Top 191 Virtual examiner Jobs in Remote

Claims - Claims Examiner
Wellcove —Remote
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
Quick Apply
Claims - Examiner, Claims
Wellcove —Remote
- Full-time
- Remote
- Background check
- Anatomy knowledge
- Basic math
Quick Apply
Claims Examiner Remote
NTT Ltd —Plano, TX
- Overtime
- Remote
- Computer literacy
- Basic math
- English
Claims Examiner - Remote
ImagenetLLC —Remote
- Full-time
- Remote
- Basic math
- Mid-level
- Data entry
- Paid training
- Health savings account
Medical Claims Examiner Remote
NTT Ltd —Plano, TX
- Remote
- Microsoft Outlook
- Computer literacy
- HIPAA
Property Claims Examiner II
Mercury Insurance Services, LLC —Remote
- $62,860 - $142,213 a year
- Overtime
- Remote
- Bilingual
- Military
- Writing skills
- Paid holidays
- Health insurance
4d
Property Claims Examiner II - Wind/Hail
Mercury Insurance Services, LLC —Atlanta, GA
- $62,860 - $142,213 a year
- Overtime
- Remote
- Bilingual
- Military
- Writing skills
- Paid holidays
- Health insurance
Claim Examiner - Life
MetLife —Remote
- $41,600 - $48,000 a year
- Overtime
- Remote
- Microsoft Excel
- Mid-level
- Analysis skills
- Paid holidays
- Disability insurance
5d
Title Examiner
Williston Financial Group —Remote
- $28 - $33 an hour
- Full-time
- Remote
- Microsoft Outlook
- 5 years
- Writing skills
Title Examiner/Reader (Remote)
Data Trace Information Services —Lake Success, NY
- $26.15 - $28.85 an hour
- Full-time
- Remote
- Customer service
- Research
- Mid-level
- Employee stock purchase plan
- Health insurance
Quick Apply
TPA Commercial Claims Examiner
Schifrin, Gagnon, & Dickey, Inc. —Remote
- $72,000 - $85,000 a year
- Remote
- 5 years
- Writing skills
- Senior level
- Dental insurance
- Flexible spending account
Quick Apply
Florida Title Examiner (Remote)
First American Financial Corporation —Jacksonville, FL
- Remote
- Customer service
- Research
- Mid-level
- Employee stock purchase plan
- Health insurance
Title Searcher/Examiner - Missouri
Fidelity National Financial —Remote
- $22.00 - $28.85 an hour
- Full-time
- Remote
- Computer literacy
- Mid-level
- High school diploma or GED
- Employee stock purchase plan
- Paid holidays
8d
Claim Examiner
A-G Specialty Insurance, LLC —Berwyn, PA
- $50,000 a year
- Weekends as needed
- Remote
- Mid-level
- Bachelor's degree
- Travel
Residential Title Examiner - Georgia
Fidelity National Financial —Remote
- $25 - $30 an hour
- Full-time
- Remote
- Research
- Mid-level
- Residential
- Employee stock purchase plan
- Paid holidays
8d
Claims Examiner I
Berkley —Scottsdale, AZ
- Full-time
- Remote
- Microsoft Word
- 5 years
- Computer literacy
- Profit sharing
- Paid parental leave
Commercial Title Searcher/Examiner - Philadelphia
Fidelity National Financial —Remote
- $35 - $40 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Analysis skills
- Employee stock purchase plan
- Paid holidays
8d
Title Examiner
Vacation Ownership Title Agency, Inc. —Remote
- Remote
- Mid-level
- 3 years
- Analysis skills
- Paid holidays
- Disability insurance
Quick Apply
Title Examiner - Maryland (Remote)
First American Financial Corporation —Columbia, MD
- Remote
- Research
- Mid-level
- Administrative experience
- Employee stock purchase plan
- Health insurance
Claims Consultant (Desk) - Examiner
Guardian Group —Torrance, CA
- Remote
- Customer service
- 5 years
- Mid-level
- Travel reimbursement
- Profit sharing

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Claims - Claims Examiner

Wellcove
Remote

Quick Apply

Job Details

Full-time

Qualifications

Customer communication
Microsoft Excel
Microsoft Outlook
Medical claims processing software
High school diploma or GED
Medical terminology

Full Job Description

Who We Are
Wellcove has been recognized as the nation’s leading full-service senior market solutions provider for over 25 years. Our solutions span the insurance senior market sector, focusing on long-term care and Medicare Supplement plans. However, we don’t stop there. Wellcove also addresses challenges faced in accident & health, disability, and supplemental health insurance programs.

Our team provides individuals and their families with peace of mind knowing their insurance needs will be met in a thoughtful, efficient manner. We are able to do this because of our dedicated associates, innovative solutions, and state-of-the-art technology.

The Long-Term Care (LTC) Claims Examiner is responsible for the accurate and timely adjudication of long-term care insurance claims. This role ensures compliance with policy provisions, regulatory requirements, and company standards while delivering a high level of customer service to policyholders, providers, and internal stakeholders.

Review, evaluate, and adjudicate Long Term Care claims in accordance with policy provisions and established guidelines
Analyze claim documentation including invoices, care plans, and provider credentials
Apply knowledge of Coordination of Benefits (COB), Medicare, Medicaid, and other payer sources when applicable
Ensure claims are processed within established turnaround times and service level agreements (SLAs)
Communicate effectively with policyholders, providers, and internal teams regarding claim status, requirements, and determinations
Identify and request additional documentation when necessary to support claim decisions
Maintain accurate and detailed claim notes in system of record
Ensure compliance with HIPAA and all applicable regulatory and privacy requirements
Participate in quality assurance activities and implement feedback for continuous improvement
Support training and mentoring of new or junior staff as needed
Required Qualifications
High school diploma or equivalent required; associate or bachelor’s degree preferred
2+ years of experience in insurance claims, healthcare administration, or Long-Term Care claims processing
Strong understanding of Long-Term Care policies, benefits, and eligibility criteria preferred
Knowledge of medical terminology and healthcare documentation
Proficiency in claims systems and Microsoft Office (Excel, Word, Outlook)
Strong analytical and decision-making skills
Excellent written and verbal communication skills
Ability to manage multiple priorities in a fast-paced environment

Core Competencies

Attention to Detail
Critical Thinking & Problem Solving
Customer Focus
Time Management & Productivity
Compliance & Risk Awareness
Team Collaboration

At Wellcove, we strive to create an inclusive culture for all. We understand the importance of listening and incorporating various perspectives at every level of service. Our company does not discriminate based on gender identity, race, sexual orientation, age, religion, or disability.

Quick Apply

Refine Your Search

virtual examiner jobs in remote

Claims - Claims Examiner

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Claims Examiner - Remote

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Title Examiner/Reader (Remote)

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Claim Examiner

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Claims Consultant (Desk) - Examiner

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