Top 455 Account claims associate Jobs in Remote

Claim Specialist I - IV (New York WC Claims)
MEMIC —Remote
- $65,000 - $98,500 a year
- Remote
- Microsoft Word
- Mid-level
- Driver's License
- Paid parental leave
- Health savings account
9d
Claims Recovery Specialist II (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $42,624 - $78,144 a year
- Full-time
- Remote
- Basic math
- Mid-level
- High school diploma or GED
- 401(k)
Quick Apply
11d
Follow-up Associate I
R1 RCM, Inc. —Remote
- $17.50 - $25.04 an hour
- Full-time
- Customer service
- HIPAA
- 1 year
3d
Appeals Specialist II
MedReview —Remote
- $50,000 - $55,000 a year
- Full-time
- Remote
- Research
- Mid-level
- Microsoft Office
- Commuter assistance
- Health insurance
Quick Apply
Claims EDI Helpdesk Support
RADcube —Remote
- Full-time
- Remote
- Background check
- High school diploma or GED
- 1 year
9d
Claims Analyst- Remote
Lifepoint Behavioral Health —Louisville, KY
- Full-time
- Remote
- Research
- Mid-level
- High school diploma or GED
- Disability insurance
- Health insurance
Quick Apply
AR Collections Associate
Sevita —Remote
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Claims Auditor, Managed Care (remote)
Cedars-Sinai —Los Angeles, CA
- $27.18 - $42.13 an hour
- 8 hour shift
- Remote
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Dental insurance
Member Experience Associate
Fetch Pet Insurance —Remote
- $20.00 - $21.50 an hour
- Full-time
- Remote
- Google Workspace
- Bachelor's degree
- 1 year
- Tuition reimbursement
- Paid time off
Medical Claims Payment Posting, Reconciliation Specialist
Abby Care —San Francisco, CA
- $60,000 - $70,000 a year
- Full-time
- Remote
- Background check
- HIPAA
- Mid-level
- Commuter assistance
- Paid parental leave
Revenue Cycle Specialist II Remote
University Hospitals —Shaker Heights, OH
- $16.40 - $25.66 an hour
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Clinical Denials Specialist
Firstsource Healthcare —Remote
- Monday to Friday
- Remote
- RN License
- HIPAA
- Research
- Health insurance
- Dental insurance
Auto Reviewer Variable - Virtual & Desk
Alacrity Claims Solutions, LLC —Remote
- From $40,000 a year
- Overtime
- Background check
- Customer service
- Computer literacy
- Health savings account
- Health insurance
Quick Apply
Finance Collections Specialist
Treatment Center Management LLC —Remote
- $27 - $30 an hour
- Full-time
- Remote
- Adults
- HIPAA
- Mid-level
- Health savings account
- AD&D insurance
Quick Apply
9d
Operations Analyst
Claritev —Remote
- $45,000 - $50,000 a year
- Full-time
- HIPAA
- Mid-level
- Office
- Paid parental leave
- Employee stock purchase plan
Stop Loss Claims Analyst
Kismet Risk Management Associates, LLC —Remote
- From $40,000 a year
- Full-time
- Mid-level
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
10d
Liability Claims Associate | Remote (Central or Eastern Time Zone) | NY or HI Licensing Preferred
Sedgwick —Charlotte, NC
- Remote
- Mid-level
- High school diploma or GED
- 1 year
- Health savings account
- Disability insurance
9d
Accounts Receivable Specialist
Community Care Cooperative —Boston, MA
- $24.14 - $27.76 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Organizational skills
Quick Apply
(REMOTE) Healthcare Customer Service Associate
Widescope Consulting and Contracting Services LLC —Malvern, PA
- $17.75 an hour
- Full-time
- Remote
- HIPAA
- Typing
- 2 years
- Paid training
- Dental insurance
Medical Billing Product Support Associate
Open Practice —Remote
- $45,000 - $50,000 a year
- Full-time
- Remote
- Background check
- English
- Communication skills
- Health savings account
- Health insurance
Quick Apply
10d

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Claim Specialist I - IV (New York WC Claims)

MEMIC -
Remote

Apply Now

Job Details

$65,000 - $98,500 a year
9 days ago

Benefits

Paid parental leave
Health savings account
AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Flextime
Parental leave
Employee assistance program
Vision insurance
401(k) matching
Life insurance
Pet insurance

Qualifications

Workers' compensation insurance knowledge
Driver's License

Full Job Description

CANDIDATES MUST HAVE NY CLAIMS EXPERIENCE

The Claim Specialist I - IV investigates, evaluates, negotiates, and resolves lost time claims within settlement and reserving authority up to stated maximum. (Supervisor will determine actual individual authority up to the stated maximum). Based on experience and proven ability, an expanded and more difficult caseload will be expected, requiring a lesser degree of supervision.

