Top 36 Remote claim adjuster jobs Jobs in Arizona

Senior Claim Benefit Specialist - Remote
CVS Health —Arizona
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
Claims Analyst - REMOTE
Ryder System —Phoenix, AZ
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
Pharmacy Claims Representative (remote)
Dragonfly Health —Mesa, AZ
- From $22 an hour
- Rotating weekends
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
20h
Auditor (Claims)
SOUTHWEST SERVICE ADMINISTRATORS INC —Phoenix, AZ
- $19.00 - $25.50 an hour
- Remote
- Microsoft Word
- Writing skills
- Research
- AD&D insurance
- Disability insurance
Quick Apply
6d
Workers Compensation Claims Adjuster
CBCS —Phoenix, AZ
- Remote
- Mid-level
- Analysis skills
- 1 year
- Profit sharing
- Health savings account
Quick Apply
Mechanical Breakdown Claims Adjuster - Remote (VSC)
CNA National Warranty Corp —Scottsdale, AZ
- From $45,000 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Typing
- Disability insurance
- Health insurance
Quick Apply
Auto Liability Specialist II
First Acceptance Services Inc —Phoenix, AZ
- Full-time
- Remote
- Customer service
- Mid-level
- High school diploma or GED
- Continuing education credits
Medical Biller/Claims Processing - Patient Support Representative (Home-Based)
IQVIA —Phoenix, AZ
- $23 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Work from home
8d
Claims Examiner I
Berkley —Scottsdale, AZ
- Full-time
- Remote
- Microsoft Word
- 5 years
- Computer literacy
- Profit sharing
- Paid parental leave
Senior Claims Representative - REMOTE
Ryder System —Phoenix, AZ
- $75,000 - $80,000 a year
- Remote
- Management
- 5 years
- Bachelor's degree
- Disability insurance
- Health insurance
Lead SIU Investigator
Centene —Arizona
- $70,100 - $126,200 a year
- Full-time
- Remote
- Master's degree
- High school diploma or GED
- Mentoring
- Paid holidays
- Health insurance
W/C INSURANCE CLAIMS SPECIALIST 2
State of Arizona —Phoenix, AZ
- $17.05 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Paid parental leave
- Paid holidays
14d
Claims Consultant - Accountants and Professional Liability
The Hartford —Scottsdale, AZ
- $122,400 - $183,600 a year
- Full-time
- Remote
- Writing skills
- Mid-level
- Training & development
Senior Claims Litigation Management Specialist
Banner Health —Phoenix, AZ
- Full-time
- Remote
- RN License
- HIPAA
- Research
- Work from home
2d
Director of Claims and Litigation
Banner Health —Arizona
- $57.38 - $95.64 an hour
- Part-time
- Remote
- Background check
- 6 years
- Writing skills
- Wellness program
- Employee assistance program
Sr. Adjuster-Workers Comp Claims
CopperPoint Insurance Company —Arizona
- $68,000 - $98,500 a year
- Remote
- Spanish
- Customer service
- Bachelor of Science
- Health savings account
- AD&D insurance
Quick Apply
Claims Analyst
Arrive Logistics —Phoenix, AZ
- Full-time
- Remote
- Customer service
- 3 years
- Finance
- Paid parental leave
- Paid holidays
Quick Apply
Major Case General Liability Claims Consultant
The Hartford —Scottsdale, AZ
- $84,800 - $127,200 a year
- Full-time
- Remote
- Customer service
- Analysis skills
- Bachelor's degree
General Liability Litigation Team Leader - Eastern
The Hartford —Scottsdale, AZ
- $86,400 - $129,600 a year
- Full-time
- Remote
- Team management
- Senior level
- Leadership
Sr. Litigation Specialist -Remote
CSAA Insurance Services, Inc. —Phoenix, AZ
- $89,865 - $119,800 a year
- Extended hours
- Remote
- Bilingual
- Bachelor of Science
- High school diploma or GED
- 401(k) matching

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Senior Claim Benefit Specialist - Remote

CVS Health -
Arizona

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Job Details

Full-time
$18.50 - $42.35 an hour

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED
Health insurance knowledge

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
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.

Additional Responsibilities

Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise.
Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.
Identifies and reports potential overpayments, underpayments, and other claim irregularities.
Performs claim rework calculations as needed.
Trains and mentors as needed to enhance team performance and technical proficiency.
Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator.
Proven success working in a high‑volume, production‑driven environment.
Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.

Preferred Qualifications

Self-Funding experience
DG system knowledge

Education

High School Diploma required
Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

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.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

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 claim adjuster jobs jobs in arizona

Senior Claim Benefit Specialist - Remote

Claims Analyst - REMOTE

Pharmacy Claims Representative (remote)

Auditor (Claims)

Workers Compensation Claims Adjuster

Mechanical Breakdown Claims Adjuster - Remote (VSC)

Auto Liability Specialist II

Medical Biller/Claims Processing - Patient Support Representative (Home-Based)

Claims Examiner I

Senior Claims Representative - REMOTE

Lead SIU Investigator

W/C INSURANCE CLAIMS SPECIALIST 2

Claims Consultant - Accountants and Professional Liability

Senior Claims Litigation Management Specialist

Director of Claims and Litigation

Sr. Adjuster-Workers Comp Claims

Claims Analyst

Major Case General Liability Claims Consultant

General Liability Litigation Team Leader - Eastern

Sr. Litigation Specialist -Remote

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