Claims Adjudication Jobs

HealthAxis is hiring a Claims Specialist in Tampa to adjudicate Medicare claims, enforce compliance, and deliver timely, high-quality service to members and providers.

Protective Asset Protection seeks a remote Automotive Claims Adjuster II to adjudicate extended warranty claims and provide professional, high-quality customer service.

Oscar Health is hiring a remote Payment Integrity Associate to lead Coordination of Benefits efforts and strengthen claims adjudication through deep claims platform and coding expertise.

Work remotely with Sutherland as a Provider Data/Credentialing Specialist, performing provider data entry and credentialing tasks while supporting customers by phone, email and chat.

Centene seeks a meticulous Claims Quality Auditor to perform pre- and post-payment claim audits, identify payment errors, and drive corrective actions for a large, nationally diversified health plan.

Experienced clinical support professional needed to handle pre-authorizations, claims inquiries, member/provider education, and dispute support for PEHP’s member-focused benefits services.

Join Meijer Pharmacy in Algonquin as an entry-level Pharmacy Tech to support prescription processing, inventory, and customer care in a community-focused, family-owned retailer.

Experienced reimbursement professional needed to manage payer contract modeling, Epic contract builds, and reimbursement analytics at a top-ranked regional hospital in Buckeye Lake, OH.

Experienced dental-network recruiter needed to grow and maintain Delta Dental government provider networks through outreach, relationship-building, and provider education in a fully remote role.

Provide remote provider credentialing and claims support for a leading BPO, delivering accurate data entry and high-quality customer service for healthcare clients.

St. Luke's Health Plan is hiring a Senior Pharmacy Benefits Specialist to handle escalated PBM issues, manage prior authorizations and appeals, and mentor pharmacy benefits team members.

Lead PHP's Claims and Encounters operations to deliver automation-driven efficiency, encounter completeness and high-quality claims processing across Commercial, Medicare and Medicaid lines.

Experienced SYNON/COOL 2E developer needed to enhance and support RxCLAIM adjudication logic and integrations for a global technology consultancy working with healthcare PBM clients.

Arbital Health seeks a seasoned Consulting Actuary to lead actuarial engagements, translate complex claims data into actionable insights, and partner with clients and engineering to scale value-based care solutions.