Principal Duties and Responsibilities
1. Communicates with insureds, injured workers, agents, brokers, witnesses, attorneys, loss prevention, and underwriters to obtain and relate necessary information to determine coverage/compensability, facts of loss, and degree of liability/exposure. Maintains contact throughout the life of the file as needed.
2. Administers the delivery of timely, appropriate and accurate indemnity and medical benefits.
3. Evaluates claim exposure, negotiate and resolve claims. Works closely with defense counsel on litigated cases and attend mediation, arbitration, and hearings, as necessary. Develops litigation plan with defense counsel and tracks adherence to plan in order to control legal expenses and assure effective resolution.
4. Works closely with insureds and employees making visitations and presentations as needed to facilitate partnership approach to claims handling.
5. Maintains quality claim files in accordance with appropriate best practices, and other company procedures.
6. Implements Managed Care strategies, coordinate rehabilitation or medical management, process bills, review all mail through Image Right, and monitor progress as appropriate.
7. Interacts with State and Federal Boards and Commissions, while establishing and maintaining proper reserves, as appropriate.
8. Serves as a mentor and helps prepare/train the less experienced Claim Department representatives.
9. Keeps up-to-date on State laws and Company procedures relating to various claims; educates injured worker and/or insured on same.
10. Prepares and presents files for Agent/Broker Reviews and Insured File Review.
11. Understands medical terminology and standard medical procedures as they pertain to worker's compensation, U.S. Longshoreman's and Jones Act claims.
12. Participates in in-house and outside training programs to keep up-to-date on relevant issues/topics.
13. Maintains a working knowledge of all computer systems currently in use.
14. Travels throughout States as required to handle claims inventory assigned.
15. Continues education in claims through Associate in Claims or Claims Law (AEI) courses.

Minimum Knowledge, Skills and Abilities
1. One to four years of workers' compensation lost time claim handling experience preferred.
2. Bachelor's degree preferred.
3. Computer skills, Word, Excel and Image Right preferred.
4. Must have a valid driver's license.
5. Strong attention to detail and strong communication skills both verbal and written.
6. Adaptable/flexible and self-directed with the ability to manage time, multiple priorities and other resources wisely.
7. Must have the ability to work effectively with other organizational team members.

Our comprehensive benefits package includes all traditional offerings such as:

Health Insurance options, Dental Insurance options and Vision Insurance
Employee Life Insurance/AD&D and Dependent Life Insurance options
Short-term & Long-term Disability
Health Savings Account with potential employer match
Flexible Medical and Dependent Care Account
Accident Insurance
Critical Illness Insurance
Employee Assistance Program
Legal/Identify Theft Insurance options
Long Term Care Insurance
Pet Insurance
401 (k) Retirement Plan with match up to 6%, plus annual bonus based on individual & company performance.
5 weeks of Paid Time Off (PTO)
11 paid holidays

We also offer other benefits to help foster a healthy, balance lifestyle such as:

Flextime schedules
Paid Parental Leave
Student loan paydown and refinancing assistance
Educational assistance for job related courses, seminars, certifications or degrees
One paid day every year to volunteer for your non-profit of choice
Sit-Stand desks & daily stretch breaks

Salary Range for this position is $65,000-$98,500 depending on experience.

MEMIC is committed to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law.

Apply Now

Refine Your Search

account claims associate jobs in remote

Claim Specialist I - IV (New York WC Claims)

Claims Recovery Specialist II (Remote)

Follow-up Associate I

Appeals Specialist II

Claims EDI Helpdesk Support

Claims Analyst- Remote

AR Collections Associate

Claims Auditor, Managed Care (remote)

Member Experience Associate

Medical Claims Payment Posting, Reconciliation Specialist

Revenue Cycle Specialist II Remote

Clinical Denials Specialist

Auto Reviewer Variable - Virtual & Desk

Finance Collections Specialist

Operations Analyst

Stop Loss Claims Analyst

Liability Claims Associate | Remote (Central or Eastern Time Zone) | NY or HI Licensing Preferred

Accounts Receivable Specialist

(REMOTE) Healthcare Customer Service Associate

Medical Billing Product Support Associate

I want to receive the latest job alert for account claims associate in remote

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