Insurance jobs | MotherWorks

Mar 21, 2023

Data Scientist - Healthcare Claims Analytics - Remote or Hybrid Office

JOB DESCRIPTION: NORC at the University of Chicago seeks a talented Data Scientist to perform claims analytics work related to Medicare, Medicaid, and private plans and conduct quantitative analyses supporting NORC’s health care projects. NORC is seeking a candidate with methodological and analytic expertise in claims analytics. NORC recognizes that talented and skilled researchers live throughout the U.S. and actively supports remote work arrangements. DEPARTMENT: Health Care Evaluation NORC’s expertise and ongoing work in health care delivery and financing — including access to insurance, payment and delivery-system reform, benefit design, and quality measurement — advance stakeholders’ understanding of policies and programs, facilitate implementation, and contribute to important improvements in cost and quality. NORC’s expert staff has extensive knowledge of all aspects of health care delivery, from private marketplaces and employer-sponsored insurance to Medicare...

NORC at the University of Chicago Bethesda, MD, USA

AO

Mar 21, 2023

Claims Associate - Remote, Hybrid or 100% In Office!

Come work with one of the leading Insurance Companies in the Pacific Northwest! Skill set: Do you see yourself as someone who has mastered the art of customer service? Then we want to hear from you! We are looking for people who have a passion for helping others. Someone who has effective time management. Independent and results oriented. Direct rewards are provided for direct results in this Claims Specialist position. Strong communication skills with co-workers, clients and related parties. Responsibilities: Evaluate property and casualty insurance claims Interview customers Execute claim investigations Review claim guidelines, insurance policies and endorsements Determine liability Negotiate with customers and insurance carriers. Claim Specialist Perks: Paid Training, Career Development, Wellness program, Competitive Benefits Package. AppleOne is proud to be an Equal Opportunity Employer. We believe in people, and we are committed to working with people of all backgrounds and...

AppleOne Bellevue, WA, USA

PS

Mar 21, 2023

Licensed Health Insurance Agent! - Fully Remote

Do you have an active health insurance license? Are you looking for a permanent year round job with great benefits? PeopleShare is currently looking for agents for a fully remote opportunity! You can be located anywhere in the United States! This is an awesome opportunity with a rapidly growing company located in PA. 2+ years of experience preferred. Please apply if you are interested! Job Details for Licensed Health Insurance Agents : Schedule: Full Time 40 hours a week between 8am and 8pm. Multiple shifts. Pay Rate: $18.50/hour + bonuses & commissions. Higher base pay depending on experience! Job Responsibilities & Description for Licensed Health Insurance Agents : Thorough understanding of plans, their benefits and features Educating callers in a conversational manner utilizing probing questions Handle inbound calls in a courteous and efficient manner while utilizing listening and comprehension skills and proper grammar Provide optimal caller...

PeopleShare Inc Richmond, VA, USA

CS

Mar 21, 2023

Claims Representative 2 - Liability - Remote

158342230011&lang=enClaims Representative 2 - Liability - RemotetrueClaims Representative 2 - Liability - Remote230011230011US-IllinoisUS-IllinoisUS-RemoteUS-Remote As a Claims Representative 2 on our Liability claims team, you’ll be there when our clients need us most and deliver on our promise to get clients back to normal as soon as possible. You’ll investigate, evaluate, negotiate and settle personal lines and commercial claims. Your work will focus on investigating and settling claims, such as multi-vehicle accidents and claims involving bodily injury. This position allows full-time remote work and encompasses multiple openings with states assigned per territory. How does a Claims Representative make an impact? Investigates claims by determining applicable policy coverage, evaluates, negotiates and settles assigned claims. Initiates contact with insureds, claimants, and all relevant parties to gather basic information, obtain recorded statements (when...

