33 results for Reinsurance jobs

Reinsurance Accountant

Farmington, CT
onsite
Permanent
90000 - 105000 USD / Yearly
Reinsurance Accountant 📍 Farmington, CT - HybridPosition Type: Full Time/Permanent PositionRecruiter Contact: Sal Fiorillo - Sal.Fiorillo@RoberthalfReference: SF0013401991 I’m partnering with a well-established global insurance organization that is looking to add to their finance team. This is a great opportunity to join a collaborative finance team where you’ll gain exposure to both reinsurance accounting and global operational processes. The role reports to the AVP of Finance and is open due to internal promotions, creating strong long-term growth potential. Key Responsibilities<ul><li>Process ceded reinsurance accounting including treaty and facultative contract setup</li><li> Review weekly premium and claims calculations from the reinsurance system</li><li> Generate and review facultative billing and notices</li><li> Partner with IT on weekly/monthly ceded premium and loss calculations</li><li> Assist with monthly system close processes</li><li> Act as a system resource for global teams using the ceded reinsurance application</li><li> Support process improvements and system enhancements</li><li> Assist with audit requests and regulatory exam support</li></ul>Qualifications<ul><li>2+ years of ceded reinsurance accounting experience</li><li>Knowledge of treaty and facultative reinsurance terminology</li><li>Experience with ceded reinsurance systems/applications</li><li>Strong Excel skills </li></ul>Why This Role Stands Out<ul><li> Join a globally recognized insurance organization with strong financial backing</li><li> Exposure to international reinsurance operations</li><li> Excellent work/life balance and team culture</li><li> Clear upward mobility due to internal promotions</li><li> Strong benefits and bonus eligible! </li></ul>If you meet the minimum requirements and want to learn more about this opportunity, please email your resume to the email listed above and reference SF0013401991.All inquiries are confidential. Please note at Robert Half we never present your background to a client company without your permission.
2026-03-24T00:00:00Z

Risk Manager - Insurance

New York, NY
remote
Contract / Temporary to Hire
65 - 85 USD / Hourly
We are looking for an experienced Risk Manager with a strong background in insurance to join our team in New York, New York. This consulting position offers an exciting opportunity to oversee and optimize risk management processes across multiple coverage areas. The ideal candidate will have over 10 years of experience in risk analysis, insurance management, and organizational risk mitigation strategies. Responsibilities:• Collaborate with insurance brokers to evaluate market trends, define renewal strategies, and establish submission timelines.• Manage the collection, validation, and analysis of risk exposure data across various lines of coverage.• Conduct detailed risk assessments, monitor operational risks, and lead business continuity planning initiatives.• Perform insurance-related due diligence for merger and acquisition activities, providing actionable insights.• Review and negotiate insurance contracts and supplier agreements in partnership with Legal and Procurement teams.• Maintain accurate records of total cost of risk and oversee the budgeting process for insurance-related expenses.• Handle claims management, including addressing coverage questions and evaluating submissions for non-workers' compensation claims.• Provide support for treasury functions such as payment processing and trade confirmations during designated periods.• Oversee the issuance and management of Certificates of Insurance.• Develop cost/benefit analyses for risk mitigation strategies to build organizational alignment.
2026-03-27T00:00:00Z

Insurance Services Representative

Shrewsbury, MA
onsite
Permanent
40000 - 60000 USD / Yearly
A Banking client of ours who has an Insurance Agency in its portfolio is seeking an experienced Insurance Service Representative to support and grow our Property & Casualty insurance business. This role focuses on servicing existing clients, quoting new business, handling endorsements and renewals, and delivering exceptional member experiences. What You’ll Do<ul><li>Quote, bind, and service P&C insurance policies</li><li>Manage endorsements, renewals, billing, and registry transactions</li><li>Handle inbound calls, emails, and in-person member requests</li><li>Identify cross-sell and upsell opportunities</li><li>Partner with senior team members on remarkets and complex accounts</li><li>Meet service and turnaround standards (24–48 hours)</li></ul>
2026-03-18T00:00:00Z

P&C Reinsurance Accountant

New York, NY
onsite
Temporary
50 - 65 USD / Hourly
Our client is seeking a Property & Casualty (P&C) reinsurance accountant to help with reinsurance billing, reconciliations, and other general accounting-related tasks. The successful candidate will have direct experience in P&C reinsurance accounting and ideally experience in advising on process improvement.
2026-03-27T00:00:00Z

