insurance Archives - Jobs For Work from home Moms

Remote Medical Coding Auditor with Humana

12Feb

By Working MomNo Comments

Remote Medical Coding Auditor with Humana

Role Overview A well-known healthcare company, Humana, is seeking a Medical Coding Auditor to review and validate medical claims for accuracy and compliance with coding guidelines such as ICD-10-CM, CPT, and HCPCS. Working remotely and full time, this professional will verify the alignment of codes with clinical documentation, identify appropriate claim payment procedures, and support the accuracy of provider contract payments. The individual in this position will also conduct peer reviews, respond to internal queries for medical information, and follow established protocols to ensure data integrity. Qualifications and Requirements CPC, COC, CCS, ROCC, RHIA, or RHIT certification with at least 3 years of post-certification experience Minimum of 3 years of recent experience in Out...

Remote Customer Service Associate III with Allstate

Role Overview The Customer Service Associate III is responsible for addressing moderate to complex inquiries related to insurance policies and billing. The position involves handling inbound and outbound calls, chats, emails, and other forms of communication, as well as processing policy changes and documenting customer requests. Team members are expected to maintain current knowledge of marketing campaigns and insurance documentation procedures while providing clear and accurate information to both internal and external customers. The role is fully remote for candidates residing within the specified country, with work schedules that include weekday shifts and occasional Saturdays. Qualifications and Requirements Education: High School Diploma or GED is preferred; equivalent combina...

Experienced Desk Adjuster – Remote (Sedgwick)

Job Title Role Overview The Experienced Desk Adjuster is responsible for reviewing and resolving property, auto, and casualty insurance claims in a remote, part-time capacity. Primary duties include investigating claims, confirming policy coverage, collecting relevant documentation, assessing damages, and negotiating settlements. This position may also require consulting legal teams and attending litigation proceedings when necessary. Qualifications and Requirements Education & Licensing: High school diploma or GED, along with a valid state adjuster license. Experience: A minimum of three years of property claims adjusting experience is preferred. Skills & Knowledge: Proficient in Microsoft Office Strong oral and written communication skills Att...