US National Jobs - Remote, Work from Home, Part Time & Flexible Jobs

The U.S. probably has the highest number of remote and freelance jobs in the world. Many U.S. companies, from top-ranking Fortune 500 firms, such as Apple, 3M, Intel, Cisco, and MetLife, down to entrepreneurial startups, have strong... More

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  • 100% Remote Job Full-Time Employee
    PR, or US National 
    Review and analyze all data submitted and, when necessary, initiate calls to policyholders and brokers to obtain missing information to to clarify questions to ensure proper handing on the front-end. Train and/or provide explanations to policyholders...
    Employer is a Fortune 100 Best Company to Work For Employer is a Fortune 500 Company Great Places to Work has recognized this company as a Best Workplace for Women. This company was named as one of the Best Companies to Work for in Pennsylvania.
  • 100% Remote Job Full-Time Employee
    US National 
    The individual in this position works under general supervision to complete job responsibilities in applying a fundamental knowledge of principles, practices and procedures related to the negotiation of health care claims/bills and provider agreements.
  • New! Yesterday
    100% Remote Job Full-Time Employee
    US National 
    The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary. Ensure notes, codes and appropriate closure processes for...
  • New! Yesterday
    100% Remote Job Full-Time Employee
    US National 
    This role will support our Medicare Secondary Payer (MSP) clients. This is aproduction based position where the employee is responsible to make a large number of outbound calls to insurance carriers, employers & members. The individual must be able to...
  • New! Yesterday
    100% Remote Job Full-Time Employee
    US National 
    The Operations Business Analyst II is responsible for reviewing and analyzing the effectiveness and efficiency of existing managed care claims processes and systems (Facets) and participates in the development of solutions to improve or further...
    A Training Magazine Top 125 for successful learning and development programs.
  • 100% Remote Job Full-Time Employee
    US National 
    Understand the Claims Encounter Data requirements in detail to enable one to support efforts to ensure claims data submissions achieve the required SLAs through requested changes internally and externally.
    A Training Magazine Top 125 for successful learning and development programs.
  • New! Yesterday
    100% Remote Job Full-Time Employee
    US National 
    Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in...
    Employer is a Fortune 500 Company Employer is a Forbes Global 2000 company, a ranking of the biggest, most powerful public companies in the world This employer is one of the well-respected Barron's 400 stock index
  • 100% Remote Job Full-Time Employee
    US National 
    Seeking a Senior Innovation Portfolio Strategy Professional who will play a critical role in the evolution of our innovative solutions and, more broadly, in helping Humana deliver on its well-being centered mission. They will support the oversight and...
  • New! Yesterday
    100% Remote Job Full-Time Employee
    US National 
    The Associate Actuary, Medicaid Trend Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems...
  • 100% Remote Job Full-Time Employee
    US National 
    Support various reimbursement functions, including but not limited to Intake, data entry, benefit investigations, call triage, prior authorizations, pre-determinations, and appeals support and responds to all provider account, patient, and internal...
    Employer is a Forbes Global 2000 company, a ranking of the biggest, most powerful public companies in the world This employer is ranked by Forbes as one of the World's Most Innovative Companies. A Training Magazine Top 125 for successful learning and development programs. This company was rated as one of the Best Companies to Work for in Texas.
  • New! Yesterday
    100% Remote Job Full-Time Employee
    US National 
    Complete assigned standard actuarial analysis for rate filings, legislative cost analyses, reserving, data validation, products, and research. This includes utilizing actuarial systems and programming skills to access and organize the data, performing...
  • New! Yesterday
    100% Remote Job Full-Time Employee
    US National 
    Act as project leader to produce rate filings, legislative cost analyses, reserving, data validation, products, and/or research. This includes coordinating the work of project team members, utilizing actuarial systems and programming skills to access...
  • New! Yesterday
    100% Remote Job Full-Time Employee
    US National 
    Lead significant and complex actuarial projects involving advanced actuarial knowledge, ingenuity, and creativity. Develop and manage project plans, determining appropriate methodologies and approaches, advanced actuarial analyses, coordinating the...
