Top 123275 Claims Jobs

Claims - Claims Examiner
Wellcove —Remote
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
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Remote Automotive Claims Analyst
Dealer Owned Warranty Company —Remote
- $28 - $34 an hour
- Full-time
- Spanish
- English
- Mid-level
- Health insurance
- Dental insurance
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14d
Financial Advisor - Missoula / Butte / Great Falls / Havre / Kalispell / Billings / Helena / Bozeman and surrounding areas
Thrivent —Butte, MT
- Background check
- Mid-level
- Business development
- Paid training
- AD&D insurance
Quick Apply
Financial Advisor - Northern Highland Financial Advisors
Thrivent —Stevens Point, WI
- $90,198 - $165,000 a year
- Full-time
- Background check
- Mid-level
- Business development
- Paid training
- AD&D insurance
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Financial Advisor - Madison and Surrounding Areas
Thrivent —Madison, WI
- Background check
- Mid-level
- Business development
- Paid training
- AD&D insurance
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Associate Financial Advisor - Wisconsin Heartland Associates
Thrivent —Stoughton, WI
- $36,000 a year
- Full-time
- Background check
- Mid-level
- Office
- 401(k)
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Team-Based Financial Advisor - Apex Financial Group (Manitowoc)
Thrivent —Manitowoc, WI
- $24,000 a year
- Full-time
- Microsoft Word
- Background check
- Microsoft Excel
- AD&D insurance
- Health insurance
Quick Apply
Financial Advisor - Green Bay, WI and Surrounding Areas
Thrivent —Green Bay, WI
- Background check
- Mid-level
- Business development
- Paid training
- AD&D insurance
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Financial Advisor - Milwaukee, WI and Surrounding Areas
Thrivent —Milwaukee, WI
- Background check
- Mid-level
- Business development
- Paid training
- AD&D insurance
Quick Apply
Field Property Claims Adjuster II - Three Opportunities
Indiana Farmers Insurance —Jasper, IN
- Full-time
- Hybrid work
- Mid-level
- Analysis skills
- Driver's License
- Free parking
- Disability insurance
Financial Advisor – Fort Wayne, IN and surrounding areas
Thrivent —Fort Wayne, IN
- Background check
- Mid-level
- Business development
- Paid training
- AD&D insurance
Quick Apply
Financial Advisor - Spokane / Eastern Washington / Coeur d'Alene / Northern Idaho and surrounding areas
Thrivent —Spokane, WA
- Background check
- Mid-level
- Business development
- Paid training
- AD&D insurance
Quick Apply
Auto Claims Paralegal (Bodily Injury & Litigation Support)
Alpine Rio Insurance Services, LLC —Flower Mound, TX
- $55,000 - $65,000 a year
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Health insurance
Quick Apply
Financial Advisor - Lansing, MI
Thrivent —Lansing, MI
- Background check
- Mid-level
- Business development
- Paid training
- AD&D insurance
Quick Apply
Financial Advisor - Appleton, WI and Surrounding Areas
Thrivent —Appleton, WI
- Background check
- Mid-level
- Business development
- Paid training
- AD&D insurance
Quick Apply
Medical Billing Specialist
Park Plaza Surgical Specialists —Shreveport, LA
- $18 - $21 an hour
- Full-time
- Medical office experience
- Mid-level
- In-person
- Health insurance
Quick Apply
Team-Based Financial Advisor - Holder & Albrecht Financial Group
Thrivent —Spokane, WA
- $60,000 - $80,000 a year
- Full-time
- Microsoft Word
- Background check
- Microsoft Excel
- AD&D insurance
- Health insurance
Quick Apply
Financial Advisor - Abide Wealth Advisors
Thrivent —Sioux City, IA
- $90,198 - $165,000 a year
- Full-time
- Background check
- Mid-level
- Business development
- Paid training
- AD&D insurance
Quick Apply
Financial Advisor - SD - Sioux Falls
Thrivent —Sioux Falls, SD
- Background check
- Mid-level
- Business development
- Paid training
- AD&D insurance
Quick Apply
Attorney - Personal Injury Law
Franklin D. Azar & Associates —Aurora, CO
- $120,000 - $250,000 a year
- Full-time
- Background check
- Writing skills
- Mid-level
- Relocation assistance
- Health insurance
Quick Apply

