The Claims Specialist manages lower-level, non-complex workers’ compensation claims within delegated authority, ensuring adherence to company best practices and supporting departmental goals. Key duties include confirming coverage, determining compensability, establishing reserves, authorizing payments, and communicating claim status to all relevant parties.
Remote Jobs & Work From Home Positions (202,105)
CA Senior Liability Claims Specialist
CorVel Corporation
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Full Time
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11 Weeks Ago
CorVel Corporation
The Senior Liability Claims Specialist manages mid to complex Auto and/or General Liability claims, focusing on achieving optimal outcomes for the company and clients. Responsibilities include receiving claims, confirming coverage, investigating, determining compensability, establishing reserves, and authorizing payments within limits.
The Medical Case Manager will provide in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing, planning, implementing, and evaluating patient progress while ensuring treatment plans are appropriate, medically necessary, and cost-effective.
The Scheduling Coordinator is responsible for participating in the daily operations and maintenance of the Medical Scheduling Departments, primarily by facilitating and scheduling medical services for claimants. Essential functions include proactively monitoring and managing files, identifying potential problems, proposing solutions to ensure no delay in care, and providing telephonic and written customer support.
The Scheduling Coordinator is responsible for participating in the daily operations and maintenance of the Medical Scheduling Departments, primarily by facilitating and scheduling medical services for claimants. Essential functions include proactively monitoring and managing files using proprietary web-based applications and providing telephonic and written customer support services.
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The Product Support Specialist II will troubleshoot and resolve complex application issues submitted via ServiceNow, acting as a subject-matter expert for proprietary applications and ITSM processes. This involves analyzing issues for root causes, participating in post-release testing, and maintaining technical documentation.
The Claims Specialist manages lower-level, non-complex workers’ compensation claims within delegated authority, confirming coverage, determining validity, establishing reserves, and authorizing payments. They communicate claim status to customers, claimants, and clients while adhering to guidelines and assisting with more complex claims as needed.
Senior WC Claims Specialist FLOAT (Part-time)
CorVel Corporation
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Full Time
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11 Weeks Ago
CorVel Corporation
The Senior Claims Specialist manages complex Workers' Compensation claims by confirming coverage, determining compensability through investigation, and establishing reserves and authorizing payments. This role involves developing action plans with case managers to reduce claim costs, coordinating return-to-work efforts, and managing subrogation and potential recoveries.
Business Operations
Stealth HealthTech Startup
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Full Time
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11 Weeks Ago
Stealth HealthTech Startup
The role involves leading high-priority cross-functional projects and building/improving internal operations systems to structure new healthcare groups across 50 states. Responsibilities also include identifying inefficiencies, designing scalable processes, and implementing automation to reduce manual work.
The Medical Case Manager will provide in-person and telephonic case management, working closely with injured workers, physicians, and providers to facilitate recovery. Responsibilities include assessing, planning, implementing, and evaluating patient progress, ensuring treatment plans are appropriate, medically necessary, and cost-effective.
Administrative Assistant / Data Entry Clerk (Remote Work From Home Online Telecommute) 20 APPLICANTS
Jobconversion, LLC
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Full Time
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11 Weeks Ago
Jobconversion, LLC
The primary responsibility involves performing data entry tasks accurately and efficiently from a remote location. Candidates must also be prepared to handle emailing clients as needed.
Centralized Leasing and Admin Specialist
Continental Properties
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Full Time
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11 Weeks Ago
Continental Properties
This role involves proactively managing communication with applicants to gather required documentation, thoroughly reviewing and verifying credit reports, income documents, and identification materials for accuracy and compliance. The specialist will also monitor documentation trends and partner with Community Managers to ensure 100% document completion prior to application approval.
This role involves supporting and scaling day-to-day business operations by analyzing operational data to identify trends and inefficiencies, and assisting in process optimization and workflow automation. The operator will also support cross-functional teams with data-driven insights, maintain internal documentation, and streamline processes across various departments like finance, sales, and support.
The Lead Java Engineer will spearhead the design of scalable system architecture, conduct thorough code reviews, and oversee the complex ecosystem of Payment Orchestrators, Global Processors, and Local Payment Methods. This role involves leading integrations of third-party Gateways and owning the end-to-end production health of the payment stack.
The manager will provide comprehensive technical and commercial support for FMC's portfolio of crop protection, nutrition, and biostimulant products across the East of the UK. This involves working with trials organizations and advising distribution teams and agronomists to drive successful product adoption and positioning.
Lead NMS Engineer
Transaction Network Services
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Full Time
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11 Weeks Ago
Transaction Network Services
The Lead NMS Engineer will be responsible for leading the design, implementation, and continuous improvement of the Network Monitoring (NMS) Platform, establishing guiding principles for Monitoring and Observability. This role involves revolutionizing the NMS platform through intelligent integration of tools and data to benefit ITSM and Incident Management, backed by automation.