  • 100% Remote Job Full-Time Employee
    US National 
    Collect outstanding balances while promoting the Company's reputation for integrity. Make outgoing calls to customers with outstanding balances. Maintain an outgoing call volume consistent with the goals of the team. Answer telephone calls in phone...
  • New! Yesterday
    100% Remote Job Full-Time Employee
    US National 
    Prioritize products, features, and enhancements including short, mid, and long-term roadmaps. Create data-driven decisions and recommendations for priorities. 12+ years total work experience. Extensive experience partnering with Claims functions and...
    Employer is a Red Herring Top 100 Finalist for most innovative companies in either North America or Europe
  • 100% Remote Job Full-Time Employee
    US National 
    Screen applications based on set underwriting criteria. Contact external sales agents to obtain further info. Evaluate referral data from underwriting software. Determine the risk involved in insuring a property. Evaluate if coverage amounts are...
    Employer is a Fortune 500 Company Employer is a Forbes Global 2000 company, a ranking of the biggest, most powerful public companies in the world Employer named by Forbes and Statista as one of America's Best Employers for Diversity. A Training Magazine Top 125 for successful learning and development programs. This employer was a winner of the Best Employers for Healthy Lifestyles Awards by the National Business Group for Health. The Human Rights Campaign named this employer as one of the Best Places to Work. Company is one of the S&P 500, a leading index of public large-cap American stocks This employer is one of the well-respected Barron's 400 stock index
  • 100% Remote Job Full-Time Employee
    US National 
    Independently performs rigorous data analysis, data discovery and data profiling using industry standard querying tools to support business requirements development that are complete, clear, unambiguous, well written and appropriate to audience.
  • New! 2 days ago
    100% Remote Job Full-Time Employee
    US National 
    Responsible for assumption setting process of Employee Benefit business. Perform experience studies by extracting relevant experience data; perform reconciliations and data analysis. Apply actuarial techniques to analyze and interpret the experience...
    Employer is a Fortune 500 Company This employer is ranked as one of the World's Most Ethical Companies by Ethisphere Employer is a Forbes Global 2000 company, a ranking of the biggest, most powerful public companies in the world Employer named by Forbes and Statista as one of America's Best Employers for Diversity. The Human Rights Campaign named this employer as one of the Best Places to Work. This employer was rated a Best Company to Work for in New York.
  • New! 2 days ago
    100% Remote Job Full-Time Employee
    US National 
    5+ years of experience in healthcare, insurance or related SAAS technology leading a high-growth team dedicated to service. Ability to work independently with little management or direction on routine duties or projects, minimal general instruction...
  • 100% Remote Job Full-Time Employee
    US National 
    The Client Service Representative is accountable for providing assistance and resolution on escalated matters relating to the medical plans (membership, eligibility, claims, and other benefits related-inquires) through written and oral communication...
  • New! 2 days ago
    100% Remote Job Full-Time Employee
    US National (Not hiring in HI) 
    Code following the ICD-10-CM Official Guidelines for Coding and Reporting, AHA's Coding Clinic and well as Cotiviti and client specific coding guidelines. May have special projects that will entail a full coding review. Regularly and consistently achieve
  • 100% Remote Job Full-Time Employee
    US National 
    Investigate multiple-line claims of moderate complexity. Review the claim notice and policy to verify coverage, deductibles, and claim payee/mortgagees and confirms that the claim date falls within the coverage period. Initiates contact with insureds...
  • 100% Remote Job Full-Time Employee
    US National 
    Analyze, review, negotiate and settle commercial general liability and construction defect claims of varying complexity in a thorough manner with minimal supervision. Assist in agency management by providing feedback to Underwriting. Conduct on-site...
    A 50 Best Small & Medium Workplace by Great Places to Work and Entrepreneur. Focusing on transparency and workforce demographics, Great Places to Work considers this a Best Workplace for Millennials. Great Places to Work has recognized this company as a Best Workplace for Women.
  • 100% Remote Job Full-Time Employee
    US National 
    Provide input and monitor team goals (i.e., Objective Key Results, Key Performance Indicators, and project deliverables) ensuring the team is delivering accurate results.8+ years of experience in Pharmacy Claims Operations, including 4+ years of...