Underwriter

Parsippany, NJ
onsite
Permanent
80000 - 100000 USD / Yearly
We are looking for a skilled Underwriter to join our clients Workers Compensation department near Parsippany New Jersey. This role focuses on managing and growing a portfolio of Workers’ Compensation insurance while fostering strong relationships with agents and brokers. If you have a background in underwriting and thrive in a collaborative environment, this is an excellent opportunity to make an impact in a specialized insurance niche. Responsibilities:• Manage and grow a portfolio of Workers’ Compensation insurance within an assigned territory.• Develop and maintain robust relationships with agents and brokers to drive new business and ensure client retention.• Evaluate and underwrite new and renewal business in alignment with underwriting guidelines and rating standards.• Monitor risk profiles, agency performance, and industry trends to ensure the profitability of the portfolio.• Collaborate with the Underwriting Manager to assess portfolio performance and develop strategic initiatives.• Maintain accurate and compliant underwriting files, addressing notifications and resolving issues as necessary.• Utilize underwriting systems for tasks such as rating, binding, policy issuance, and servicing.• Assist in premium collections for accounts within the assigned portfolio.
2026-03-24T00:00:00Z

Insurance Coverage Attorney

Seattle, WA
onsite
Permanent
145000 - 190000 USD / Yearly
A multi-office law firm in Seattle is seeking an experienced Insurance Coverage Attorney to join their team. The salary range for the role is 145-190k base with additional structured bonus earnings on a standard billable target of 1800. The firm offers medical, dental, vision and life insurance, unlimited PTO, 401k plus company match, transportation benefits and other perks. They offer a flexible hybrid work structure, allowing attorneys to regularly work-from-home weekly if desired.
2026-03-17T00:00:00Z

Insurance Premium Specialist

Virginia Beach, VA
onsite
Temporary
20.9 - 24.2 USD / Hourly
We are looking for an experienced Insurance Premium Specialist to join our team in Virginia Beach, Virginia. In this long-term contract position, you will play a crucial role in managing insurance billing processes, ensuring accurate account reconciliation, and providing outstanding customer service. This opportunity is ideal for professionals with a strong accounting background and excellent communication skills. Responsibilities: • Process and reconcile insurance premiums to ensure accuracy and compliance with financial standards. • Communicate with customers to provide clear explanations of billing details and resolve inquiries effectively. • Perform detailed account reconciliations to maintain accurate financial records. • Collaborate with internal teams to address discrepancies and improve billing processes. • Ensure timely and accurate completion of all billing functions. • Monitor and report on account activities and discrepancies to relevant stakeholders. • Assist in maintaining accounting records and documentation for audits and compliance purposes. • Provide exceptional customer service by addressing client concerns and ensuring satisfaction. • Review and analyze financial data related to insurance premiums. • Identify opportunities for process improvements within the accounting and billing functions.
2026-03-25T00:00:00Z

Medical Insurance Collections

Denver, CO
onsite
Temporary
23 - 27 USD / Hourly
We are seeking a detail-oriented, resourceful detail oriented to join our team in an insurance and benefit verification support (collections) role. The ideal candidate will be experienced in phone-based work, insurance research, and claims investigation, with strong time management, punctuality, and independent problem-solving skills. Key Responsibilities: Spend several hours each day on the phone contacting insurers, employers, and other payers. Conduct comprehensive benefit verifications for patients and accounts. Investigate and identify root causes for unpaid or denied insurance claims; research contractual, state, and employer-specific reasons. Proactively resolve claim payment issues by working directly with payers and internal teams. Read, interpret, and apply contract language and regulatory guidelines as needed. Attend virtual meetings promptly and with cameras on, engaging professionally at all times. Track, manage, and follow up on assigned 3–5 accounts per day, ensuring thorough documentation and resolution. Use Windows 365, Microsoft Office Suite, and internal collections or insurance software for research and reporting. Handle insurance authorizations and utilize internal drives per process requirements. Respond to supervisor and leadership communications within ten minutes during business hours. Maintain strict data security protocols, including using the designated VPN (Global Protect Connect) and not downloading work applications (such as Teams) onto personal devices. Demonstrate excellent phone etiquette and customer service skills with patients, payers, and colleagues. Work may require assembling information from multiple sources to “put together the puzzle” of insurance and payment resolution. Comply with company policies on confidentiality and non-competition; candidates may not hold another job while employed with DaVita.
2026-03-23T00:00:00Z