Senior Project Manager – FSP - Bulgaria/Serbia
Thermo Fisher Scientific
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Full Time
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11 Weeks Ago
Thermo Fisher Scientific
The Senior Project Manager acts as the Project Lead and primary sponsor contact, being accountable for the overall quality, time, and cost delivery of the project. This involves leading cross-functional teams to meet deliverables and managing projects of increasing complexity across multiple regions or services.
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The Staff SDE will serve as a technical leader, driving architectural direction, multi-team initiatives, and the development of highly scalable distributed systems across a complex digital ecosystem. Responsibilities include defining technical roadmaps, mentoring engineers, championing the adoption of AI-assisted development practices, and ensuring end-to-end delivery of high-impact projects.
Hybrid General Virtual Assistant - Full Time with Real Estate Experience
Wing Assistant
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Full Time
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11 Weeks Ago
Wing Assistant
The role involves monitoring and responding to tenant communications via phone and text regarding maintenance, payments, and late rent notifications, while also assisting tenants with portal access and maintenance ticket submission. Additionally, the assistant will schedule property tours, manage data entry in Rent Manager, and handle inquiries on listing platforms like Zillow and manage Airbnb/Pad Split communications.
The Clinical Adherence Nurse will conduct patient outreach and engagement primarily through video messaging and consultations to enroll patients in a medication adherence program. Key duties involve providing personalized clinical support, motivational coaching, medication reconciliation, and monitoring adherence through video-based interactions.
Interviewer für Firmenbefragungen im Telefonstudio oder Home Office (m/w/d)
USUMA GmbH
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Full Time
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11 Weeks Ago
USUMA GmbH
The main responsibility is conducting telephone interviews with various companies regarding different topics such as satisfaction studies, industry trends, and market positioning. This role provides insights into current business issues.
The Medical Case Manager will provide in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing treatment plans for appropriateness and medical necessity, attending provider visits, and coordinating necessary care like durable medical equipment.
The primary role involves identifying restaurants with unused kitchen capacity and introducing them to Global Food Ventures' virtual brand system to launch delivery-focused brands. Partners must support the onboarding process, ensure successful brand launches, and actively build and maintain a portfolio of restaurant partners.
AI Marketing Specialist, Agentic AI & Automation 28 APPLICANTS
Creative Fabrica
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Full Time
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11 Weeks Ago
Creative Fabrica
The specialist will design, deploy, and iterate on multi-agent systems to automate end-to-end marketing processes, focusing heavily on building agent-driven email frameworks for autonomous segmentation and personalization. They will also develop AI-powered pipelines to adapt core assets into various formats while maintaining brand compliance.
Senior Associate, Analytics (Data Scientist)
Ensemble Health Partners, India
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Full Time
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11 Weeks Ago
Ensemble Health Partners, India
The Senior Associate will analyze operational and transactional data to find improvements in the revenue cycle management process, collaborating with teams to develop solutions using LLMs/Gen AI/AI/ML models. Responsibilities include building solutions, conducting thorough analysis of healthcare revenue cycle processes, and developing data-driven recommendations for process improvement.
This role will support the development of the 2030 ESG Roadmap by structuring and maintaining the ESG evidence library and coordinating stakeholder requests and documentation collection. Responsibilities also include assisting with data inventory, risk categorization, reporting templates, and preparing inputs for legal and benchmark-related work.
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The Sales Representative is responsible for positioning Sika Sarnafil as a quality provider, achieving sales objectives for Roofing and Waterproofing systems, and coordinating with local manufacturer’s representatives. Key duties include overseeing specification activity through consultants, managing roofing contractor accounts, establishing owner relationships, and providing sales activity reports.
The IT Compliance Analyst is primarily responsible for collaborating with external and internal auditors to finalize all IT department audits, which includes maintaining and providing necessary compliance evidence. Essential functions also involve conducting regular audits on IT systems, procedures, and user accounts to ensure adherence to regulatory compliance.
Team members will assist healthcare providers and patients by phone, addressing questions and requests, and coordinating medication refill deliveries. They will also serve as the primary contact for calls and work with insurance companies regarding claim rejections and prior authorizations.
Patient Assistance Program / Financial Advocacy Coordinator
Onco360
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Full Time
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11 Weeks Ago
Onco360
The Patient Advocacy Coordinator assists patients and/or families in accessing financial resources for pharmacy co-pays by navigating systems to find suitable assistance through Not for Profit Organizations and Manufacturer Programs. This involves explaining processes, aiding in application completion, and reviewing required documentation.
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