Claims Adjuster I - Remote / Telecommute

Job Overview:

Pay Range: $20.75/hr - $25.75/hr

Requirement/Must Have:

  • 3+ years claims experience and complete understanding of all systems, policies and procedures.
  • High School Diploma or GED.

Responsibilities:

  • Proactively investigate and perform adjustments of claims. Ensure claims are handled within authority limits, and in line with standard procedures and guidelines.
  • Updates claims audit records by entering, verifying, and securing data.
  • Settle standard/complex claims through payment or denial.
  • Provides claims audit information and reports by collecting, analyzing, and summarizing data and trends.
  • Improves claims adjustment job knowledge by attending training sessions.

Nice to Have:

  • Medical Claims processing experience.
  • Medical Claims Adjustment experience.
  • Medical Terminology, Provider Refund.
  • Subrogation, Workers Comp.
  • Disbursements.

Skills:

  • Ability to analyze information gathered from investigation.
  • Excellent communication skills both written and verbal.
  • Ability to recognize, analyze, and solve a variety of problems.
  • Skill in completing assignments accurately with attention to detail.

Founded in 2010 and headquartered in the Washington, DC metro area, Cynet Systems Inc. is a leading staffing and recruiting powerhouse. Proudly recognized as a nationally and locally certified diversity firm, Cynet delivers agile, scalable talent solutions across industries. With an active footprint in all 50 U.S. states and Canada, we support thousands of consultants through our expansive, high-performing recruitment engine operating across North America and Asia—ensuring speed, quality, and consistency in every hire.
Back to blog

Other Jobs To Apply

Remote Airlines Job, Southwest Airlines Careers At Home @ Joblagii ( Senior Manager Technology )

Delta Airlines Remote Work From Home Jobs, Delta Airlines Work At Home Jobs @ Joblagii ( Custom[...]

Costco Customer Service Representative (Remote)

American Express Careers Remote Jobs Near Me

American Express Virtual Customer Care Jobs, Wfh American Express @ Get Dream Job

( Associate Manager ) Remote Jobs Austin, Starbucks Manager Salary @ Get Dream Job

Disney Vacation Specialist (Remote)

Client Intake – Administrative Coordinator

Data Entry / Medical Billing Work at Jobs

Netflix Remote Jobs From Home $23/Hour

Amazon Customer Service - Work From Home $16-$24/hr

Apple Work From Home Job $25/Hr

Entry Level Jobs (Work from home) Apple Jobs At Home, Apple Careers At Home, Apple Remote Job – Iceland Job ID- 605 Job ID- 2798

Remote YouTube Content Creator & Channel Manager

Data Entry Specialist (Remote - Part Time) At Netflix (No Experience/Entry Level)

Portfolio Growth Executive - Logistics (Remote 1 Day/Week)

Facilitator (Not-Remote)

Distinguished Threat Hunter at Verizon: 100% Remote (Temple Terrace, FL, Alpharetta, GA, Irving, TX, Charlotte, NC, Livingston, NJ)

Paramount is hiring: Editor Originals Adult Global Publishing in Los Angeles

Publicity Coordinator (Project Based) Job at Paramount Pictures in New York

Class A CDL Line Haul Mileage Driver (Home Daily)

Chipotle提供发展机会

Sr. Director, Regional Sales, South - Intismeran

Sr Director Engineering - Experience Platform

Remote Pro Sales Specialist (B2B Growth)

Securities and Exchange Commission Reporting Consultant at Workiva: 100% Remote (US)

Full-Stack E-commerce Developer with Sage X3 Experience

Remote Java Developer Job for Digital Health Agency (Part-time)

Sr Data Scientist, Pricing (Deep Learning & Demand Forecasting)

Inside Sales Representative (Remote - Western Region) | Yelp | Handshake

RRT Anthem Analyst

Billing Coordinator I (Healthcare Billing Specialist REMOTE)

Senior AI Solutions Architect (RapidScale) (Remote)

Writer, CNNI at Warner Bros. Discovery New York, NY

Lead Strategist Project Based

Remote Podcast Audio & Video Editor

Senior Administrative Assistant - Nike Sportswear Brand Management - Global

Corporate Process Safety Specialist at 3M: 100% Remote (Maplewood, MN, Austin, TX)

Remote Program Manager — Community & Events

ServiceNow Architect --- 100% remote --- Only W2

SAP PMMO Consultant Remote / Telecommute Jobs

Director, Security Channels (North America) - Remote

Senior Consultant - CRM Data Software

Manager II, Developer Advocacy

Online Order Representative

Vice President, Global Customer Experience & AI-Powered Support

Remote Front-End Web Developer — Impactful Contract

Senior Claims Processor – Anthem BlueCard PPO

Remote Senior Narrative Designer – Immersive IP Stories

Senior Brand Sales Director (US Remote - East Region)