Loading...
Loading...
Himalayas
About usHimalayas PlusCommunityTech stackEmployee benefitsTerms and conditionsPrivacy policyContact usFor job seekers
Create your profileBrowse remote jobsDiscover remote companiesJob description keyword finderRemote work adviceCareer guidesJob application trackerAI resume builderResume examples and templatesAI cover letter generatorCover letter examplesAI headshot generatorAI interview prepInterview questions and answersAI interview answer generatorAI career coachFree resume builderResume summary generatorResume bullet points generatorResume skills section generator© 2025 Himalayas. All rights reserved. Built with Untitled UI. Logos provided by Logo.dev. Voice powered by Elevenlabs Grants
Join the remote work revolution
Join over 100,000 job seekers who get tailored alerts and access to top recruiters.
Discover remote Claims Resolution Specialist workers who are looking for their next full-time, part-time or freelance opportunity.
Create a company profile to connect with top remote employees.
Find highly qualified candidates
Promote your company values
Browse beyond traditional resumes
Explore competitive salary expectations
Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!

Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!

Create a company profile to connect with top remote employees.
Find highly qualified candidates
Promote your company values
Browse beyond traditional resumes
Explore competitive salary expectations
Filter by visa requirements
Filter by visa requirements
Operations and claims professional driving process improvement and data-informed negotiations.
Experience
Claims Specialist II
Nationwide Insurance
Feb 2022 - Present (3 years 9 months)
Senior Business Support Specialist
University of Missouri
Sep 2019 - Feb 2022 (2 years 5 months)
Finance Specialist
City of Columbia
Mar 2019 - Sep 2019 (6 months)
Distribution Specialist
Taylor Tool Works
Aug 2017 - Sep 2019 (2 years 1 month)
Detail-oriented Insurance & Healthcare Claims Specialist with 10+ years experience.
Experience
Medical Claims Representative
Progressive Insurance
Feb 2022 - Present (3 years 9 months)
Benefits Specialist Assistant
RiskPoint Insurance Advisors
Feb 2021 - Present (4 years 9 months)
Experienced fraud and claims analyst specializing in dispute resolution and chargeback management.
Experience
Senior Fraud and Claims Representative
Wells Fargo EGS, LLC
Feb 2024 - Present (1 year 9 months)
Fraud and Claims Representative
Wells Fargo EGS, LLC
Mar 2022 - Jan 2024 (1 year 10 months)
Dispute Analyst
Healthcare administrator with 7+ years' experience optimizing claims, reducing denials, and improving patient satisfaction.
Experience
Claims & Reception In-Charge
Om Sai Pathibhara Hospital
Jan 2019 - Present (6 years 10 months)
Claims In-Charge
Provincial Hospital
Jan 2018 - Dec 2023 (5 years 11 months)
Dynamic legal professional with extensive experience in claims negotiation.
Experience
Contractor
Outlier
Dec 2024 - Present (11 months)
Claims Negotiator
A, C, & E Group of Companies
Sep 2024 - Present (1 year 2 months)
Legal Counsel
Detail-oriented medical provider service associate with extensive claims experience.
Experience
Claims Specialist
Park Nicollet Methodist Hospital
May 2024 - Present (1 year 6 months)
Revenue Recovery Specialist
Knowtion Health
Apr 2019 - May 2024 (5 years 1 month)
Transportation Service Coordinator
Detail-oriented Trucking Claims Specialist with strong analytical skills.
Experience
Trucking Claims Agent
LoadSure Technologies
May 2023 - Present (2 years 6 months)
Claims Processor – Trucking Division
Mamba Express (TCG)
Jun 2022 - Apr 2023 (10 months)
Claims Coordinator – Fleet Services
FleetNet America / ArcBest
Apr 2021 - May 2022 (1 year 1 month)
Customer experience advocate driving satisfaction, retention, and process improvements.
Experience
Customer Experience Advocate
Everise
Jan 2022 - Jan 2024 (2 years)
Claims Resolution Specialist
Direct Auto Insurance
Jan 2018 - Jan 2021 (3 years)
Customer Service Representative
Jimco
Jan 2016 - Jan 2017 (1 year)
Account receivable specialist improving healthcare cash flow through claims resolution.
Experience
Account Receivable Specialist
Guidehouse
Nov 2022 - Present (3 years)
Create the perfect cover letter in seconds with AI.
Himalayas
Sponsored
Instantly generate a tailored cover letter with Himalayas Plus and land your next interview sooner.
The best AI cover letter generator
Generating your first cover letter is FREE, no credit card required
Experienced property and casualty claims adjuster with strong virtual and field expertise.
Experience
Senior Desk Reviewer
Genpact
Sep 2022 - Jan 2025 (2 years 4 months)
Claims Adjuster
CRU
Feb 2022 - Aug 2022 (6 months)
Claims Adjuster / QA File Reviewer
CNC Catastrophe & National Claims
Oct 2018 - Jan 2022 (3 years 3 months)
Experienced claims adjuster with nine years in liability, PIP, and commercial claims recovery.