CC Services, Inc. Illinois City, IL, USA

NR

Mar 21, 2023

Remote Claims Examiner - (Workers Compensation)

Pay rate: $20.00 to $38.50/hr. Description: Remote all across US. CA experience is mandatory. Working hours will be PST in case candidate is non local to CA. PRIMARY 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 negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Negotiates settlement of claims within designated authority. Calculates and assigns timely and appropriate reserves to claims;...

Nesco Resource Remote, OR, USA

Mar 21, 2023

Senior Claims Representative - Remote

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) This is an opportunity that’s all about where you’ve been. Your experience. Your potential. Your skills. Because on the team at UnitedHealth Group, your potential and your impact can be career changing. No company has put together better teams of passionate, energetic and all out brilliant Claims Representatives. This is where you come in. We’ll look for your experience and expertise to help keep our service levels and accuracy extremely high. We’ll also look for your ideas on how to constantly evolve our claims processes. We’ll back you with the great training, support and opportunities you’d expect from a Fortune 5 leader. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary...

UnitedHealth Group San Antonio, TX, USA

Mar 21, 2023

Senior Claims Representative - Remote

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) This is an opportunity that’s all about where you’ve been. Your experience. Your potential. Your skills. Because on the team at UnitedHealth Group, your potential and your impact can be career changing. No company has put together better teams of passionate, energetic and all out brilliant Claims Representatives. This is where you come in. We’ll look for your experience and expertise to help keep our service levels and accuracy extremely high. We’ll also look for your ideas on how to constantly evolve our claims processes. We’ll back you with the great training, support and opportunities you’d expect from a Fortune 5 leader. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary...

UnitedHealth Group Atlanta, GA, USA

Mar 21, 2023

Managing Director Portfolio Risk Management - On-site/Remote

Symetra has an exciting opportunity to join our Investment Management team as a Managing Director, Portfolio Risk Management! About the role The Managing Director, Portfolio Risk Management will join a team primarily responsible for portfolio risk analysis, analytics, and interfacing with clients on ALM, with a principal focus on core fixed income, equities, and alternative assets. The successful candidate will be a risk generalist, have expertise in credit, liquidity, and counterparty risk, and will devise and take ownership of specialized and expanded analyses focused on risk, ALM, structuring, asset allocation, and other elements relating to individual client portfolios with a particular emphasis on the unique needs and/or constraints of each. In particular, the general account portfolios of our life insurance clients may have the need to consider and balance liquidity, yield, gain/loss harvesting, capital efficiency, ESG, and other factors. This is a management role that...

Symetra Remote * (Farmington, MI, USA)

Mar 21, 2023

Payment Posting Representative-I (Medical Claims) - PFS (Remote)

Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE Work Remote Position (Pay Range: $16.1738-$24.1614) Performs day-to-day payment posting reconciliation activities within the hospital revenue operations ($3-5B NPR) of an assigned Patient Business Services (PBS) location. Serves as a member of the Payment Posting team at an assigned PBS location responsible for ensuring accurate billing, collections, and posting processes are followed. This position reports to the Supervisor Payment Posting. ESSENTIAL FUNCTIONS Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. Performs daily activities of the payment posting team handling the receipt, posting, and reconciliation all incoming cash payments as part of the revenue cycle process for an assigned PBS location. Responsible for complete and accurate daily balancing of all incoming cash received...

Trinity Health Remote * (Farmington, MI, USA)

Mar 21, 2023

Work from Home Insurance Agent

The Brown Agency is passionate about creating an entrepreneurial platform for both personal producers who desire an active six-figure income and leaders who want to step into leadership roles, get promoted, and own their own agency. Our agency is part of Symmetry Financial and Quility, the fastest growing insurance and technology company in the US. Our company culture is one of teamwork and mentorship for personal and professional growth. There is no cold calling so agents can focus on helping families' insurance needs the best. You have the ability to balance the money you need and the time you desire here at Quility within The Brown Agency. This is a commission-only sales position where you can create as much income as you want directly proportioned to the level of activity you put in. We have multiple paths of growth within the company. You can focus on personal production with unlimited income potential by helping clients find suitable options for mortgage protection,...

