The Claim Specialist III investigates, evaluates, and negotiates lost time claims while managing litigation and medical benefits. They also serve as a mentor to less experienced staff and maintain compliance with state laws and company procedures.
Remote Insurance Jobs (22,666)
Tags = insurance
Develop and maintain electrical designs for modular containerized data centers, including single-line diagrams, load calculations, and protective device coordination. Support manufacturing partners and deployment teams by resolving technical conflicts and overseeing field commissioning.
Field Clinical Representative - Southwest VA (Roanoke)
Inspire Medical Systems Inc.
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Full Time
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2 Days Ago
Inspire Medical Systems Inc.
The Field Clinical Representative provides technical and clinical expertise to ensure the safe adoption of Inspire therapy during implant procedures and device activations. They are responsible for educating account staff, troubleshooting devices, and collaborating with sales teams to drive practice success.
You will lead a team of designers to define interaction patterns for AI-driven features and ensure a consistent user experience across a large portfolio of products. Additionally, you will mature the organization's research muscle and establish design operations to scale the discipline effectively.
The Inside Sales Representative will build and manage a sales pipeline through outbound prospecting and inbound lead qualification. They will conduct discovery calls, deliver product demonstrations, and close smaller business opportunities independently.
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You will lead Solana workstreams from architecture through deployment and post-launch hardening while setting the technical direction for the SVM practice. Additionally, you will represent OpenZeppelin in the ecosystem, contribute to open-source libraries, and mentor the team on Solana-specific security standards.
The District Sales Representative will drive sales growth and strengthen customer relationships by executing territory strategies for construction equipment. They are responsible for managing the full sales cycle, including equipment sales, aftermarket support, and maintaining detailed records in the CRM.
Inbound Sales Advisor (W@H)
America First Credit Union
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Other
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2 Days Ago
America First Credit Union
The Inbound Sales Advisor is responsible for managing inbound sales efforts, focusing on consumer lending and ancillary insurance products. They will counsel members on financial solutions, originate loan applications, and strive to meet or exceed established sales goals.
Bilingual Inbound Sales Advisor - Spanish/English Speaking (W@H)
America First Credit Union
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Other
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2 Days Ago
America First Credit Union
The advisor is responsible for inbound sales efforts, focusing on consumer lending and ancillary insurance products to meet sales goals. They will counsel members on financial solutions, originate loan applications, and communicate loan decisions while maintaining high service standards.
The Clinical Validation Auditor will review medical records and validate billed DRG codes to ensure accuracy and identify overpayments. This role involves using clinical judgment to explain decisions clearly and professionally while maintaining high standards of clinical accuracy.
Prior Authorization Specialist- Must have Epic and Clinical Office experience
Carle Health
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Full Time
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2 Days Ago
Carle Health
The specialist performs telephonic and online authorization requests while coordinating with clinical, billing, and specialty provider teams. They are responsible for verifying patient eligibility, managing appeals, and ensuring accurate data entry for all insurance-related documentation.
The Data Engineer will design, build, and maintain robust data pipelines and infrastructure to support business operations. They will also collaborate across disciplines to modernize systems and mentor technical staff on data engineering initiatives.
Build and manage a statewide network of HERS/ECC rater firms while overseeing quality assurance programs and provider relationships. Act as the technical authority in enterprise sales conversations to support HVAC customer acquisition and compliance strategy.
Customer Service Specialist for Pharmaceuticals/Healthcare (English speaking) - Full-time Permanent (remote in the Philippines)
Alphanumeric Systems
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Full Time
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2 Days Ago
Alphanumeric Systems
The specialist will provide professional support to patients and healthcare providers regarding pharmaceutical products while identifying and documenting adverse events and quality complaints. They are responsible for managing inbound inquiries via phone, chat, and email while maintaining accurate case notes in the CRM system.
The Project Manager III leads complex, multi-workstream initiatives and drives strategy-to-execution alignment across business and technology domains. They are responsible for coaching teams, managing risks, facilitating executive governance, and mentoring junior project management staff.
