Claims Jobs

This full-time Epic Principal Trainer role within the EPIC Acute department focuses on developing and maintaining comprehensive training programs for ambulatory medical informatics. The position requires a certified expert to design role-based curriculum, create instructional materials, and manage training environments for clinical and revenue cycle workflows. Key responsibilities include collaborating with application teams to build testing scenarios, facilitating classroom instruction, and mentoring additional trainers while ensuring all documentation aligns with change management protocols. The role appeals to candidates seeking a mission-driven environment where passion for customer focus and belief in the work are central to the culture. It offers a stable 40-hour schedule with opportunities for professional growth through wild growth and collaboration with enthusiastic over-achievers.

The Administrative Specialist role supports a Federal Government client within One Federal Solution, a professional services firm specializing in defense and civilian agency outcomes. The position involves managing physical and electronic case files, reviewing data for completeness, and extracting information from databases to support investigative packages. Key responsibilities include reconciling inconsistencies, processing petitions and claims, and preparing management reports using spreadsheet and word processing software. The role appeals to candidates seeking a mission-driven environment with a certified veteran-owned company that values innovation and high performance. The position requires an undergraduate degree and strong analytical skills to coordinate information between various investigative agencies and legal entities.

The Tire and Battery Service Advisor role at Sam's Club supports the Tire and Battery Center team by managing sales floor operations and member service. Key responsibilities include maintaining facility safety, organizing product displays, monitoring tire and battery orders, and triaging service workflows to maximize efficiency. The position requires providing expert recommendations on vehicle maintenance, resolving member concerns, and utilizing digital tools to enhance the customer experience. This opportunity appeals to those seeking a collaborative environment that values continuous learning, offering access to fully paid education benefits and a culture focused on integrity and team development. The role is based on-site in Danville, Virginia.

The Pharmacy Operations Manager role serves as a full-time certified pharmacy technician leading non-clinical operations within a retail pharmacy team. Key responsibilities include supervising and developing pharmacy technicians, managing daily workflow and inventory, and ensuring compliance with state and federal regulations. The position also involves engaging directly with patients to resolve inquiries, process insurance claims, and coordinate community health initiatives. This opportunity appeals to candidates seeking a leadership position that combines operational management with direct patient care in a collaborative environment. The role requires a flexible schedule and offers the chance to drive process improvements while supporting team growth and professional development.

This full-time Safety Coordinator role supports the Western Region of MacArthur Co., a 100% employee-owned building materials distributor. The position focuses on fostering a strong safety culture by ensuring compliance with OSHA, DOT, and FMCSA regulations while reducing workplace risks. Key responsibilities include conducting bi-annual safety audits, managing workers' compensation and liability claims, overseeing E-log system compliance, and facilitating safety training programs. The role appeals to candidates seeking a collaborative environment where they can own a piece of the business through a substantial stock ownership program. The position offers a comprehensive benefits package including medical and dental coverage, a 401k match, and paid time off, with a hybrid work arrangement involving regional travel to various locations.

This full-time Pharmacy Technician - Billing Specialist role is based in Pink Hill, North Carolina, within Southern Pharmacy Services, a division of the Guardian family. The position focuses on delivering customized medication management solutions for long-term care facilities. Key responsibilities include processing insurance claims, verifying patient eligibility, resolving billing disputes, and managing patient files to ensure regulatory compliance. The role also involves providing guidance on Medicare plans and performing prescription claims adjudication. The position appeals to candidates seeking a collaborative, fast-paced environment with opportunities for career growth and professional development. The work arrangement requires an on-site presence with a rotating weekend schedule and flexible hours between 8 am and 6 pm.

The Pharmacy Customer Service Associate role supports the pharmacy team and retail operations at a Walgreens location. Key responsibilities include processing prescriptions under pharmacist supervision, managing cash registers, and maintaining inventory accuracy. The associate also engages customers by providing courteous service, resolving inquiries, and assisting with product recommendations and store maintenance. This position offers an opportunity to work in a healthcare environment while developing professional skills through required training and certification programs. The role involves a flexible schedule that includes evenings and weekends, with duties performed on-site within the store.

This senior leadership role within HUB's Employee Benefits Practice involves managing a portfolio of complex True Group clients with over 100 lives. The position requires serving as the primary liaison between clients, the firm, and insurance carriers to deliver strategic consulting on benefit plan design, funding, and compliance. Key responsibilities include leading renewal negotiations, analyzing claims data to optimize costs, and mentoring junior team members to foster professional growth. The role appeals to professionals seeking an entrepreneurial environment within a rapidly expanding global organization that values continuous learning and innovation. While the position involves some travel, it offers a collaborative culture focused on high performance, ethical service, and significant opportunities for career advancement.