Insurance Authorizations

Brea, CA
onsite
Temporary
23.75 - 27.5 USD / Hourly
We are looking for a skilled Prior Authorization Specialist to support healthcare operations in Brea, California. This role involves ensuring insurance approvals for medical services, diagnostic testing, and treatments, as well as maintaining compliance with payer guidelines. As a long-term contract to hire position, this opportunity offers stability and the chance to contribute to patient care in a meaningful way. Key Responsibilities:• Review clinical documentation, physician orders, and patient charts to identify insurance authorization requirements.• Submit and track prior authorization requests for treatments, medications, procedures, and diagnostic tests.• Verify insurance eligibility, benefits, and coverage details to ensure patients receive appropriate care.• Act as a liaison between insurance providers, healthcare teams, and patients to communicate authorization statuses.• Follow up on pending authorizations, addressing inquiries or resolving denials as needed.• Maintain detailed records of approvals, denials, and supporting documentation in electronic health systems.• Collaborate with clinical and scheduling teams to confirm services are authorized before they are provided.• Monitor updates to payer policies and guidelines to ensure compliance with insurance requirements.• Initiate appeals for denied authorization requests when justified.• Uphold confidentiality standards and organizational compliance in all aspects of patient care. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-27T00:00:00Z

Insurance Authorizations

Brea, CA
onsite
Temporary
23.75 - 27.5 USD / Hourly
We are looking for an experienced Prior Authorization Specialist to join our team in Brea, California. In this role, you will play a vital part in ensuring insurance approvals for medical services, procedures, and treatments, helping to streamline patient care and prevent claim denials. Key Responsibilities:• Review medical records, physician orders, and clinical documentation to identify necessary insurance authorizations.• Submit requests for prior authorization to insurance providers for procedures, medications, and diagnostic services.• Verify patient insurance coverage, benefits, and eligibility to prevent service interruptions.• Communicate authorization statuses and updates to patients, healthcare providers, and insurance companies.• Follow up on pending approvals and address issues related to payer inquiries or denials.• Maintain detailed records of authorization outcomes and required documentation within the electronic health system.• Collaborate with clinical and scheduling teams to ensure all approvals are in place before services are rendered.• Monitor insurance policies and guidelines to ensure compliance with payer requirements.• Handle appeals for denied authorization requests when necessary.• Uphold strict confidentiality standards and organizational compliance in all interactions. Benefits: Medical, Dental and Vision Insurance. 401K Retirement, Sick Time Off and Tuition Reimbursement.
2026-03-27T00:00:00Z

Insurance Referral Coordinator

Cincinnati, OH
onsite
Temporary
19 - 22 USD / Hourly
We are looking for a dedicated Insurance Referral Coordinator to join our client's team. In this role, you will play a crucial part in managing prior authorizations for prescription medications and medical services, ensuring patients receive timely and appropriate care. This is a long-term contract position within the healthcare industry, offering an excellent opportunity to contribute to patient-centered care. Responsibilities:• Review and gather necessary documentation, including medical records and physician recommendations, to support prior authorization requests.• Submit and track authorization requests with insurance providers, ensuring timely approvals for prescribed medications and medical services.• Communicate effectively with patients, healthcare providers, and insurance representatives to address authorization-related issues and facilitate resolutions.• Monitor and update the status of authorization requests, notifying healthcare teams about approvals, denials, or pending cases.• Stay informed about insurance policies and regulations to enhance efficiency and compliance in the authorization process.• Analyze trends in insurance denials and collaborate with teams to resolve escalations, appeals, or resubmissions.• Maintain accurate and secure records of authorization activities in compliance with healthcare guidelines.• Provide support in identifying process improvements to streamline prior authorization workflows.
2026-03-25T00:00:00Z

