7 results for Claims Adjuster Trainee Remote jobs

Workers’ Compensation Claims Adjuster

Saint Paul, MN
remote
Temporary
33 - 45 USD / Hourly
We are looking for a skilled Workers’ Compensation Claims Adjuster to help our client tackle an influx of work. In this contract role, you will support claims management processes, ensuring compliance with legal and regulatory standards while collaborating with various stakeholders. This position requires an individual with a strong background in workers’ compensation claims and litigation and keen attention to detail. Responsibilities:• Handle complex workers’ compensation claims, conducting investigations, evaluating cases, and negotiating resolutions.• Assess compensability, calculate benefits, and approve payments in compliance with applicable laws and company guidelines.• Collaborate with attorneys, medical providers, and internal teams to develop treatment plans, return-to-work programs, and settlement strategies.• Maintain thorough case documentation in the claims management system and ensure timely reporting to meet regulatory standards.• Represent the organization in mediations, settlement conferences, and hearings, often working with external counsel.• Identify opportunities for cost savings, early intervention, and fraud prevention in claim handling.
2026-04-03T00:00:00Z

Medical Claims Auditor

Emeryville, CA
remote
Temporary
39.5865 - 45.837 USD / Hourly
We are looking for an experienced Medical Claims Auditor to join our team in Emeryville, California. In this long-term contract position, you will play a pivotal role in ensuring the accuracy and compliance of medical claims while also serving as a trainer to enhance team knowledge and performance. If you have a strong background in medical coding, auditing, and training, this opportunity is ideal for you. Responsibilities:• Conduct detailed audits of paid, pending, and denied medical claims to ensure proper coding, adherence to benefit rules, and compliance with state and federal regulations, including the California Knox-Keene Act and Medi-Cal.• Design and deliver comprehensive training programs for Claims Examiners, focusing on workflows, updated policies, and emerging technologies.• Investigate complex claim issues, including provider disputes and appeals, and identify trends to propose effective corrective actions.• Compile and maintain detailed statistical and quality reports, presenting audit findings and staff performance metrics to management.• Stay informed about federal and state billing laws, including Medicare guidelines, to ensure compliance during health plan audits.• Collaborate with team members to resolve discrepancies and implement efficient claims processing practices.• Assist in the development of new audit procedures and quality control measures to continuously improve operations.• Provide subject matter expertise in medical coding standards, including ICD-10 and CPT codes, to support organizational goals.• Contribute to special projects and initiatives as needed to enhance claims auditing and training functions. If you are interested in this role please apply Now for immediate consideration.
2026-03-24T00:00:00Z

Applicants' Workers' Compensation Attorney

Novato, CA
remote
Permanent
120000 - 165000 USD / Yearly
We are in search of a dedicated Applicants' side Workers' Compensation Attorney to join our team. This role plays a vital part in our legal industry by representing injured workers in their workers' compensation claims. The firm offers remote flexibility throughout California. Responsibilities:• Advocate for injured workers in their compensation claims• Manage a full caseload of claims through various stages of litigation • Use your knowledge of Workers Compensation and Civil Litigation to build strong cases• Utilize Case Management Software and Adobe Acrobat for document management and organization • Handle claim administration and complaint handling with detail-oriented and empathetic approach• Employ your Spanish Translation skills when necessary to ensure clear communication with all clients • Leverage your knowledge of Personal Injury Plaintiffs in the handling of cases
2026-03-12T00:00:00Z

Medical Insurance Claims Specialist

Boise, ID
remote
Temporary
15 - 16 USD / Hourly
We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of claims processing within the healthcare industry. Working remotely but closely with the team based in San Diego, California, you will help support better financial and member outcomes while contributing to a collaborative and fast-paced environment. NOTE: (Only for Idaho Residents) Responsibilities:• Conduct audits of pre-lag reports to verify accuracy, completeness, and compliance with established turnaround times.• Investigate and resolve member out-of-pocket concerns to ensure proper claims adjustments.• Monitor daily pre-lag reports for assigned regions and escalate compliance issues as needed.• Analyze daily, weekly, and check-run reports for assigned IPAs to identify potential errors or inconsistencies.• Notify management promptly about compliance concerns related to claims payment timelines.• Perform quality reviews of claims processes to ensure adherence to organizational standards.• Collaborate with team members to identify trends and root causes of recurring issues.• Assist with benefit interpretation and claims adjustments using EZCap or similar platforms.• Maintain documentation and provide detailed audit reports to support continuous improvement initiatives.• Support the implementation of quality measures and compliance protocols within claims operations.
2026-03-25T00:00:00Z