This role involves serving as a specialized Insurance Underwriter for a global insurer, focusing on the trucking and commercial auto sectors. The position requires reviewing underwriting documents to approve or reject applications, evaluating account premium levels, and advising the claims department on coverage issues. Key responsibilities also include identifying risk exposure changes and overseeing compliance with loss mitigation actions. The role is based in Milwaukee, Wisconsin, with the option to work remotely. It offers a collaborative environment with a strong emphasis on work-life balance, generous paid vacation, and comprehensive health and wellness resources. The position supports professional growth within a leading industry organization.

This remote role seeks a Licensed Clinical Psychologist in Washington to join Rula's behavioral health network as an independent contractor. The position focuses on delivering high-quality telehealth sessions to individuals, couples, and families while the organization manages all administrative tasks, including billing, claims, and electronic health records. Key responsibilities include conducting clinical assessments, providing therapy, and utilizing measurement-informed care practices. The role is appealing due to complete schedule autonomy, the absence of minimum caseload requirements, and a supportive community offering case consultation and unlimited CEU courses. Providers benefit from fast-track credentialing and dedicated support, allowing them to concentrate entirely on patient care without the burden of private practice management.

This remote role seeks a Licensed Clinical Psychologist to join Rula's behavioral health network in Washington. The position involves providing telehealth sessions to individuals, couples, and families while the organization manages all administrative tasks, including billing, claims, EHR maintenance, and client marketing. Key responsibilities include delivering quality clinical care, maintaining patient records, and utilizing measurement-informed care practices. The role is appealing due to its complete schedule autonomy, allowing providers to set their own hours without minimum caseload requirements. Additional benefits include fast-track credentialing, access to a supportive therapist community for case consultation, and unlimited CEU resources. This opportunity enables clinicians to focus entirely on patient care while working as independent contractors with flexible remote arrangements.

This remote role seeks a Licensed Clinical Psychologist to join Rula's behavioral health network in Washington. The position focuses on delivering high-quality telehealth care to individuals, couples, and families while the platform manages all administrative tasks such as billing, claims, and electronic health records. Key responsibilities include conducting therapy sessions, maintaining clinical notes, and utilizing measurement-informed care practices. The role is appealing due to complete schedule autonomy, no minimum caseload requirements, and rapid credentialing support. Providers benefit from a supportive community offering case consultations and unlimited CEU access, allowing them to focus entirely on clinical excellence without the burdens of private practice administration.

The Total Rewards Manager role at Planned Parenthood of Orange and San Bernardino Counties leads the design and delivery of compensation and benefits programs to support the organization's mission of exceptional patient care. This hybrid position, based in Anaheim with three days on-site, involves developing salary structures, managing healthcare benefits and complex leave policies, and ensuring compliance with state and federal regulations. The role appeals to candidates seeking to drive strategic workforce planning while fostering an inclusive culture that values diversity and equity. Key responsibilities include partnering with leadership on talent retention strategies, overseeing vendor relationships, and guiding annual open enrollment processes. The position offers a collaborative environment with opportunities for professional growth and a comprehensive benefits package.

The HRP Consultant role functions as a strategic functional lead bridging healthcare payor and provider domains. The position involves defining end-to-end business workflows, translating complex requirements into functional specifications, and providing thought leadership on industry trends like value-based care and interoperability. Key responsibilities include advising on transformation roadmaps, ensuring regulatory compliance, and collaborating with technology teams to deliver scalable solutions. This opportunity appeals to professionals seeking to drive significant business transformation within a dynamic healthcare environment. The role offers a chance to work on high-impact modernization programs while leveraging deep expertise in claims, revenue cycle, and clinical operations.

This Actuarial Analyst I role supports Pricing, Indications, and Reserving teams at USAA, focusing on delivering financial security to the military community. The position involves independently applying complex actuarial methodologies to unstructured projects, performing trend analysis, running catastrophe models, and communicating technical insights to executive leadership. Key responsibilities include identifying process improvements, leading unit initiatives, and training teammates on actuarial tools. The role appeals to candidates seeking a collaborative culture defined by integrity and service, with opportunities for professional growth through career path planning and continuing education. The position requires an in-office presence four days per week across various US locations.

This full-time Mechanical Engineer role at Rimkus focuses on providing forensic consulting and failure analysis services for insurance, legal, and industrial clients. The position involves investigating the root causes of equipment and system failures, conducting site inspections using advanced documentation tools, and preparing detailed technical reports and expert testimony. Key responsibilities include performing mechanical calculations, reviewing compliance with codes and standards, and managing client relationships. The role offers a stable environment with significant opportunities for professional growth and learning within a diverse, inclusive team. While based in Indianapolis, the position includes up to 25% travel and offers flexible work arrangements including remote options.

This full-time hybrid role combines sales and project management responsibilities within the roofing industry, based in Boise, Idaho. The position involves managing the complete sales cycle from generating leads and conducting roof inspections to closing deals and representing clients at insurance meetings. Key duties include educating homeowners on services and claims processes while utilizing CRM tools to document activities. The opportunity is appealing due to the company's investment in paid training, a clear path to leadership within a rapidly scaling organization, and a supportive yet competitive culture. The arrangement offers a mix of field and office work, with significant earning potential driven by an uncapped commission structure and performance-based incentives.