SFG Brown Agency Remote * (Knoxville, TN, USA)

Mar 21, 2023

Senior Business Analyst - Medicaid / Claims - Work From Home

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 comprehensive leadership and technical development academies to help build your skills and capabilities. SummaryAs a Senior Business Analyst - Medicaid / Claims at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve a community s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare s biggest challenges....

Gainwell Technologies LLC Remote * (WA, USA)

Mar 21, 2023

Team Member, Claims -Work from Home, Sutter Care at Home CBO

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 : EDUCATIONHS 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. Pay...

Sutter Medical Center Remote * (West Jordan, UT, USA)

Mar 21, 2023

Bilingual Remote Digital Insurance Agent

Do you want to be part of Boston's hottest up and coming startup? Insurify is one of the fastest-growing MIT FinTech startups and has been recognized as a global Top 100 InsurTech company. We're changing the way millions of people compare and buy insurance with artificial intelligence, technology, and superior product design. Our team is highly analytical, fast-moving, and focused on one thing: getting more people to compare insurance quotes using Insurify. Join us if you like$1.3 Trillion market opportunityMIT alumni foundersFemale-led startup$130M total fundingStrong leadership team from Kayak, Amazon, Wayfair, Microsoft, Allstate, GEICO, Liberty Mutual, ZillowHow you will make an impactEvenings and weekend availability**Meet or exceed monthly policy sales targetsDiscover needs or pre-qualified insurance shoppersAbility to overcome sales objections and close over the phone, chat and onlineAbility to cross sell related insurance productsAccurately record all required information...

Viola Remote * (NY, USA)

Mar 21, 2023

Part Time Remote Life Insurance Agent

Remote Life Insurance Agent **NOTE: This is a commission-only position** Company Description: Recently named one of America's fastest growing companies by Inc. Magazine (now six years running), Symmetry Financial prides itself in recognizing the promise, enthusiasm, and talent. Opportunity for promotion is available beginning in the very first month with the company. This, combined with the flexibility, benefits, incentives, top-notch training, and second-to-none mentorship program speaks to why Entrepreneur has named Symmetry Financial Group Top Company Culture two consecutive years. SFG mentorships and results-proven, hands-on training allow new agents to begin prospering within the business model immediately. This company puts its clients and employees first, revolutionizing the insurance industry for this generation. Pay: $65,000-$130,000 first year (commission based) Benefits: Flexible schedule Personal growth Work from home/remotely Job...

Symmetry Financial Group Remote * (Atlanta, GA, USA)

Mar 21, 2023

Billing and Follow Up Representative-II THoNE(Hospital Claims Billing) - EPFS (Remote)

Employment Type: Full time Shift: Description: POSITION PURPOSE Work Remote Position (Pay Range: $18.0229-27.0010) Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location. Serves as a member of the billing and follow-up team assigned to a PBS location responsible for billing and follow-up of government and non-government accounts. Provides training and guidance to lower level colleagues and provide problem resolution as needed. This position reports directly to a Supervisor Billing & Follow-Up. ESSENTIAL FUNCTIONS Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions Performs daily activities as part of the billing and follow-up team in support of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s)....

Trinity Health Remote * (Farmington, MI, USA)

American Family Mutual Insurance Company

Mar 21, 2023

Auto Investigation Claims Adjuster - Level 2 (Open to Remote)

At American Family Insurance, we believe people are an organization's most valuable asset, and their ideas and experiences matter. From our CEO to our agency force, we're committed to growing a diverse and inclusive culture that empowers innovation that will inspire, protect, and restore our customers' dreams in ways never imagined. American Family Insurance is driven by our customers and employees. That's why we provide more than just a job - we provide opportunity. Whether you're already part of our team in search of a new challenge or new to our company and ready for what's next, you're in the right place. Every dream is a journey that starts with a single step. Start your journey right here. Join our team. Bring your dreams. Job ID: R31257 Auto Investigation Claims Adjuster - Level 2 (Open to Remote) (Open) Compensation may vary based on the job level and your geographic work location. Compensation Minimum:$52,300 Annual Compensation Maximum:$83,800 Annual Summary:...