Medical Insurance Claims Specialist

Albuquerque, NM
remote
Temporary
15 - 16 USD / Hourly
We are looking for a detail-oriented Medical Insurance Claims Specialist to join our team on a long-term contract basis. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of claims processing within the healthcare industry. Working remotely but closely with the team based in San Diego, California, you will help support better financial and member outcomes while contributing to a collaborative and fast-paced environment. NOTE: (Only for New Mexico Residents) Responsibilities:• Conduct audits of pre-lag reports to verify accuracy, completeness, and compliance with established turnaround times.• Investigate and resolve member out-of-pocket concerns to ensure proper claims adjustments.• Monitor daily pre-lag reports for assigned regions and escalate compliance issues as needed.• Analyze daily, weekly, and check-run reports for assigned IPAs to identify potential errors or inconsistencies.• Notify management promptly about compliance concerns related to claims payment timelines.• Perform quality reviews of claims processes to ensure adherence to organizational standards.• Collaborate with team members to identify trends and root causes of recurring issues.• Assist with benefit interpretation and claims adjustments using EZCap or similar platforms.• Maintain documentation and provide detailed audit reports to support continuous improvement initiatives.• Support the implementation of quality measures and compliance protocols within claims operations.
2026-03-26T00:00:00Z

Plaintiff Personal Injury Attorney

Brentwood, CA
remote
Permanent
150000 - 200000 USD / Yearly
We are looking for a skilled Plaintiff Personal Injury Attorney with a strong background in litigation to join our team in Brentwood, California. The ideal candidate will have extensive experience handling personal injury cases and be ready to take on responsibilities independently without requiring close supervision. This is an exciting opportunity for a motivated, detail-oriented individual to contribute to a dynamic legal practice. Responsibilities: • Conduct depositions and skillfully defend clients during legal proceedings. • Represent clients at case management conferences and ensure accurate documentation. • Collaborate with opposing counsel through meet and confer sessions to move cases forward. • Draft and file motions, ensuring compliance with court requirements and deadlines. • Finalize complaints and other legal documents with precision and attention to detail. • Manage discovery processes, including reviewing evidence and preparing responses. • Provide strategic guidance and legal advice to clients throughout the litigation process. • Prepare briefs and other legal materials necessary for successful case outcomes. • Ensure all aspects of plaintiff-side litigation are handled effectively and with attention to detail.
2026-03-09T00:00:00Z

Sr. Claims Specialist

Chicago, IL
remote
Temporary
25 - 40 USD / Hourly
We are looking for a fully remote Senior Workers’ Compensation Claims Specialist to assist our client with a long-term project. Candidates must hold a valid New York adjuster's license. This person will be responsible for managing a complex caseload of workers’ compensation claims from inception through resolution. This role ensures compliance with applicable laws and regulations, delivers excellent customer service, and works closely with internal stakeholders, injured employees, medical providers, and legal counsel to facilitate timely and cost-effective claim outcomes.Key Responsibilities<ul><li>Manage a portfolio of high-exposure and complex workers’ compensation claims, including litigated cases.</li><li>Investigate claims by reviewing reports, medical records, and conducting interviews to determine compensability.</li><li>Ensure timely and accurate claim adjudication in accordance with state laws and company guidelines.</li><li>Develop and execute claim strategies, including reserve setting and ongoing reserve adjustments.</li><li>Coordinate with medical providers, rehabilitation specialists, and case managers to support return-to-work initiatives.</li><li>Monitor and manage litigation, working closely with defense attorneys and attending hearings, mediations, and depositions as needed.</li><li>Communicate regularly with injured employees, employers, brokers, and other stakeholders regarding claim status.</li></ul>
2026-03-25T00:00:00Z