This positions location is flexible including; one of the Hanover offices, hybrid, or remote (work from home). Job summary: As a member of the Customer Service Center team, you will work with independent insurance agents and their customers to create an outstanding service experience. By joining...

Senior Insurance Service Professional The Hanover Insurance Group Full-time Remote, Office or Hybrid Opportunity Are you seeking an opportunity to join a nationally recognized Property & Casualty (P&C) Insurance organization? What about an organization recognized by Forbes as One of America's Top Employers and Business Insurance as A Best Place to Work? Randstad is seeking service-oriented professionals to join our insurance industry client, headquartered in Worcester, MA. This position is a permanent placement (direct hire) with our client and is ideal for those interested in joining a highly collaborative environment that truly fosters employee growth! This positions location is flexible including; one of the Hanover offices, hybrid, or remote (work from home). Job summary: As a member of the Customer Service Center team, you will work with independent insurance agents and their customers to create an outstanding service experience. By joining...

Company Name: The Little Clinic Position Type: Employee FLSA Status: Non-Exempt Position Summary: Insurance Specialist should possess a thorough working knowledge of the revenue cycle management process. Position is required to be a role model and demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety of others. The Insurance Specialist is responsible for the research and resolution of aging account receivables to that are either unpaid or incorrectly paid. Essential Job Functions: Analyze, audit and resolve claims outstanding, denied, or incorrectly paid Review and respond to payer correspondence. Submit appeals as needed for denied claims. Contact insurance companies and navigate payer websites in order to secure and expedite insurance payments. Resolves patient billing inquiries. Document in detail all actions taken in accounts receivable system. Meet productivity expectations as outlined by...

Job Description Our Client is a large Regional Insurance carrier in Western United States. They are looking to a Property Claims Rep to handle the Fresno CA area. Position will be a remote WFH role but you must live in the assigned territory and be able to travel to claims sites as needed. The primary purpose of a Claim Representative is to investigate, evaluate, and resolve commercial and personal lines property and inland marine claims. Demonstrates superior claim service and produces appropriate claim settlements to our clients. It is incumbent upon this individual to understand regulations and the jurisdiction(s) involved in the claims being evaluated. HOURS: Full-Time Hours, Mon-Fri, 8:00AM-5:00PM DURATION: Direct Hire WORKSITE: Remote, Work from home but must live in the assigned territory of Fresno CA or surrounding area PAY: $70,000 - $80,000 per year, depending on experience plus any auto expense reimbursement BENEFITS: This client offers a full comprehensive...

Company Overview: The Enlyte Family of BusinessesMitchell | Genex | Coventry Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth. Job Description: This is a full-time, remote position, that can be located anywhere in the U.S. Represent claimants in Social Security cases pending at the initial and appeal levels until/unless a hearing is scheduled. Claims Developer has authority, granted by claimant, to act of the claimants behalf in all matters relating to the Social Security claim.Interprets Social Security statutes and regulations and applies to...

Lucrative Compensation Plan! Base of $15 per hour to start, PLUS monthly bonuses and commission! Do you thrive in a competitive environment? Would you describe yourself as a go-getter? Determine how much you can make while investigating and resolving claims. Get your career started, no college degree required! Who We Are We are in the business of subrogation companies trust us to recover payments on damage claims so that the party responsible is the one paying for the damage that was caused. We strive to provide excellent customer service to both our customers and the other parties involved in a claim. In short, we help our customers focus on theirs. Our business is driven by our Core Four principles: Process, Results, Culture, and Experience . Our dedication to practicing these has enabled our current and future success. Were passionate about throwing company events that bring us together and celebrate each others achievements. Were also big on taking time out to give back to the...

Welcome to the Biltagi Agency.We are currently looking for positive, coachable, motivated individuals to join our team! Our agents protect American families and their assets by providing suitable insurance products.Description:* 1099 COMISSION-BASED position* Remote/Work from home* Commissions paid DAILY* We generate our own LEADS* Weekly corporate calls* Full control over your scheduled and INCOME* Ongoing mentorship, training provided* Bonuses and incentive trips!Our agents call warm leads from families who have requested to be contacted by one of our agents to discuss Mortgage Protection. NO COLD CALLING OR DOOR KNOCKING! Generate quotes for new customers and go over coverage options with them. Follow our proven sales system and get paid for the work and time you invest in your business while giving a piece of mind to the families you protect. No previous sales experience is required we will train you.This is a position where you can start part-time if needed and build your...

**THIS POSTION REQUIRES THAT YOU HOLD A VALID LIFE INSURANCE PRODUCER LICENSE** We are actively hiring licensed agents who have strong sales and/or team building backgrounds to join our team. Pope Insurance Group is a proud Senior Life Insurance Company Agency. As a final expense agent, youre in control. Senior Life Insurance Company is growing at a rapid pace. Every day people call interested in the products that we provide to them during the most difficult time of their lives. We focus on providing people with final expense services to help them with peace of mind when a loved one has passed. A career with Senior Life will give you the following Competitive contracts with unlimited earning potential Leads that call you Game-changing technology Stock ownership 100% health insurance for you and your family Same day pay No restrictive territories When it comes to how much you can make, it is up to you. You can build your agency by recruiting people...

Job Description Our client, a leading Insurance Carrier, is continuing to grow and seeking to add a Remote Pennsylvania Workers Compensation Claims Examiner. This role will consist of handling moderate to complex Pennsylvania Workers Compensation claims from inception to close. Qualified candidates must be well-versed in Pennsylvania Workers Compensation Law and have the ability to work remotely! Handle moderate to complex workers compensation claims with minimal supervision and guidance from the manager. Investigate lost time claims by contacting injured workers, medical providers, and employer representatives; determine compensability under applicable state statutes. Communicate with medical providers to develop and authorize appropriate treatment plans. Review and analyze medical bills to confirm charges and treatments are injury-related and in accordance with the treatment plan. Actively coordinate transitional return to work for injured employees of assigned accounts....

Job Description Our client, a leading Insurance Carrier, is continuing to grow and seeking to add a Remote Pennsylvania Workers Compensation Claims Examiner. This role will consist of handling moderate to complex Pennsylvania Workers Compensation claims from inception to close. Qualified candidates must be well-versed in Pennsylvania Workers Compensation Law and have the ability to work remotely! Handle moderate to complex workers compensation claims with minimal supervision and guidance from the manager. Investigate lost time claims by contacting injured workers, medical providers, and employer representatives; determine compensability under applicable state statutes. Communicate with medical providers to develop and authorize appropriate treatment plans. Review and analyze medical bills to confirm charges and treatments are injury-related and in accordance with the treatment plan. Actively coordinate transitional return to work for injured employees of assigned accounts....