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
    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 
    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.
  • 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...
  • 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 
    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 
    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...
  • 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 
    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
  • 100% Remote Job Full-Time Employee
    US National 
    Bring healthcare analytics leadership to drive engagement and treatment outcomes in various populations such as commercially insured, Medicare Advantage, Medicaid, etc. Lead data analytics serve as SME on analytic methods such as episode groupers, risk...
  • 100% Remote Job Full-Time Employee
    US National 
    As a senior liability claims adjuster on our Home & Property team, you'll ensure first-party homeowner property litigation claims are fairly and accurately investigated. In this role, you'll assess coverage, liability and damage analysis of complex...
  • 100% Remote Job Full-Time Employee
    US National 
    Seeking an organized, friendly, problem-solver who will guide customers through the most important time in the customer journey: filing an insurance claim. Responsible for helping our customers recover from the unexpected, confirming coverage, joyfully...
    Employer is an Inc. 500 Company
  • 100% Remote Job Full-Time Employee
    US National 
    Confirm coverage and manage claims and suits brought against policyholders.Interpret, analyze, and resolve coverage issues.Select and appoint legal counsel.Manage litigation with outside counsel and policyholders.Manage litigation costs, incl. fees.
    Employer is a Fortune 500 Company This employer is ranked as one of the World's Most Ethical Companies by Ethisphere Company is considered to be a Military Friendly employer by militaryfriendly.com. Employer is a Forbes Global 2000 company, a ranking of the biggest, most powerful public companies in the world This employer is ranked by Fortune as one of the World's Most Admired Companies. Employer scored very good or excellent on the Harris Reputation Quotient Survey. Company is one of the S&P 500, a leading index of public large-cap American stocks Company is one of the top 100 on the New York Stock Exchange This employer is one of the well-respected Barron's 400 stock index
  • New! 6 days ago
    100% Remote Job Full-Time Employee
    US National 
    Provide leadership and subject matter expertise on Prime's financial pricing programs. Develop analytic recommendations that directly impact financial pricing strategies, financial contract management, profit drivers and the organization's financial ...
    The Human Rights Campaign named this employer as one of the Best Places to Work. Leadership and innovation led to Achievers naming this company a Most Engaged Workplace. This employer was rated a Top Workplace in MN.
  • 100% Remote Job Full-Time Employee
    US National 
    Provide organization, direction and staffing for all assigned service calls and case load assignments to ensure all calls are answered in accordance with Health policies and procedures. Ensure assigned staff members meet or exceed the...
  • 100% Remote Job Full-Time Employee
    US National 
    Responsible for investigating and resolving coding related denials from payers, preventing lost reimbursement and promoting denial prevention. The Denials Management Coding Specialist addresses both Inpatient and Outpatient claims and serves as a...
  • 100% Remote Job Full-Time Employee
    US National 
    The primary focus of this position is to respond and act on inbound customer call inquiries received through the claims call center. This position will need to exhibit problem-resolution skills and provide information and feedback to incoming callers...
  • 100% Remote Job Full-Time Employee
    US National 
    The DP Supervisor is client-facing and oversees completion of denial prevention committee reports and summaries for assigned hospitals, leads monthly denial prevention committee meetings, liaises as primary contact for assigned client on revenue cycle...
  • Hybrid Remote Job Full-Time Employee
    US National 
    Apply effective claim management skills to plan, implement and complete the investigation of disputed claims while ensuring timely and compliant appeal resolution. 5 years of Group Disability and/or Life claims experience. Bachelor's Degree (preferred)...
    Employer is a Fortune 500 Company A Training Magazine Top 125 for successful learning and development programs. The Human Rights Campaign named this employer as one of the Best Places to Work.
  • 100% Remote Job Full-Time Employee
    US National (Not hiring in AK, HI) 
    The Sr. Manager is a high level of customer service role, managing a staff of Absence & STD specialists who work with employers, employees, and health care providers to administer an integrated Family and Medical Leave Act (FMLA) rights and...
    Employer is a Forbes Global 2000 company, a ranking of the biggest, most powerful public companies in the world This employer is a Forbes Most Sustainable Company based on performance around capital, employees, and resources. This company was named to a Canada's Top 100 Employers list for having exceptional workplaces and employee programs. The Human Rights Campaign named this employer as one of the Best Places to Work.