You will own new product initiatives from conception to launch, focusing on delivering high-quality features and driving business growth. You will collaborate with engineering and design teams to translate complex customer needs into actionable specifications while championing the user experience.
Part-time (20-40h) Bilingual Customer Service Representative, Groupe CH Events
NQX
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Part Time
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2 Days Ago
NQX
You will serve as the primary point of contact for event-related inquiries, assisting customers with ticketing, scheduling, and troubleshooting. Your role involves maintaining professional communication via phone and email to ensure a seamless and positive customer experience.
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The consultant will design and maintain scalable integrations between the Finxact Core platform, Fiserv products, and third-party solutions. They will lead technical discovery, architecture, and cross-functional delivery to ensure high-quality, secure, and performant integration outcomes.
You will own the end-to-end vision, roadmap, and monetization for the Intelligence product group, including the Agent and Signal product lines. You will also lead, hire, and manage a team of product managers while driving revenue growth and product strategy.
National Events Associate
Access Destination Services
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Full Time
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2 Days Ago
Access Destination Services
The National Events Associate provides operational and logistical support for large-scale national programs while independently managing smaller events. They coordinate with internal teams and vendors to ensure high-quality client experiences and adherence to program standards.
Global Marketing Operations and Technology Specialist
Docplanner
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Full Time
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2 Days Ago
Docplanner
The specialist will manage and optimize core marketing technology platforms, specifically HubSpot and its integration with Salesforce. They will also lead transformational initiatives by designing and deploying AI-powered workflows and agents to improve marketing efficiency.
The specialist is responsible for driving strategic sales initiatives and managing a territory to achieve growth in specialty equipment solutions. They will identify, qualify, and close business opportunities while maintaining strong relationships with hospital administration and clinicians.
PACT Representative I
American Addiction Centers
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Full Time
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2 Days Ago
American Addiction Centers
The PACT Representative manages patient interactions by scheduling appointments, verifying insurance information, and coordinating care between patients and providers. They also perform technical troubleshooting and escalate complex issues or emergent calls to appropriate clinical staff.
Mobile Diesel Mechanic II $5000 New Hire Bonus
Cox Enterprises
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Full Time
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2 Days Ago
Cox Enterprises
Perform scheduled preventative maintenance, DOT inspections, and mechanical repairs on light, medium, and heavy-duty vehicles in a mobile field environment. Manage parts inventory, document work via proprietary software, and ensure all repairs comply with safety and environmental regulations.
Mobile Diesel & Trailer Mechanic II Tue-Sat 3pm - 11 pm
Cox Enterprises
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Full Time
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2 Days Ago
Cox Enterprises
Perform scheduled preventative maintenance, DOT inspections, and mechanical repairs on light, medium, and heavy-duty vehicles in a mobile field environment. Manage parts inventory, document work on repair orders, and maintain the company-issued service vehicle while ensuring compliance with safety and environmental regulations.
You will lead large-scale offensive and defensive security initiatives to identify, analyze, and mitigate threats across the organization's systems and networks. Additionally, you will act as a subject matter expert to advise stakeholders, develop security policies, and represent the unit before decision-making bodies.
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Patient Outreach Representative — Outbound Appointment Scheduling (Healthcare)
HelpSquad, LLC
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Full Time, Freelance
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2 Days Ago
HelpSquad, LLC
You will place outbound calls to patients to schedule Annual Wellness Visits and document outcomes in the client's electronic health record system. You are responsible for following approved scripts and handling objections while maintaining strict HIPAA compliance.
The Financial Analyst will partner with cross-functional teams to support budgeting, forecasting, and long-range planning. They are responsible for developing driver-based financial models and providing actionable insights through variance analysis and KPI tracking.
Conduct independent mobile and stationary surveillance of claimants to verify activities and capabilities for insurance claim administration. Document and report observations clearly while collaborating with relevant agencies and maintaining legal and ethical standards.
The Insurance Verification Representative is responsible for performing accurate pre-registration, insurance verification, and patient demographic updates. They also manage patient cost share collections and coordinate with physicians to resolve authorization or referral issues.
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