Legitimate Work from Home and Remote Jobs Hiring Now
Thank you for your interest in finding legitimate work from home and remote jobs hiring now.Each job listing is vetted and verified by our research team to ensure it is a legitimate job from a legitimate company. All of our listings include some option for flexibility, such as remote, freelance, part-time or flexible schedule. The types of jobs range from entry-level to executive positions, and cover over 50 different professional job categories. We have provided icons to help you differentiate the locations of jobs, and we have also added icons to highlight employers who have won national recognition that might be of interest to a job seeker. The jobs listed below have recently been added to our directory, so if you are looking for remote jobs hiring immediately, this is a good place to start.
New Jobs
1 to 50 of 374 for Insurance; Insurance Claims; Risk Management; Underwriting
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New!Conduct technical research, development and testing of client's business requirements onto our Life and Annuity Product. Work closely with Offshore team to provide direction and execute project work. Coordinate with onshore and offshore resources...
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New!Your main task will include performing detailed requirements analysis, documenting processes, and performing some user acceptance testing. To succeed in this role, you should have a natural analytical way of thinking and be able to explain difficult...
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New!A large healthcare company is looking for Customer Service Representatives for a remote role in the Houston, TX area. This is a Temp to Perm Opportunity and a great way to get your foot in the door with a large company. Answer inbound calls from...
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New!Lead and manage a team of compliance testing professionals and provide oversight of the risk-based monitoring and evaluation activities, including risk assessment, monitoring and testing, analysis of findings, and reporting to ensure effective ...
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New!Collect, research, and validate bills and claims data against relevant guidelines. Assist in the preparation of statistical and financial analysis reports. Request medical records and additional documentation required for investigation. Hybrid remote.
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New!For assigned lines of business and/or regulations, serve as the corporate compliance subject matter expert or oversee the team member serving as the subject matter expert. Partner with other members of the second line of defense and designated LOBs.
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New!Follows established procedures for enrolling providers with managed care plans and maintain the Council of Affordable Quality Health (CAQH) applications. Assures that procedures are followed meticulously while processing each application. Maintains...
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New!Perform daily reconciliation and application of carrier commissions and review of membership information using multiple internal systems. Research commission payments, statements, and system discrepancies and resolve with internal and/or external teams.
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New!Manager is the leader of a service-oriented team with upwards of six (6) personnel within the Information Security Governance group that are focused on policy development/management, documentation management, Engagement Data Security Plan management...
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New!Provides central coordination of ongoing case level electronic enrollment implementation services and partners with internal business units to ensure that implementation issues and escalations are avoided or resolved promptly and prevents re-occurrence...
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New!Tailor our decarbonization and sustainability offerings to specific clients. Provide content expertise and corporate insights on a daily basis. Lead project teams on engagements in partnership with Directors. Be active in the delivery of projects.
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New!As an Associate Benefit Advisor you will take inbound calls, listen, consult, and advise clients over the phone on their Medicare health insurance options specific to the assigned carrier. You may also be responsible for outbound follow-up.
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New!Oversee the day-to-day operations of the direct mail marketing channel. Reporting to the Director of Direct Mail, this position will work cross-functionally across the entire organization to ensure campaign deadlines are met with accuracy, enabling...
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New!Answers EHP Medical Management Department communications via multi line telephone and emails to respond to members/providers of EHP prior-authorization requests/status and appeal or peer to peer policies. Initiate Healthy Choice enrollment cases...
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New!As an insurance defense attorney within our bodily injury (BI) unit, you'll be a part of our motor vehicle insurance defense litigation team, providing legal representation to insureds and/or to Insurance Companies before courts and arbitration panels...
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FeaturedNew!The primary purpose of the negotiator position is to collaborate with non-par providers to negotiate the pricing of medical and facility claims to obtain the highest possible success rates, resulting in savings for both the member and Aetna.
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New!Our Claims Litigation Specialist will investigate, evaluate and handle to conclusion all assigned litigated claims. The Litigation Specialist will have advanced claim handling skills and be able to effectively manage the litigation claim process.
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New!Manage a team responsible for the oversight, development, and management of personal lines product forms and the tracking of new and existing state statutes and regulations that may impact the personal lines portfolio.
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New!This role helps set the strategic direction for the team in support of the business objectives of the company, ensuring the structures and processes needed to effectively deliver the mission of the organization are in place, specifically applying...
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New!Answer questions and recommend corrective services to address customer complaints, payment status, manual reversal requests, benefit and eligibility support, provider portal support and response to price appeals. Report identified issues to the...
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New!Act as subject matter expert and key point of contact for DARWIN pharmacy network and pricing module-related questions and projects. Facilitate and collaborate with cross-functional teams in designing network and pricing configuration solutions. Remote.
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FeaturedNew!Manages Local Provider Engagement Team to Deploy National Engagement Model. Manages Local Provider Relations staff to ensure Market Leading Provider Satisfaction. Provides direction to operations teams regarding policy and procedures related to claims...
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New!Maintain visibility within their market, with an eye toward managing their network across all product lines. Analyze and monitor provider cost reports on an ongoing basis to educate and improve providers' cost and quality performance. Actively support...