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Claims - Claims Examiner

Wellcove
Remote

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Job Details

Full-time

Qualifications

Customer communication
Microsoft Excel
Microsoft Outlook
Medical claims processing software
High school diploma or GED
Medical terminology

Full Job Description

Who We Are
Wellcove has been recognized as the nation’s leading full-service senior market solutions provider for over 25 years. Our solutions span the insurance senior market sector, focusing on long-term care and Medicare Supplement plans. However, we don’t stop there. Wellcove also addresses challenges faced in accident & health, disability, and supplemental health insurance programs.

Our team provides individuals and their families with peace of mind knowing their insurance needs will be met in a thoughtful, efficient manner. We are able to do this because of our dedicated associates, innovative solutions, and state-of-the-art technology.

The Long-Term Care (LTC) Claims Examiner is responsible for the accurate and timely adjudication of long-term care insurance claims. This role ensures compliance with policy provisions, regulatory requirements, and company standards while delivering a high level of customer service to policyholders, providers, and internal stakeholders.

Review, evaluate, and adjudicate Long Term Care claims in accordance with policy provisions and established guidelines
Analyze claim documentation including invoices, care plans, and provider credentials
Apply knowledge of Coordination of Benefits (COB), Medicare, Medicaid, and other payer sources when applicable
Ensure claims are processed within established turnaround times and service level agreements (SLAs)
Communicate effectively with policyholders, providers, and internal teams regarding claim status, requirements, and determinations
Identify and request additional documentation when necessary to support claim decisions
Maintain accurate and detailed claim notes in system of record
Ensure compliance with HIPAA and all applicable regulatory and privacy requirements
Participate in quality assurance activities and implement feedback for continuous improvement
Support training and mentoring of new or junior staff as needed
Required Qualifications
High school diploma or equivalent required; associate or bachelor’s degree preferred
2+ years of experience in insurance claims, healthcare administration, or Long-Term Care claims processing
Strong understanding of Long-Term Care policies, benefits, and eligibility criteria preferred
Knowledge of medical terminology and healthcare documentation
Proficiency in claims systems and Microsoft Office (Excel, Word, Outlook)
Strong analytical and decision-making skills
Excellent written and verbal communication skills
Ability to manage multiple priorities in a fast-paced environment

Core Competencies

Attention to Detail
Critical Thinking & Problem Solving
Customer Focus
Time Management & Productivity
Compliance & Risk Awareness
Team Collaboration

At Wellcove, we strive to create an inclusive culture for all. We understand the importance of listening and incorporating various perspectives at every level of service. Our company does not discriminate based on gender identity, race, sexual orientation, age, religion, or disability.

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Refine Your Search

claims jobs

Claims - Claims Examiner

Remote Automotive Claims Analyst

Financial Advisor - Missoula / Butte / Great Falls / Havre / Kalispell / Billings / Helena / Bozeman and surrounding areas

Financial Advisor - Northern Highland Financial Advisors

Financial Advisor - Madison and Surrounding Areas

Associate Financial Advisor - Wisconsin Heartland Associates

Team-Based Financial Advisor - Apex Financial Group (Manitowoc)

Financial Advisor - Green Bay, WI and Surrounding Areas

Financial Advisor - Milwaukee, WI and Surrounding Areas

Field Property Claims Adjuster II - Three Opportunities

Financial Advisor – Fort Wayne, IN and surrounding areas

Financial Advisor - Spokane / Eastern Washington / Coeur d'Alene / Northern Idaho and surrounding areas

Auto Claims Paralegal (Bodily Injury & Litigation Support)

Financial Advisor - Lansing, MI

Financial Advisor - Appleton, WI and Surrounding Areas

Medical Billing Specialist

Team-Based Financial Advisor - Holder & Albrecht Financial Group

Financial Advisor - Abide Wealth Advisors

Financial Advisor - SD - Sioux Falls

Attorney - Personal Injury Law

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