Top 965 Claims specialist Jobs in Wfh

Remote Disability Specialist (Advocate)
Centauri Health Solutions —Nevada
- $17.00 - $25.15 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- Computer skills
- Paid training
- Wellness program
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Account Collections Specialist
VA Claims, LLC —Greenville, NC
- From $11 an hour
- Part-time
- Remote
- High school diploma or GED
- Computer skills
- Communication skills
- Paid training
- On-the-job training
Quick Apply
3d
PBM Data Integration Specialist (NCPDP D0 to F6) - REMOTE
Software Technology Inc —Remote
- Contract
- Remote
- HIPAA
- Senior level
- Communication skills
Quick Apply
Medical Coding Specialist
Ensemble Health Partners —Remote
- $20.45 - $24.70 an hour
- Full-time
- Background check
- Microsoft Excel
- Urgent Care
- Health savings account
- Health insurance
Quick Apply
1d
Nurse Specialist II, Clinical Denials
Knowtion Health —Remote
- Remote
- Mid-level
- 2 years
- Paid holidays
- Disability insurance
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Claims Specialist
CorVel Corporation —Charlotte, NC
- $52,999 - $85,473 a year
- Full-time
- Remote
- Computer literacy
- Mid-level
- Bachelor's degree
- Health savings account
- Disability insurance
Quick Apply
11d
CLAIMS SPECIALIST
JR Services —Remote
- Full-time
- Remote
- Customer service
- Communication skills
- Entry level
- Vision insurance
Claims Specialist
Coalition, Inc. —Remote
- $95,000 - $120,000 a year
- Remote
- Mid-level
- Bachelor's degree
- 2 years
- Health insurance
- Dental insurance
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Clinical Documentation Specialist
City of Hope —Remote
- $45.20 - $63.29 an hour
- Full-time
- Nursing
- RN License
- Mid-level
EDI Specialist
Rocky Mountain Reserve —Remote
- $65,000 - $85,000 a year
- Full-time
- Remote
- Computer Science
- Customer service
- HIPAA
- Paid holidays
- Health insurance
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Customer Service Representative - Billing Specialist
Healthy Gamer —Remote
- $20 - $25 an hour
- Part-time
- Remote
- Google Workspace
- Mentoring
- Organizational skills
- Flexible schedule
Quick Apply
5d
Claims Training Specialist
CorVel Corporation —Folsom, CA
- $77,960 - $120,368 a year
- Full-time
- Remote
- Classroom
- Computer literacy
- HIPAA
- Health savings account
- Disability insurance
Quick Apply
Property Claims Specialist
Coterie Insurance —Remote
- Full-time
- Remote
- 5 years
- Mid-level
- Project management
- Health savings account
- Paid holidays
Quick Apply
12d
Trust & Safety Specialist
Roadie —Remote
- Remote
- Research
- Mid-level
- Analysis skills
- 401(k) matching
- Flexible schedule
Claims Specialist Mechanical Protection
Mercury Insurance Services, LLC —Remote
- $36,381 - $77,881 a year
- Remote
- High school diploma or GED
- In-person
- Negotiation
- Paid holidays
- Health insurance
Medical Records Specialist
Vital Care Infusion Services —Remote
- $18.92 - $23.46 an hour
- Full-time
- Remote
- Anatomy knowledge
- Writing skills
- HIPAA
- Health savings account
- Paid holidays
Quick Apply
11d
Product Support Specialist II
CorVel Corporation —Remote
- $22.17 - $35.66 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
Reimbursement Specialist
CareDx, Inc. —Brisbane, CA
- $26 - $33 an hour
- Overtime
- Remote
- HIPAA
- Mid-level
- Office
- Commuter assistance
- Employee stock purchase plan
CAT Claims Specialist
Frontline Homeowners Insurance —Remote
- Full-time
- Remote
- Mid-level
- 3 years
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
Nurse Specialist II
Qlarant —Remote
- $56,055 - $83,665 a year
- Full-time
- Remote
- RN License
- Mid-level
- Bachelor's degree
Quick Apply

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Remote Disability Specialist (Advocate)

Centauri Health Solutions -
Nevada

Quick Apply

Job Details

Full-time
$17.00 - $25.15 an hour

Benefits

Paid training
Wellness program
AD&D insurance
Paid holidays
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching
Referral program
Prescription drug insurance

Qualifications

Disability support services
Foreign language proficiency
Managing customer accounts
Insurance products customer support
Database systems
Medical claims processing
Phone communication
Health insurance customer support
HIPAA
Patient advocacy
Collaborating with government agencies
De-escalation techniques
Conflict de-escalation
Mid-level
Technology security practices
Managing client accounts
Medical records
Disability benefits programs
Customer engagement
Welfare client advocacy
Health information regulatory compliance
Disability determination
Individual case management in social services
Computer skills
Client advocacy in social work
Disability benefits management
Clinical confidentiality policies
Managing patient records
Customer interaction during outreach
Communication skills

Full Job Description

Who We Are

Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence — maximizing accuracy, quality performance, and outcomes for health plans and health systems. Through close collaboration with our customers, Centauri improves patient and member outcomes by providing advocacy, advanced data insights, and intelligent clinical data delivery. The company addresses critical healthcare challenges for complex populations and improves access and quality of care.