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New!This position is responsible for collaborating with clients, operational leads and subject matter experts to develop and implement tactics and strategy for optimizing profitability, clinical performance, member and provider satisfaction and client...
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New!Process at least 5 claims per hour.Manage a portfolio of payers ensuring collections, aging and denials are being processed in a timely fashion. Assist with billing efforts by eliminating denials and keeping payer rules up to date. Perform month...
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New!This position is responsible for collaborating with clients, operational leads and subject matter experts to develop and implement tactics and strategy for optimizing profitability, clinical performance, member and provider satisfaction and client...
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New!Be responsible for all aspects of follow-up and collections on insurance balances, including making telephone calls, and accessing payer websites. Identify issues or trends and provide suggestions for resolution. Accurately and thoroughly documents the...
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New!Provide information and assistance to both internal and external customers. Resolve customer requests, questions and concerns while focusing on customer satisfaction. Prepare and distribute reports; new hire mentoring; and claim auditing and reporting.
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New!Responsible for all aspects of follow up and collections on insurance balances, including making telephone calls, accessing payer websites. Identify issues or trending and provide suggestions for resolution. Accurately and thoroughly documents the...
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New!Participate and attend meetings, training seminars and in-services to develop job knowledge. Participate in the monthly, quarterly and annual performance evaluation process with Supervisor. Respond timely to emails and telephone messages as appropriate.
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New!Determine dollar amount, calculate financial responsibility, and enter Orthodontic Continuation of Care cases based on prior claims submitted, submitted explanation of benefits, treatment plan and other supporting documentation. Review, research and...
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New!分析、监控和传达高技术formation into actionable investigative strategies related to litigated matters within Staff Counsel. Conducts thorough litigation field and desk investigations while managing resources with a focus...
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New!代表公司内部和外部ce of financial contract performance within the market with clients and executive leadership. Develops, attracts, retains and leads the Data Insight team and instills a high-performance culture by...
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New!The Complaints & Grievances Specialist II is responsible for the investigation and resolution of complaints, grievances and member appeals based upon specific regulatory requirements. In addition, responsible for the assembly and preparation of...
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New!Posts cash receipts to appropriate claims. Works with Patient Account Representatives to accurately post payments as required. Responsible for properly logging completed batches. Responsible for understanding and appropriately applying recoupments...
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New!Oversee enrollment and credentialing of Providers in accordance with requirements (NCQA, CMS, DDPA, etc.). Collaboratively work with Quality Assurance to ensure an effective audit process which will result in the ability to develop staff training content.
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FeaturedNew!直接处理一致的工作负载f coverage litigation files, with the lead, senior or managing coverage litigation attorney(s), on Intact s behalf. Responsible for all phases of litigation and efficient resolution of litigation of some...
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FeaturedNew!Supervises day-to day activities and priorities of claims staff including the management of claims assignments and ongoing guidance of specialty claim files. Ensures execution of claim handling strategies; including appropriate determination of...
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New!Maintains and updates Special Handling Instructions, including system capabilities. Responsible for account, agent/broker, field visits to local offices and/or regional meetings. Acts as secondary claim operation liaison with Underwriting and Loss...
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FeaturedNew!This rewarding opportunity allows you to work closely with our Patient Intake Coordinators and insurance providers to verify coverage for in-home IV specialty therapy for patients. We believe that Benefit Verification and Authorization Specialists are...
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FeaturedNew!As a Benefits Verification Representative, you are a critical liaison between our patients, healthcare professionals and insurance carriers. You will verify insurance coverage in order to process patient prescription orders in a timely manner.
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FeaturedNew!Lead and manage team responsible for information security policies/standards, risk strategy, risk methodology, risk metrics, and risk management education. Consult on a variety of issues related to control standards and procedures, policy exceptions...
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FeaturedNew!Customizing your customer service approach to meet all types of communication styles and personalities while maintaining professionalism and diplomacy during difficult calls. Maintaining and documenting complete and accurate call and case notes in a...
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New!8 +年consum专业工作经验er compliance advisory and or/consumer transaction monitoring mandatory. 3+ years of management experience leading a team of Compliance professionals, as well as leading Compliance program pillars...
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New!Develop and maintain a robust compliance framework that aligns with regulatory requirements and industry best practices. Research and report on regulatory developments and make suggestions with respect to related compliance policy and procedure...
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New!Typically requires 2 years of experience in Patient Access health care insurance industry or in a customer service setting. Ability to communicate clearly and proactively to management about issues involving customer service and process improvement...
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New!Consistently process entry level and intermediate claim queues with a 99% or greater accuracy rate. Adhere to approved claim workflow requirements to maximize efficiency. Serve as backup to Claim Administration team for entry-level adjustments...
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New!Act as a subject matter expert responsible for educating, advising and aiding internal sales and account managers as well as clients on all voluntary benefits products. Researches, understands, and develops expertise and thought leadership related to...
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New!Will evaluate, develop, and test underwriting strategies for new accounts and portfolio management, including approve/decline decisions, product selection, credit limit assignment, and credit limit increases. The goal is to drive company sales and...
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New!Strategize, execute, and document formative study evaluations which may include but are not limited to heuristic evaluation, expert review, simulated use studies, and actual use studies. Work closely with other Verification & Validation (V&V) teams...