  • 100% Remote Job Full-Time Employee
    US National 
    8+ years of experience in Pharmacy Claim Operations, including 4+ years of supervisory experience. Experience applying analytical and troubleshooting skills to claims administration operations. Experience working with SQL and Excel tools.
  • 100% Remote Job Full-Time Employee
    US National 
    Defines strategy, reviews, and collaborates on the creation of OKRs (Objectives, Key, Results) and monitor progress of set goals. Accountable for Clams Operations performance quality and results for individuals and the overall team. Establish...
  • 100% Remote Job Full-Time Employee
    US National 
    Oversee the day-to-day work of the claims administration team. Validate operational procedures are followed among analysts to ensure best-in-class operational performance is maintained. Support urgent adjudication and processing issues including doing...
  • 100% Remote Job Full-Time Employee
    US National 
    You will hone your analytical, technical, and communication skills all while developing deep insurance expertise. You will work with Insurance Product Managers to help analyze and understand the data behind our product offering and solve real business...
  • New! 2 days ago
    100% Remote Job Full-Time Employee
    US National 
    Responsible and accountable for providing operational risk assessments of the fraud mitigation tools, with a strong emphasis on analysis, design, and technology associated with all aspects of fraud mitigation strategies, call queue creation, monitoring...
  • New! 2 days ago
    100% Remote Job Full-Time Freelance
    US National 
    Develop and write compelling, clear, and concise communications for organizational change initiatives, including emails, memos, intranet content, training materials, and other collateral. Collaborate with cross-functional teams to understand and...
  • New! 2 days ago
    100% Remote Job Full-Time Employee
    US National 
    Develop and execute a claim and disability management strategy for each claim to appropriately contain claim liability and provide excellent customer service. 3-5 years of progressively responsible experience working in IDI disability claims.
    Employer is a Fortune 500 Company Employer is a Forbes Global 2000 company, a ranking of the biggest, most powerful public companies in the world
  • 100% Remote Job Full-Time Employee
    US National 
    Direct day-to-day operations across merchant onboarding, risk, and payments support functions, managing and mentoring a team of payment analysts. 8+ years of experience in payment processing. Bachelor's degree in a relevant field (e.g. finance...
    Focusing on transparency and workforce demographics, Great Places to Work considers this a Best Workplace for Millennials. Great Places to Work has recognized this company as a Best Workplace for Women.
  • 100% Remote Job Full-Time Employee
    US National 
    Organize and distribute work for individuals within the team with support from the Manager. Train new team members in configuration setup and standardized quality procedures. 6+ years of experience in Pharmacy Claims Operations. Bachelor's or Master's...
  • 100% Remote Job Full-Time Employee
    US National 
    Leads the effort of monitoring, auditing & analyzing product performance to identify complex issues,recognize opportunities, make recommendations & implement measures to achieve overall profitability & growth in assigned states & line of business.
    Employer is a Fortune 500 Company Employer is a Forbes Global 2000 company, a ranking of the biggest, most powerful public companies in the world The U.S. Department of Defense recognizes this employer as a Military Spouse Employment Partner (MSEP)
  • 100% Remote Job Full-Time Employee
    AZ, CO, CT, FL, GA, IA, IL, IN, KS, MA, MI, MN, MO, NC, NJ, OK, SC, TN, TX, UT, VA, WI, or US National 
    Review Total Loss Evaluations to ensure they are accurate and all options/vehicle conditioning is taken into consideration into our evaluation. Be the point of contact for customers or attorneys in extending offers, negotiating settlements and ...
    Employer is an Inc. 500 Company
  • 100% Remote Job Full-Time Employee
    US National 
    Sales Excellence Support Associate works directly with both sales supervisors and agents providing timely feedback with notes that will ensure inside sales agents adhere to pre-defined processes and company policies. 2+ years' Medicare exp. $47.5k -$59.4k
  • 100% Remote Job Full-Time Employee
    US National 
    Position will include responsibilities to support overarching portfolio of initiatives, reporting and committee meetings as well as infrastructure assessments management, project leadership, and credit analysis responsibilities.