This full-time hybrid Sales Representative and Project Manager role is based in Boise, Idaho, within the Bartlett Roofing team. The position involves managing the complete sales cycle, from generating leads through door-to-door outreach and in-office activities to conducting roof inspections and representing clients at insurance meetings. Key responsibilities include educating homeowners on services and claims processes while utilizing CRM tools to document all activities. The role appeals to driven individuals seeking a clear path to leadership in a rapidly scaling company. It offers a supportive yet competitive culture with elite paid training, ongoing mentorship, and an annual all-inclusive top performers trip. The work arrangement combines field and office duties to foster autonomy and professional growth.

This full-time hybrid Sales Representative and Project Manager role is based in Spokane Valley, WA, combining field and office work for a roofing company focused on aggressive growth. The position involves generating new leads through door-to-door outreach, conducting roof inspections, and managing the entire sales cycle from initial contact to closing deals. Key responsibilities also include representing clients at insurance adjuster meetings and documenting activities in a CRM system. The role appeals to competitive individuals seeking uncapped earning potential, paid training, and a fast-track path to leadership. The company offers a performance-driven culture with elite incentives, including annual travel rewards, comprehensive benefits, and a strong emphasis on personal and professional development.

The Insurance Account Representative role supports Sherrill Insurance Agency in managing client relationships and policy administration for Fortune 500 partners. Key responsibilities include answering client inquiries regarding coverage and billing, documenting policy changes in compliance with NAIC regulations, and facilitating claim documentation between clients and adjusters. The position also involves creating competitive quotes for renewals and staying updated on industry standards to assist the broader service team. This opportunity is appealing due to its lead-based sales model which eliminates cold calling, comprehensive industry-specific training, and a mentorship program designed for professional growth. The role is based on-site within the agency environment.

This role is a Civil Litigation Associate position within a respected Pacific Northwest litigation firm, focusing on complex civil trial work. The attorney will manage cases from inception to resolution, handling matters such as medical malpractice, personal injury, and commercial disputes. Key responsibilities include conducting legal research, drafting pleadings and motions, and representing clients in depositions, mediations, and trials. The position offers a hybrid work arrangement requiring only two days in the office, promoting a healthy work-life balance. The firm is known for its collaborative culture, courtroom excellence, and commitment to professional growth, providing a supportive environment for experienced attorneys to advance their careers.

This consulting role involves a Medical Billing Specialist joining a mission-driven healthcare organization to optimize billing operations. The position requires five years of experience and focuses on managing complex billing processes, reviewing patient accounts for accuracy, and resolving discrepancies with insurance providers. Key responsibilities include handling Medicare and Medicaid claims, training staff on billing procedures, and ensuring compliance with federal regulations. The role is appealing for its opportunity to drive process improvements within a growing team and utilize extensive knowledge of healthcare coding and payer requirements. The position is structured as a consulting engagement.

This senior litigation attorney role is based within a top-ranked civil defense firm operating across California with a focus on Nevada-based candidates. The position involves managing complex civil litigation and insurance defense matters, including arguing motions and taking or defending depositions. Candidates with experience in construction or casualty claims are particularly valued. The role offers significant flexibility with options to work remotely, on-site, or in a hybrid model, provided the attorney is within driving distance of the Las Vegas office. The firm emphasizes a people-first culture that supports accelerated career growth through partner mentorships, meaningful work with high-profile clients, and a collaborative environment that prioritizes work-life balance.

This fully remote role within Zurich North America's Managed Care team seeks an experienced Registered Nurse to serve as a Sr Supplier Medical Process Specialist. The position focuses on vendor governance, requiring the candidate to manage supplier performance, conduct quality audits, and resolve complex operational escalations. Key responsibilities include analyzing operational data to identify improvement trends, leading meetings with internal partners and vendors, and supporting compliance efforts within claims and managed care operations. The role is ideal for professionals passionate about operational excellence and collaborative problem-solving. It offers the appeal of working for a globally recognized company known for its supportive culture, flexible work arrangements, and commitment to work-life balance, providing a platform for career growth within a leader in risk management.

This part-time Pharmacy Customer Service Associate role supports the pharmacy team at a Walgreens retail location in Santa Fe, New Mexico. The position involves assisting pharmacists with prescription processing, verifying medication details, and managing patient data entry while adhering to strict state and federal regulations. Key responsibilities include delivering a positive customer experience through efficient checkout and product assistance, maintaining inventory levels, and handling clerical tasks such as processing insurance claims and managing store displays. The role appeals to individuals seeking a dynamic environment where they can contribute to community health while developing professional skills through training programs and potential certification opportunities. The position requires flexibility to work evenings and weekends in a collaborative, fast-paced setting.