  • 12 days ago
    Hybrid Remote Job Full-Time Employee
    US National 
    As a Darwin Claims Analyst, you will be responsible for implementing new and updating existing benefit plan setups for Medicare, Medicaid, Commercial and Employer clients. Also, you will review client configuration requests, identify, and define their...
  • 100% Remote Job Full-Time Employee
    US National 
    Evaluate claims and transactions to identify suspicious elements to support an SIU investigation. Partner with underwriting, audit, and the claims team to determine the investigative path and document investigative findings. Perform investigations...
  • 100% Remote Job Full-Time Employee
    US National 
    Conveying a calm, caring attitude, you'll provide best-in-class service to customers while processing new claims and First Notice of Loss forms. Must be bilingual Spanish/English. Appropriate licenses or willingness to obtain licenses via company...
    Employer is a Fortune 500 Company 100 Top Companies To Watch for Remote Jobs Company is considered to be a Military Friendly employer by militaryfriendly.com. Employer named by Forbes and Statista as one of America's Best Employers for Diversity. Named a Best Workplace for Diversity by Great Places to Work, based on employee surveys about inclusion, diversity, and representation. 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.
  • 100% Remote Job Full-Time Employee
    US National 
    Serves as a subject matter expert while staying up to date on oncology regulations affecting Denial Prevention and Management practice. 5-7 years of Director Level laboratory focused revenue cycle management experience including 5 years in Claims...
  • 100% Remote Job Part-Time Employee
    US National 
    Provide clinical review of predeterminations, claims, and/or appeals by accurately reviewing radiographs and/or other diagnostic information to determine claim decision in accordance with clinical guidelines. May also include other responsibilities...
    Employer is a Fortune 500 Company A Training Magazine Top 125 for successful learning and development programs. The Human Rights Campaign named this employer as one of the Best Places to Work.
  • 100% Remote Job Full-Time Employee
    US National 
    The Medical Director provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. All work occurs with a...
  • 100% Remote Job Full-Time Employee
    US National 
    Analyze insurance policies and other documents to determine insurance coverage. Investigate and analyze claim information to determine extent of liability. Handle claims with severe complexity throughout the United States assigned under little to no...
  • 100% Remote Job Full-Time Employee
    US National 
    Follows up on claim rejections and denials to ensure appropriate reimbursement for our clients. Process assigned AR work lists provided by the manager in a timely manner. Write appeals using established guidelines to resolve claim denials with a goal...
  • 100% Remote Job Full-Time Employee
    US National 
    As a multiline representative on our national catastrophe claims team, you'll be responsible for investigating and resolving specialty lines losses resulting from catastrophic events. Day-to-day duties will involve investigating and analyzing the...
  • 100% Remote Job Full-Time Employee
    US National 
    Approve and adjust estimates of damage and loss amounts. Determines extent of company's liability. Use varying methods of investigation including taking recorded statements, consulting with police, inspecting property damage and reviewing documents.
  • 20 days ago
    100% Remote Job Full-Time Employee
    US National 
    Manage active, complex and combo claims in support of contractual obligations, time service standards, in accordance with claims methodology as well as all state and federal laws. Responsible for handling a complex case load with numerous products...
  • 100% Remote Job Full-Time Employee
    US National 
    Oversees all claims activities with established claims policy and procedures. Subject matter expert on bodily injury evaluation, internal tools, regulatory compliance & claims payment processing. Identify and assess internal trends for efficiency gains.
    Employer is an Inc. 500 Company
  • 100% Remote Job Full-Time Employee
    US National 
    The Senior Associate provides accounting support and expertise to internal and external customers and business partners for manual and automated financial transactions and policy updates. Under minimal direction, the position facilitates the resolution...
    This employer is one of the well-respected Barron's 400 stock index
  • 100% Remote Job Full-Time Employee
    US National 
    The Appeals Author will serve as an expert on appeals and denials management and will represent clients where claims were denied requiring a clinical response. The position will involve a thorough review of patient clinical and hospital documentation.
    The Human Rights Campaign named this employer as one of the Best Places to Work. This employer is one of the well-respected Barron's 400 stock index
  • 100% Remote Job Full-Time Employee
    US National 
    The Senior Data Visualization Consultant is responsible for the design, development, and delivery of visualization- based solutions. This position collaborates with business partners across client facing divisions, product/ project management...
    The Human Rights Campaign named this employer as one of the Best Places to Work. Leadership and innovation led to Achievers naming this company a Most Engaged Workplace. This employer was rated a Top Workplace in MN.