Insurance Referral Coordinator

Kingsburg, CA
onsite
Temporary
19 - 23 USD / Hourly
We are looking for a dedicated Insurance Referral Coordinator to join our team in Kingsburg, California. This role focuses on supporting patients with referrals, pre-authorizations, and guiding them through the process to ensure high-quality care. As this is a long-term contract position, you will have the opportunity to make a meaningful impact on patient satisfaction and healthcare coordination. Responsibilities: • Facilitate the referral process by assisting patients with completing necessary documentation and addressing any related inquiries. • Coordinate and verify insurance referrals to ensure proper authorization and compliance with healthcare policies. • Schedule and confirm patient appointments while maintaining accurate records in the system. • Educate patients on referral processes and pre-authorization requirements to provide clarity and enhance their experience. • Collaborate with healthcare providers to process referrals efficiently and ensure timely patient care. • Maintain up-to-date patient medical records and ensure the accurate documentation of referral details. • Monitor referral statuses and follow up with patients and providers when necessary. • Support patients by checking them in and addressing any concerns related to insurance or appointments. • Review and verify referral authorization details to ensure alignment with healthcare standards. • Assist in coordinating care between patients and providers to optimize service delivery.
2026-03-25T00:00:00Z

Insurance Referral Coordinator

Oakland, CA
onsite
Temporary
23.75 - 26 USD / Hourly
We are looking for 10 dedicated Insurance Referral Coordinators to join our healthcare client in Oakland, California. In this is a 3–4-month contract role, you will play a vital part in ensuring seamless coordination of patient care by managing insurance referrals and related administrative tasks. This position offers an excellent opportunity to grow within the healthcare industry while working in a collaborative and dynamic environment. Responsibilities:• Coordinate referral appointments for patients, ensuring all necessary details are accurately documented.• Maintain and update patient records to reflect referral and insurance information.• Verify insurance eligibility and benefits to support patient care processes.• Obtain prior authorizations for referrals and procedures as required.• Make outbound calls to patients and providers, with an average of 60+ calls daily.• Provide administrative support to the healthcare team, ensuring efficient workflow.• Deliver exceptional customer service to patients and providers, addressing inquiries promptly.• Collaborate with colleagues to streamline referral generation and authorization processes. Scope of Assignment<ul><li>Focus exclusively on scheduling external referrals currently pending (approximately 2,500 referrals).</li><li>Contact specialty offices to secure appointments.</li><li>Document scheduling activity accurately in the EMR system and Transportation Calendar.</li><li>Collaborate with internal teams to ensure referral progression.</li></ul> Productivity Expectations<ul><li>GOAL: Schedule of 30 appointments per day.</li><li>Meet or exceed daily outreach and documentation targets.</li><li>Contribute to measurable reduction of referral backlog within the 90-day assignment period.</li><li>Maintain accuracy and timeliness in documentation to support regulatory compliance.</li></ul>If you are interested in this role please apply today and call us at (510) 470-7450
2026-03-24T00:00:00Z

Risk Manager

Philadelphia, PA
onsite
Permanent
180000 - 200000 USD / Yearly
Robert Half is looking for an accomplished Risk Manager to join our team in the Philadelphia area. This role is pivotal in guiding the organization’s risk management strategy, ensuring compliance with regulatory standards, and addressing potential credit, fraud, and operational risks. The ideal candidate will bring extensive leadership experience and expertise in building robust risk frameworks within the financial services industry. Responsibilities:<ul><li>Develop and implement a comprehensive enterprise risk management framework that aligns with organizational goals and regulatory requirements.</li><li>Evaluate and manage significant risks related to credit, fraud, and operations, ensuring effective mitigation strategies are in place.</li><li>Lead the creation and execution of risk policies, controls, and advanced methodologies such as stress testing and scenario analysis.</li><li>Provide strategic advice to senior leadership and the board regarding risk exposure, emerging threats, and mitigation plans.</li><li>Supervise and coordinate the activities of teams focused on credit, fraud, and operational risks to ensure seamless collaboration.</li><li>Ensure compliance with regulatory standards while preparing detailed risk reports for executive leadership and the board.</li></ul>
2026-03-06T00:00:00Z

Risk Manager

Irvine, CA
onsite
Temporary
70 - 100 USD / Hourly
We are looking for a highly skilled Risk Manager with extensive experience in financial services to join our team on a long-term contract basis. This role is based in Irvine, California, and involves working on strategic enterprise risk management initiatives, due diligence processes, and data analysis to support regulatory compliance and business objectives. The ideal candidate will bring expertise in risk management frameworks and consumer lending, along with a proactive approach to problem-solving. Responsibilities: • Evaluate and optimize the enterprise risk management framework, ensuring functionality and identifying areas for improvement. • Perform detailed due diligence, including managing trust center operations and assigning roles within the team. • Analyze existing standard reports and dissect data sets to verify accuracy and reliability. • Collaborate with stakeholders to produce audit reports by gathering and structuring relevant data. • Support regulatory audit examinations by providing insights and documentation to meet compliance standards. • Apply auditing skills to reassess and enhance risk management practices across the organization. • Develop and implement risk management strategies tailored to enterprise-level needs. • Utilize data science techniques to extract actionable insights from complex data sets. • Ensure that consumer lending practices align with regulatory requirements and organizational risk policies. • Communicate findings and recommendations effectively to senior management and relevant teams.
2026-03-27T00:00:00Z

