Top 135 Remote insurance claims Jobs in Alabama

Senior Coordinator, Complaint & Appeals - Remote
CVS Health —Alabama
- $18.50 - $38.82 an hour
- Full-time
- Remote
- Data analysis skills
- Research
- High school diploma or GED
- Health insurance
- Dental insurance
6d
Senior Claim Benefit Specialist - Remote
CVS Health —Alabama
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
8d
Claims Analyst - REMOTE
Ryder System —Montgomery, AL
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
10d
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Alabama
- $46,988 - $112,200 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Claims Adjustor II
Sunstar Insurance Group LLC —Birmingham, AL
- Remote
- Mid-level
Quick Apply
Claims Team Leader
GT Independence —Alabama
- $60,000 a year
- Remote
- Basic math
- Mid-level
- High school diploma or GED
- Paid time off
Quick Apply
Claims Adjustor I
Millennium Risk Managers —Birmingham, AL
- Remote
- Entry level
Quick Apply
Nurse Reviewer (Registered Nurse) - Remote in US
Gainwell Technologies —Alabama
- $78,000 - $88,000 a year
- Extended hours
- Remote
- Background check
- Nursing
- Microsoft Excel
- Health insurance
- Dental insurance
Auditor/Investigator II
Qlarant —Alabama
- $57,512 - $85,839 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
Banking Technical Support Representative
Jack Henry —Birmingham, AL
- $42,000 - $53,000 a year
- Full-time
- Remote
- Research
- In-person
- 1 year
4d
Certified Professional Coder, Special Investigations Unit (Aetna SIU)
CVS Health —Alabama
- $43,888 - $93,574 a year
- Full-time
- Remote
- Microsoft Excel
- Research
- Mid-level
- Health insurance
- Dental insurance
6d
Workers Compensation Claims Examiner
Acrisure, LLC —Alabama
- Remote
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Commuter assistance
- Paid parental leave
3d
Patient Billing Representative
Five Star Call Centers —Phenix City, AL
- $14 an hour
- Full-time
- Remote
- Background check
- HIPAA
- English
- Paid training
12d
Insurance Litigation Attorney (CA License Required) – Remote
CSAA Insurance Services, Inc. —Hope Hull, AL
- $117,000 - $200,000 a year
- Full-time
- Remote
- 5 years
- Writing skills
- Research
- 401(k) matching
1d
Revenue Integrity Charge Analyst - Revenue Integrity, USA Health
USA Health —Mobile, AL
- 8 hour shift
- Remote
- Mid-level
- 3 years
- Analysis skills
Software Support Representative (ACH and Wires)
Jack Henry —Birmingham, AL
- Weekends as needed
- Remote
- Research
- Mid-level
- 1 year
Application Support Analyst II
Jack Henry —Birmingham, AL
- Full-time
- Remote
- Mid-level
- Travel
- Organizational skills
SQL Technical Support Representative: Financial Crimes Solutions
Jack Henry —Birmingham, AL
- Full-time
- Remote
- Research
- SQL
- Bachelor's degree
10d
Associate II, Training - Ops Performance Enablement
Protective —Birmingham, AL
- $66,000 - $75,000 a year
- Full-time
- Remote
- Writing skills
- Mid-level
- 3 years
- Paid parental leave
- Disability insurance
Quick Apply
10d
Senior Application Support Analyst (Back Office Lending-Credit Unions)
Jack Henry —Birmingham, AL
- $68,700 - $103,150 a year
- Extended hours
- Remote
- 6 years
- Mid-level
- Accounting

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remote insurance claims jobs near alabama

Senior Coordinator, Complaint & Appeals - Remote

CVS Health -
Alabama

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Job Details

Full-time
$18.50 - $38.82 an hour
6 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Research
Policy analysis

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

Responsible for Oversight of that that investigates and resolution of appeals scenarios for all products, which may contain multiple issues and, may require coordination of responses from multiple business units. Ensure timely, customer focused response to appeals. Identify trends and emerging issues and report and recommend solutions. Independently coaches others on appeals ensuring compliance with Federal and/or State regulations. Manage control and trend inventory, independently investigate, adapts to changes or revise policy to resolve the most escalated cases coming from internal and external constituents for all products. Responsible for serving as the point of contact for the appeal if there is an inquiry from leadership, compliance and State regulators. Understand and adapt to departmental process and policies. Medicare knowledge is a plus. Fast Turn Around of inventory, collaboration with clinical team and management. Attention to detail is needed and must be able to maintain compliance turn-around times, with accurate case resolution or research. Remain a part of the solution by escalating issues that may impact compliance timeliness. Additional duties as assigned which will include a carrying a modified case load including but not limited to:

Serves as a content model expert and mentor to team regarding Aetna's policies and procedures, regulatory and accreditation requirements.
Ensures work of team meets federal and state requirements and quality measures, with respect to letter content and turn-around time for appeals, complaints and grievances handling.
Independently researches and translates policy and procedures into intelligent and logically written responses for Executive or Senior leaders on escalated cases.
Successfully works across functions, segments, and teams to create, populate, and trend reports to find resolution to escalated cases.
Identify potential risks and cost implications to avoid incorrect or inaccurate responses and/or decisions which may result in additional rework, confusion to the constituents, or legal ramifications.
Additional duties as assigned which will include a carrying a modified case load including but not limited to:-Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit based upon published business responsibilities. Identify correct resource and reroute inappropriate work items that do not meet appeals, complaints and grievance criteria.
Research Standard Plan Design or Certification of Coverage (Evidence of Coverage) relevant to the member to determine accuracy/appropriateness of benefit/administrative denial.
Research claim processing logic to verify accuracy of claim payment, member eligibility data, billing/payment status, prior to initiation of appeal process.
-Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit based upon published business responsibilities. Identify correct resource and reroute inappropriate work items that do not meet appeals, complaints and grievance criteria.
Research Standard Plan Design or Certification of Coverage relevant to the member to determine accuracy/appropriateness of benefit/administrative denial.
Identify and research all components within member or provider/practitioner appeals, complaints and grievance for all products and services.

Required Qualifications

At least 2+ years in one of the following areas: claim platforms, products, and benefits; patient management; product or contract drafting; compliance and regulatory analysis; special investigations; provider relations; customer service or audit experience

Preferred Qualifications

Some Medicare and/or Medicaid knowledge
Experience in reading or researching benefit language
Ability to work in fast paced, high volume environment
Excellent verbal and written communication skills
Excellent organizational skills to handle high inventory which aids in meeting or exceeding metrics
Solution driven and can handle complex issues with accuracy

Education

High School or GED

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $38.82

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 07/30/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

remote insurance claims jobs in alabama

Senior Coordinator, Complaint & Appeals - Remote

Senior Claim Benefit Specialist - Remote

Claims Analyst - REMOTE

Senior Investigator, Special Investigations Unit (Aetna SIU)

Claims Adjustor II

Claims Team Leader

Claims Adjustor I

Nurse Reviewer (Registered Nurse) - Remote in US

Auditor/Investigator II

Banking Technical Support Representative

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

Workers Compensation Claims Examiner

Patient Billing Representative

Insurance Litigation Attorney (CA License Required) – Remote

Revenue Integrity Charge Analyst - Revenue Integrity, USA Health

Software Support Representative (ACH and Wires)

Application Support Analyst II

SQL Technical Support Representative: Financial Crimes Solutions

Associate II, Training - Ops Performance Enablement

Senior Application Support Analyst (Back Office Lending-Credit Unions)

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