Top 13 Remote claims examiner Jobs in Florida

Healthcare Claims Examiner, Remote
NTT DATA —Tampa, FL
- $18 an hour
- Temporary
- Remote
- Microsoft Outlook
- Computer literacy
- HIPAA
Quick Apply
Claims Examiner - Workers Compensation | Dedicated Account | Jurisdiction/Licensing: FL - Required (Remote)
Sedgwick —Florida
- Full-time
- Remote
- 5 years
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Dental insurance
Claims Examiner
Allcat Claims Service —Florida
- Overtime
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Paid holidays
- Health insurance
Claims - Examiner, Claims
Wellcove —Pensacola, FL
- Full-time
- Remote
- Background check
- Anatomy knowledge
- Basic math
Quick Apply
Liability & Property Insurance Claims Examiner
Temp Experts —Pinellas Park, FL
- Hybrid work
- Mid-level
- Residential
- Analysis skills
Quick Apply
1d
FL Title Examiner
McCalla Raymer Leibert Pierce LLP —Florida
- $26 - $28 an hour
- Remote
- Research
- Mid-level
- Analysis skills
Quick Apply
SIU Investigator
Kemper Insurance —Miami, FL
- Full-time
- Clean driving record
- Mid-level
- Residential
Quick Apply
8d
Team Manager - Liability
Broadspire Services, Inc. —Tampa, FL
- Full-time
- Remote
- 5 years
- Writing skills
- Analysis skills
- Paid parental leave
- Health savings account
Quick Apply
4d
Manager, Construction Claims
Markel Service Inc. —Tampa, FL
- $97,520 - $134,090 a year
- Email
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Customer service
- AD&D insurance
- Employee stock purchase plan
Quick Apply
Optometrist
US Veterans Health Administration —Jacksonville, FL
- $145,000 - $312,000 a year
- Online Application
- Background check
- Pass drug screening
- English
- Loan repayment program
5d
Healthcare Engineer
US Veterans Health Administration —Lake City, FL
- $60,348 - $134,195 a year
- Online Application
- Hybrid work
- Background check
- Writing skills
- Pass drug screening
11h

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Examiner, Claims
Molina Healthcare —Florida
Evaluates the adjudication of claims using standard principles, and state-specific regulations to identify incorrect coding, abuse and fraudulent billing…
$14.00 - $26.42 an hour
Claims - Claims Examiner
Wellcove —Pensacola, FL
High school diploma or equivalent required; associate or bachelor’s degree preferred. Participate in quality assurance activities and implement feedback for…
Quick Apply

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Healthcare Claims Examiner, Remote

NTT DATA -
Tampa, FL

Quick Apply

Job Details

Temporary
$18 an hour

Qualifications

Computer operation
Microsoft Outlook
Windows
High school diploma or GED
Desktop applications
Typing

Full Job Description

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring, the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.

NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. This is a Long Term Temporary position supporting a leading manage health care company.
Please note: 8-12 week mandatory training on camera and ramp period between 7 - 4:30 CT.

In this Role the candidate will be responsible for:

Processing of Professional claim forms files by provider
Reviewing the policies and benefits
Comply with company regulations regarding HIPAA, confidentiality, and PHI
Abide with the timelines to complete compliance training of NTT Data/Client
Work independently to research, review and act on the claims
Prioritize work and adjudicate claims as per turnaround time/SLAs
Ensure claims are adjudicated as per clients defined workflows, guidelines
Sustaining and meeting the client productivity/quality targets to avoid penalties
Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA.
Timely response and resolution of claims received via emails as priority work
Correctly calculate claims payable amount using applicable methodology/ fee schedule

Requirements:

1-3 year(s) hands-on experience in Healthcare Claims Processing, Claims Adjustments.
2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools
High school diploma or GED.
Previously performing – in P&Q work environment; work from queue; remotely
Key board skills and computer familiarity –
- Toggling back and forth between screens/can you navigate multiple systems.
- Working knowledge of MS office products – Outlook, MS Word and MS-Excel.
Must be able to work 8 am - 4 pm EST online/remote (training is required on-camera).
Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities
Time management with the ability to cope in a complex, changing environment
Ability to communicate (oral/written) effectively in a professional office setting

Preferred Skills & Experiences:

Amisys or Xcelys preferred.

About NTT DATA

About NTT Data :

NTT DATA is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.

NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.

NTT DATA provides a reasonable range of compensation for specific roles. The hourly range for this remote role is 18.00 hr. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance.

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Refine Your Search

remote claims examiner jobs in florida

Healthcare Claims Examiner, Remote

Claims Examiner - Workers Compensation | Dedicated Account | Jurisdiction/Licensing: FL - Required (Remote)

Claims Examiner

Claims - Examiner, Claims

Liability & Property Insurance Claims Examiner

FL Title Examiner

SIU Investigator

Team Manager - Liability

Manager, Construction Claims

Optometrist

Healthcare Engineer

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