Medical Reimbursement Specialist

Weymouth, MA
onsite
Temporary
23.75 - 27.5 USD / Hourly
We are looking for a skilled Medical Reimbursement Specialist to join our team on a long-term contract basis in South Weymouth, Massachusetts. In this role, you will play a vital part in supporting hospital financial operations by analyzing reimbursement processes, maintaining accurate records, and ensuring compliance with regulatory standards. This position requires a strong background in hospital billing, revenue analysis, and financial reporting. Responsibilities: • Analyze monthly revenue performance against budget and investigate variances related to reimbursement, volume, and charges. • Prepare and post journal entries for contractual allowances in Accounts Receivable, ensuring accurate reconciliations. • Collaborate with finance and departmental teams to develop and support the annual hospital budget. • Assist in the creation of presentations for hospital leadership, providing insights into financial performance. • Direct the preparation and filing of third-party cost reports and regulatory documentation. • Support annual audits by preparing necessary financial data and ensuring compliance with audit standards. • Extract and analyze data from systems such as Experian and Strata to assist in budgeting, forecasting, and productivity modeling. • Identify opportunities to streamline processes and implement improvements to enhance operational efficiency. • Maintain detailed records and reserves for contractual allowances to ensure financial accuracy.
2026-03-27T00:00:00Z

Insurance Defense Attorney

Edina, MN
onsite
Permanent
140000 - 170000 USD / Yearly
Well-established law firm in the SW metro is looking to add an experienced Insurance Defense Attorney. This attorney will step into active cases and work directly with insurers and long-standing clients from day one, with the opportunity to build their own client relationships over time. The firm is seeking someone with at least 5 years of insurance defense or other transferable defense-side litigation experience who wants to continue growing their practice. This is a partner-track role with a reasonable billable requirement and a clear path to building your own client base within a supportive, respected firm. A book of business is not required. Key Responsibilities<ul><li>Manage an active litigation caseload from intake through resolution and trial</li><li>Handle all aspects of discovery, depositions, motion practice, hearings, mediations, and trials</li><li>Evaluate cases and develop litigation strategy in partnership with clients and carriers</li><li>Draft pleadings, briefs, motions, and other litigation documents</li><li>Conduct legal research and prepare substantive written work product</li><li>Communicate effectively with clients, adjusters, opposing counsel, and internal team members</li><li>Represent clients in court for hearings, arbitrations, and trials</li><li>Participate in settlement discussions and mediation</li></ul>
2026-03-03T00:00:00Z

Reimbursement Consultant

Dallas, TX
onsite
Permanent
0 - 0 USD / Yearly
We are looking for a Reimbursement Consultant to join our team in Dallas, Texas. In this role, you will provide expertise in Medicare and Medicaid healthcare reimbursement, supporting clients with compliance and cost reporting. This position offers the opportunity to work on diverse consulting projects within the healthcare industry while collaborating with clients to ensure accuracy and efficiency. Responsibilities: • Acquire and apply specialized knowledge in Medicare and Medicaid healthcare reimbursement consulting and compliance. • Prepare, review, and analyze cost reports for a portfolio of hospitals, ensuring compliance with regulatory requirements. • Develop detailed workpapers that document the process of compiling client-provided information into prescribed Medicare and Medicaid formats. • Perform thorough data collection and analysis using cost reporting data and other financial information provided by clients. • Participate in various reimbursement consulting projects, including Medicare Disproportionate Share, Medicare Bad Debts, Medicaid Disproportionate Share, Worksheet S-10, Medicare Wage Index reviews, and Occupational Mix surveys. • Communicate effectively with clients to gather necessary information and address project-related inquiries. • Ensure accuracy and adherence to healthcare reimbursement guidelines in all deliverables. • Collaborate with team members to meet project deadlines and maintain high-quality standards.
2026-03-04T00:00:00Z