  • 100% Remote Job Full-Time Employee
    US National 
    Reviews and processes enrollment documents submitted by employer groups. Troubleshoots escalated and/or complex eligibility issues for immediate resolution. Responds to all written and telephone eligibility inquiries from internal (e.g. Member Services...
    Employer is a Fortune 500 Company This employer is ranked by Fortune as a company dedicated to addressing society's biggest challenges. Employer is a Forbes Global 2000 company, a ranking of the biggest, most powerful public companies in the world This employer is recognized by DiversityInc as a company with exceptional diversity-management achievements The U.S. Department of Defense recognizes this employer as a Military Spouse Employment Partner (MSEP) This employer is ranked by Fortune as one of the World's Most Admired Companies. The Human Rights Campaign named this employer as one of the Best Places to Work. This company is listed as a Top 50 Employer for Equal Opportunity by Equal Opportunity Magazines. Company is one of the S&P 500, a leading index of public large-cap American stocks This employer is one of the well-respected Barron's 400 stock index
  • 100% Remote Job Full-Time Employee
    US National 
    At least five (5) years of P&C claims experience (property claims). At least two (2) years of process design/ improvement and/or systems administration experience. Experience with program and project management (preferred). Knowledge of insurance...
  • 100% Remote Job Full-Time Employee
    US National 
    Claim process design and implementation. Ensure we are providing unparalleled Customer and Agent Experience with proper KPIs and reporting. Knowledge of insurance contracts, investigation techniques, legal requirements, and insurance regulations...
  • New! 3 days ago
    100% Remote Job Full-Time Employee
    US National 
    Design and format clinical criteria across a range of medical specialty areas that meets product specifications and retains clinical accuracy. Review healthcare policy documentation and data for discrepancies and missing information and resolve...
  • 100% Remote Job Full-Time Employee
    US National 
    Directly manage adjusters. Hire and Train new employees. Provide direction and authority on claim handling. Provide coaching and feedback. 3+ years of claims leadership experience. 10+ years of property claims experience. Strong claims coverage and...
  • 100% Remote Job Full-Time Employee
    US National 
    Embrace claim handling and estimating through the use of technology and innovative inspection methods. Perform File Reviews (process and estimating). At least five years of Property claims experience. Experience working independently.
  • New! 4 days ago
    100% Remote Job Full-Time Employee
    US National 
    Maintenance, implementation, and monitoring of our compliance program and internal policies, including our Code of Conduct, privacy policy, vendor risk management and due diligence, identity and access management, acceptable use, breach notification...
  • 100% Remote Job Full-Time Employee
    US National 
    Manage the activities of the co-sourced SOX partner, ensuring the consistent quality and timeliness of work products, and a constant focus on value and continuous improvement. Establish budgets for SOX program activities and monitor the co-sourced...
  • New! 4 days ago
    100% Remote Job Full-Time Employee
    US National 
    Serve as accessibility SME to partner with design, engineering, QA, business stakeholders to assist in interpreting WCAG guidelines. Provide accessibility audit and testing support on products and recommended solutions to remediate defects, and how...
  • 100% Remote Job Full-Time Employee
    US National 
    We are looking for an experienced Eligibility Specialist II to help us successfully launch, manage, and scale our insurance offering in the market. You will be responsible for resolving member eligibility inquiries and working across multiple departments.
  • 100% Remote Job Full-Time Employee
    US National 
    Support the WC Actuarial team in the execution of rate filings, taking ownership of key states and driving execution of pricing goals. This includes: working with partners in SC & MLC Product to develop state-specific pricing strategies. Understanding...
  • New! 4 days ago
    100% Remote Job Full-Time Employee
    US National 
    Secure and analyze information to approve, deny, manage, and track all complexities of certified and reported leaves, including federal and statutory Family Medical Leave Act (FMLA), state company specific and other leaves. Manage workflow and develop...
    Employer is a Fortune 500 Company Employer is a Forbes Global 2000 company, a ranking of the biggest, most powerful public companies in the world