Top 169 Remote insurance Jobs in Oregon

Senior Claim Benefit Specialist - Remote
CVS Health —Oregon
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
4d
Claims Specialist
CorVel Corporation —Portland, OR
- $52,999 - $85,473 a year
- Full-time
- Remote
- Computer literacy
- Mid-level
- Bachelor's degree
- Health savings account
- Disability insurance
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Justin Stearns - State Farm Agent —Woodburn, OR
- $50,000 - $75,000 a year
- Full-time
- Remote
- Spanish
- Communication skills
- Entry level
- Health insurance
- 401(k)
Medical Claims Auditor I
Moda Health —Milwaukie, OR
- $18.39 - $20.58 an hour
- Weekends as needed
- Remote
- Customer service
- Computer literacy
- Writing skills
- Paid holidays
- Health insurance
Quick Apply
Insurance Agent
Pioneer Agency —Portland, OR
- $50,000 - $75,000 a year
- Choose your own hours
- Remote
- Computer literacy
- High school diploma or GED
- Computer skills
- Opportunities for advancement
- Flexible schedule
Quick Apply
Claims Analyst - REMOTE
Ryder System —Salem, OR
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
5d
Quality Training & Employee Engagement Specialist
Alliant Insurance Services —Oregon
- $65,000 - $70,000 a year
- Email
- Remote
- Data analysis skills
- Research
- Mid-level
Quick Apply
International Employee Benefits Account Manager
Alliant Insurance Services —Oregon
- $100,000 - $120,000 a year
- Email
- Remote
- 6 years
- Mid-level
- Experience equivalent to degree accepted
Quick Apply
Senior Claims Manager EPL - Remote
Providence —Oregon
- $42.02 - $85.88 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Master's degree
- Paid parental leave
- Paid holidays
WI Commercial Searcher (Remote)
First American Title Insurance Co —Oregon
- $23.37 - $31.15 an hour
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Employee stock purchase plan
- Health insurance
Quick Apply
Marketing Engagement Partner - Remote
CSAA Insurance Services, Inc. —Oregon
- $110,700 - $147,500 a year
- Full-time
- Remote
- 6 years
- Bachelor of Science
- Mid-level
- 401(k) matching
11h
Insurance Billing Coordinator
CLATSOP BEHAVIORAL HEALTHCARE —Warrenton, OR
- $23.67 - $30.89 an hour
- Urgently hiring
- Remote
- HIPAA
- Mid-level
- 3 years
- Paid training
- Paid holidays
2d
Pharmacy Consultant - Employee Benefits
Alliant Insurance Services —Oregon
- $130,000 - $150,000 a year
- Email
- Remote
- Microsoft Excel
- Sales
- Analysis skills
Quick Apply
10d
International Employee Benefits Account Executive
Alliant Insurance Services —Oregon
- $135,000 - $155,000 a year
- Email
- Remote
- 8 years
- Bachelor's degree
- Team management
Quick Apply
Actuarial Consultant - AI Trainer
DataAnnotation —Portland, OR
- $50 - $100 an hour
- Part-time
- Remote
- English
- Master's degree
- Doctor of Philosophy
Quick Apply
Senior Actuarial Analyst - Pricing - Remote
DW Simpson —Salem, OR
- $143,580 a year
- Remote
- Mid-level
- 4 years
Quick Apply
Senior Actuarial Analyst - Reserving- Remote
DW Simpson —Salem, OR
- $143,580 a year
- Remote
- Mid-level
- 4 years
Quick Apply
Claims Supervisor
Samaritan Health Services —Corvallis, OR
- Remote
- Mid-level
- Ability to climb stairs
- High school diploma or GED
14d
Claims Supervisor
CorVel Corporation —Portland, OR
- $73,345 - $113,247 a year
- Full-time
- Remote
- Computer literacy
- Public speaking
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
Multi State Commercial Title Examiner (Remote)
First American Title Insurance Co —Oregon
- $26.88 - $35.82 an hour
- Full-time
- Remote
- Customer service
- Research
- Mid-level
- Employee stock purchase plan
- Health insurance
Quick Apply

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Senior Claim Benefit Specialist - Remote

CVS Health -
Oregon

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Job Details

Full-time
$18.50 - $42.35 an hour
4 days ago

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

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Claims Supervisor

Multi State Commercial Title Examiner (Remote)

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