Claims Adjuster

Charlotte, NC
onsite
Permanent
65000 - 90000 USD / Yearly
ESSENTIAL FUNCTIONS: 1. Handle workers’ compensation claims caseload from inception to final settlement involving the following: 2. Original set up of claim. 3. Responsible for performing a factual investigation of claim. 4. Set reserves and determine compensability. 5. Communicating daily with claimants, medical personnel, and representatives from housing authorities for updates. 6. Pay weekly lost time claims and medical bills. 7. Assign rehabilitation referrals and legal representation as needed. 8. Coordinate with nurse case managers, vocational counselors, attorneys, and professional surveillance services to bring claims to a conclusion. 9. Update claims information into Riskmaster Claim’s System to include medical notes and daily activity. 10. Transmit medical bills to bill review vendor, scan, and attach medical bills to claim. 11. File all claims documentation into paper file. 12. Preparing of all required IC forms. 13. Subrogation against third parties. 14. Attend IC hearings or mediations, if required. 15. Settle claims within established dollar authority - $50,000 (settlement/reserve authority established by management). All claims above settlement authority are approved by CEO or CFO. 16. Notify reinsurer of claims that fall under reinsurance category. 17. Closure of claim (and all items necessary for closure, i.e., payment, forms, hard copy of file). 18. Transmit Medicare Secondary Payer through ISO Navigator. 19. Provide status of claims at staff meetings and board meetings when requested. 20. Attend educational seminars, safety seminars, and classes as assigned. 21. Perform “Special Project” work when requested by Management. 22. Assist with the daily operations of the office.
2026-03-17T00:00:00Z

Medical Billing

Bethesda, MD
onsite
Temporary
23 - 23 USD / Hourly
A Healthcare organization is seeking a medical billing specialist to work in their Bethesda office. <ul><li>Make outbound collections calls to patients.</li><li>Calls will be made based on the aging report</li><li>The role will be patient focused role.</li></ul>
2026-03-26T00:00:00Z

Medical Billing

Eugene, OR
onsite
Temporary
23 - 30 USD / Hourly
We are seeking a detail-oriented and motivated professional to join our team as a Medical Biller. In this role, you will contribute to the smooth and efficient handling of billing processes. The ideal candidate will possess strong organizational skills and thrive in a fast-paced setting.Responsibilities:<ul><li>Accurately process medical billing and claims submissions.</li><li>Monitor and follow up on outstanding payments or claims.</li><li>Assist in resolving billing discrepancies and issues.</li><li>Maintain well-organized records and documentation.</li><li>Work collaboratively with internal teams to ensure adherence to procedures and compliance standards.</li></ul>
2026-03-18T00:00:00Z

Medical Billing

Bethesda, MD
onsite
Temporary
20 - 22 USD / Hourly
A Healthcare organization is seeking a medical billing specialist to work in their Bethesda office. <ul><li>Make outbound collections calls to patients.</li><li>Calls will be made based on the aging report</li><li>The role will be patient focused role. </li></ul>
2026-03-09T00:00:00Z

Insurance Follow Up Specialist/Charge Entry

Hoffman Estates, IL
onsite
Temporary
19.95 - 21 USD / Hourly
We are looking for a detail-oriented Insurance Follow Up Specialist/Charge Entry expert to join our team in Hoffman Estates, Illinois. In this role, you will play a key part in ensuring accurate data entry and charge processing for radiology services while maintaining a high standard of conduct. This is a long-term contract position designed for individuals with strong organizational skills and expertise in electronic medical records. Responsibilities: • Perform accurate data entry tasks, including patient registration, demographic updates, and insurance information input. • Process radiology charge entries with precision and verify the accuracy of all submitted batches. • Reconcile completed batches to ensure audit compliance before moving on to the next assignment. • Post charges promptly and efficiently, adhering to established protocols. • Coordinate with relevant teams to resolve discrepancies or errors in data entry. • Utilize electronic medical records (EMR) systems to manage and update patient information. • Demonstrate a high standard of conduct while interacting with patients and team members. • Ensure compliance with organizational standards and procedures throughout the charge entry process. • Identify opportunities for process improvements and contribute to operational efficiency. • Handle sensitive patient information with utmost confidentiality and security.
2026-03-24T00:00:00Z

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