American Family Mutual Insurance Company Remote * (Phoenix, AZ, USA)

Mar 21, 2023

Claims Representative II - Work from Home

This position will support TX Auto Claims Operations. Hours are M-F from 8:00am- 4:45pm CST. Position Summary: Under close supervision, evaluates, investigates and adjusts first party claims and third-party property damage claims with limited liability in a timely and efficient manner as to prevent unnecessary expense to the Company and policyholders. Contacts with interested parties are made primarily through written and telephone communication Essential Job Functions: Obtains information to evaluate facts of loss, including law enforcement reports, loss history and information from interested parties. Reviews coverage and claims process with customers. Sets reserves, coordinates material damage features for inspection, sets up initial rental, and may make referrals to SIU as needed. Researches and responds timely to customer inquiries and/or concerns throughout the life of a claim to ensure customer satisfaction and retention. Maintains file information to ensure...

Mercury Insurance Remote * (USA)

Mar 21, 2023

Licensed Health and Life Insurance Agent- Work from Home

Company Overview Join us on our mission to elevate customer experiences for people around the world. As a member of the Everise family, you will be part of a global experience company that believes in being people-first, celebrating diversity and incubating innovation. Our dedication to our purpose and people is being recognized by our employees and the industry. Our 4.5/5 rating on Glassdoor and our shiny, growing wall of Best Place to Work awards is a testament to our investment in our culture. Through the power of diversity, we celebrate all cultures for their uniqueness and strengths. With 13 centers around the world and a robust work at home program, we believe great things happen when we work with people who think differently from us. Find a job youll love today! Do you enjoy helping people? Have you always wanted a career in healthcare but werent sure where to start? Everise has an amazing opportunity for you to achieve both of those goals. Our licensed healthcare...

Everise Remote * (Trenton, NJ, USA)

Mar 21, 2023

Provider Claims Customer Service Representative- Work From Home

Job DescriptionThis position is permanent work from home for any candidates in the CST time zones and includes a $1000 sign on bonus as well as an additional $2000 180 days after your start date The sign on and retention bonuses are not applicable to current internal employees of CVS or Aetna. (Bonuses are only applicable to specific positions, locations, and business groups. Applicable roles have the bonus language in the job posting.).Answers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors. Triages resulting rework to appropriate staff. Provide excellent customer services for high volume in bound provider calls for the Claims Inquiry/Claims Research team. Extensive claims research on multiple platforms to assist providers with payment questions. Provides the customer with related information to answer the unasked questions, e.g. additional plan details, benefit plan details, member self-service tools, etc. Uses customer...

CVS Remote * (Tallahassee, FL, USA)

Mar 21, 2023

US Medical Claims Arbitrator (Remote)

Job Description Company Description The U.S. health sector is complex and dynamic - a vast and diverse network of entities that impacts the population and economy like no other industry. At USD$4.1 Trillion, healthcare spending represents nearly 18% of U.S. GDP. It is complex and inefficient. Health service buying, selling, and settlements have seen little change in the past decade despite clear changes in available information, technology, regulation, and market consolidation. Plotkin Health is a subsidiary of MacroHealth Solutions USA and we have more than two decade of experience in settling medical provider claims. At Plotkin Health, we specialize in all facets of medical loss mitigation, equally serving providers of medical service, health insurers and re-insurers of Medical Travel Insurance, both US based and internationally. We seamlessly navigate the complex ecosystem of high-value medical provider claims settlement. We are looking for an experienced US Claims Negotiator...

MacroHealth Remote * (Kirkland, WA, USA)

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