Experience
Personal Injury Adjuster
GEICO
Oct 2024 - Present (1 year 1 month)
Arbitration Adjuster
GEICO
Sep 2023 - Oct 2024 (1 year 1 month)
Liability Adjuster
Experienced claims adjuster skilled in negotiation, investigation, and customer-focused resolution.
Experience
Claims Adjuster
USAA Insurance
Jun 1998 - May 2024 (25 years 11 months)
Detail-oriented claims specialist with strong negotiation skills.
Experience
Speciality Claims Responsibility
Crawford and Company-Allstate
Jul 2023 - Present (2 years 4 months)
Supplement CVE
Crawford and Company-Allstate
Jul 2023 - Present (2 years 4 months)
Detail-oriented medical billing specialist with proven results in claims management.
Experience
Medical Billing Specialist
MDTech
Jan 2022 - Present (3 years 10 months)
Medical Billing & Coding Specialist
Atlantic Health System
Aug 2019 - Jan 2022 (2 years 5 months)
Med Billing Specialist
MedSource Consultants
Jun 2018 - Aug 2019 (1 year 2 months)
I am a seasoned appeals and grievances coordinator specializing in healthcare claims accuracy and provider and member relations.
Experience
Appeals and Grievance Coordinator
Optum
Sep 2020 - Present (5 years 2 months)
Medicaid Claims Examiner (Lead)
MVP Healthcare
May 2017 - Mar 2020 (2 years 10 months)
Patient Relations Lead
ENT and Allergy Associates
Experienced Dispute Specialist with a focus on chargebacks and resolutions.
Experience
Disputes Combined Manager
Alorica
May 2024 - Present (1 year 6 months)
Disputes Combined Subject Matter Expert
Alorica
Apr 2024 - May 2024 (1 month)
Representment & Reassertion Specialist
Alorica
Jan 2020 - Apr 2024 (4 years 3 months)
Experienced Claims Specialist with expertise in US medical billing.
Experience
Sr Claims Specialist
TruPerformance Services
May 2022 - Feb 2025 (2 years 9 months)
Senior AR
Credence Resource Management Pvt Ltd
Mar 2021 - May 2022 (1 year 2 months)
I am an insurance specialist and claims adjuster delivering timely, accurate claim resolutions.
Experience
Administrative Support
Express Employment
Nov 2023 - Jun 2024 (7 months)
Experienced claims and benefits specialist with strong finance and HR skills.
Experience
Claims and Benefits Specialist II
Accolade Inc
Jun 2024 - Present (1 year 5 months)
Claims and Benefits Specialist I
Accolade Inc
Apr 2023 - Jun 2024 (1 year 2 months)
Finance & Administrative Officer
Enthusiastic claims adjuster with strong negotiation and problem-solving skills.
Experience
Customer Service Representative
Continuum Global Solution
Nov 2020 - Present (5 years)
Customer Service Representative (1)
Maximus
Customer Service Representative (2)
Compliance Specialist
Oregon Employment Department
Sep 2020 - Present (5 years 2 months)
Office Manager / Executive Assistant
Mid Valley Auto Wholesale
Jan 2010 - Present (15 years 10 months)
Ubiquity Global Services
Sep 2019 - Mar 2022 (2 years 6 months)
Legalwise
Feb 2023 - Aug 2024 (1 year 6 months)
Candidate Attorney
GVS Law
Jan 2021 - Feb 2023 (2 years 1 month)
Airport Taxi
Sep 2017 - Jan 2018 (4 months)
Provider Service Coordinator
Medica
Jun 2016 - Jan 2017 (7 months)
Workers Compensation Specialist
Expert Global Solutions
Oct 2016 - Jul 2018 (1 year 9 months)
Virtual Property Desk Adjuster
Pilot Catastrophe Services
Aug 2011 - Sep 2016 (5 years 1 month)
GEICO
Jan 2021 - Sep 2023 (2 years 8 months)
Commercial Customer Service Rep
Farmers Insurance
Jan 2016 - Dec 2020 (4 years 11 months)
Supplement CVE Core
Pilot Catastrophe Services-Allstate
Mar 2020 - Present (5 years 8 months)
Sales Associate
Kohls
Oct 2019 - Present (6 years 1 month)
Camp Assistant and Project Leader
Camp Jopah
Jun 2014 - Present (11 years 5 months)
Aug 2016 - May 2017 (9 months)
Claims Specialist
Affinity Health Plan
Apr 2015 - Jul 2016 (1 year 3 months)
Customer Service Representative
Cablevision
Oct 2011 - Jul 2015 (3 years 9 months)
Chargeback Specialist
Alorica
Jan 2018 - Jan 2020 (1 year 11 months)
Člověk v tísni
Jan 2014 - Jan 2019 (5 years)
Administrative Assistant
Provincial Government of E. Samar
Jul 2010 - Jun 2013 (2 years 11 months)
Customer Service Representative
GE Money
May 2008 - Feb 2010 (1 year 9 months)
Maximus
Sales/Customer Service Representative
Continuum Global Solution
Nov 2020 - Dec 2021 (1 year 1 month)