Headquartered in Tempe, Arizona, Centauri Health Solutions employs 1100 dedicated associates across the country and has been recognized on the Inc. 5000 list, the 2020 Deloitte Technology Fast 500™, and has been recognized as 2026 Best in KLAS for ADT Notifications.

Centauri Health Solutions | 100% Remote | Training and Equipment Provided

What if your job was more than a job? What if it was a daily mission to bring clarity, compassion, and critical financial relief to those who need it most?

At Centauri Health Solutions, we don’t just process applications; we serve as a lifeline. For many Medicaid members, a single phone call with our team can mean potentially receiving additional monthly cash benefits. We are looking for compassionate and detail-oriented individuals to join our team as Bilingual Disability Specialists. If you find deep satisfaction in solving complex problems and advocating for others, your mission starts here.

Your Daily Mission (What You’ll Do)
You will be a dedicated advocate for our members, the voice of support, and a trusted guide navigating through the Social Security disability process.

Member Champion:  Serve as the main point of contact for health plan members, maintaining regular communication, answering questions, and clarifying complex information.
Agency Liaison:  Manage positive, professional relationships with medical providers, the Social Security offices, and other government agencies to keep applications on track.
Application Process Mastery:  Gather, verify, and submit all necessary signed forms, medical records, and eligibility data, ensuring a complete and accurate application. This role requires patience, resilience, and the ability to remain positive and professional during challenging conversations.
Proactive Case Management:  Thoughtfully manage accounts, anticipating requirements, and taking all appropriate actions to secure disability benefits until every method is exhausted. Not every member will be ready to engage. Building trust, overcoming hesitation, and helping members understand available services are important parts of the role.
Regulatory Standards:  Maintain strict adherence to HIPAA and company information security policies to ensure the safety and confidentiality of all data.
Database Navigation:  Concurrently manage multiple software systems and databases to track member progress and documentation.

The Ideal Advocate (Who You Are)

Experience:  2+ years in customer service. Experience in social services, case management, disability/claims processing, using contact center software or working with government agencies is a strong plus.
Empathetic Communicator:  You possess excellent interpersonal and communication skills with an ability to clearly influence and de-escalate situations when needed. This role requires patience, resilience, and the ability to remain positive and professional during challenging conversations.
You are fluent in English and Spanish, possessing the ability to speak, read, and write both languages with ease.
Meticulously Detail-Oriented:  You understand that when helping someone with their benefits, every detail matters. You are goal-driven and willing to learn.
Tech-Savvy:  You are highly proficient with Microsoft Suite and can navigate multiple platforms and screens smoothly while maintaining a warm conversation.
Resilient Multitasker:  You can manage your time appropriately, juggle multiple tasks in a fast-paced environment, and thrive as part of a team.

The Reality of the Role (Transparency Matters)
To thrive in this position, you should enjoy a structured, performance-driven environment.

High-Volume Engagement:  This is a phone-based role. You will spend 90% of your day managing inbound and outbound calls while staying on top of your case management tasks. This role includes a significant amount of outbound calling. Associates spend much of their day reaching out to members who may not be expecting the call and may initially be hesitant to participate.
Complex Casework:  You will manage applications from beginning to end, requiring long-term, detailed follow-up and persistence.
Training and support are provided, but associates should expect a learning curve as they become comfortable with programs, systems, workflows, and member scenarios.
Goal-Oriented:  You will be expected to manage your accounts effectively and meet goals related to securing eligibility for your clients. Success in this role requires balancing quality member interactions with productivity and performance expectations.
Bonus: You will be eligible to receive bonus payments for exceptional performance.

#Indeed3

Why You’ll Love Centauri (Our Promise to You)

We believe that caring for our members starts with caring for our team, and we are committed to providing a rewarding environment where employees can grow, excel, and achieve both personal and professional goals.

Comprehensive medical, dental, vision, and prescription coverage
Wellness program supporting overall well-being
Company-paid basic life and AD&D insurance
401(k) plan with company match
Tuition reimbursement opportunities
Paid time off for vacation and illness
Six paid company holidays
Floating holiday
Company-paid training and computer equipment
Performance-based bonus program
Paid time off for volunteer activities
Employee referral bonus program
Career development and training opportunities, including leadership growth

Compensation Transparency
Factors which may affect starting pay within this range may include geography/market, skills, education, experience, and other qualifications of the successful candidate.

Equal Employment Opportunity and Accommodation
Centauri Health Solutions is an equal opportunity employer and is committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with applicable law.

Quick Apply

Refine Your Search

claims specialist jobs in wfh

Remote Disability Specialist (Advocate)

Account Collections Specialist

PBM Data Integration Specialist (NCPDP D0 to F6) - REMOTE

Medical Coding Specialist

Nurse Specialist II, Clinical Denials

Claims Specialist

CLAIMS SPECIALIST

Claims Specialist

Clinical Documentation Specialist

EDI Specialist

Customer Service Representative - Billing Specialist

Claims Training Specialist

Property Claims Specialist

Trust & Safety Specialist

Claims Specialist Mechanical Protection

Medical Records Specialist

Product Support Specialist II

Reimbursement Specialist

CAT Claims Specialist

Nurse Specialist II

I want to receive the latest job alert for claims specialist in wfh

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