by Terrance Ellis | Jul 18, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
R1 is hiring a Process Analyst to join its GenAI Lab under the Perfect Claim pillar. This full-time, remote role focuses on refining and redesigning claim scrubber edits to improve efficiency, accuracy, and compliance. You’ll work closely with internal teams and external vendors to implement AI-driven innovations in claims operations. This is a strong fit for someone analytical, healthcare-savvy, and passionate about operational excellence.
✅ Position Highlights
• Pay Range: $87,834.24–$139,823.91/year
• Bonus: 10% annual bonus target
• Employment Type: Full-Time
• Location: Remote (U.S.-based)
• Travel: 25–50% (domestic + international)
• Department: GenAI Lab – Revenue Cycle Optimization
• Industry: Healthcare Technology | Revenue Cycle
📋 What You’ll Own
• Analyze and refine existing claim scrubber edits for performance and compliance
• Design and test new edits in response to payer trends and policies
• Collaborate with cross-functional partners in product, ops, and engineering
• Monitor edit success and make real-time recommendations
• Ensure implementations meet regulatory and compliance standards
• Deliver reports and insights to leadership and stakeholders
• Identify future trends and innovation opportunities in claim processing
🎯 Must-Have Traits
• Bachelor’s degree required
• 3–5 years of healthcare operations experience (payer, provider, RCM, or vendor)
• Strong knowledge of claim workflows and billing operations
• Project management and organizational strength
• Ability to translate metrics into action
• Adaptable, autonomous, and forward-thinking
💻 Remote Requirements
• Secure home office with reliable high-speed internet
• Comfortable leading remote collaboration and virtual communication
• Availability for 25–50% travel as needed
💡 Why It’s a Win for Remote Analysts
• Contribute to next-gen healthcare innovation using GenAI tools
• Growth opportunities in an evolving, tech-forward team
• Bonus structure, full benefits, and career development support
• Mission-driven environment with a focus on patient impact
• Work with industry leaders at the intersection of healthcare and AI
✍️ Call to Action
If you’re ready to help reshape the future of healthcare claims through insight and innovation, apply now and join R1’s GenAI Lab team.
by Terrance Ellis | Jul 18, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
National General, part of The Allstate Corporation, is hiring a Data Analyst to join their Analytics and Data Science team. This early-career role focuses on transforming raw data into clear, actionable insights that influence decisions across insurance product lines. You’ll work cross-functionally to support dashboard creation, reporting, and the development of enterprise data tools—all from the comfort of home.
✅ Position Highlights
• Employment Type: Full-Time
• Location: Remote (U.S. only)
• Department: Data, Research & Strategy
• Job Level: Early Career
• Posted: July 22, 2025
📋 What You’ll Own
• Clean, transform, and validate large datasets
• Build and maintain Power BI dashboards and reports
• Orchestrate data flows between platforms
• Conduct ad hoc analysis to support business needs
• Translate insights into stakeholder-friendly presentations
• Collaborate with internal teams on data solution strategies
• Contribute to enterprise analytics tools and platforms
🎯 Must-Have Traits
• Solid command of SQL, Python, and Excel
• Experience using BI tools (Power BI preferred)
• Familiarity with orchestration tools like Apache Airflow or Microsoft Fabric
• Clear communicator, especially with non-technical stakeholders
• Detail-oriented and collaborative mindset
• Comfortable with large datasets in cloud-based environments
💻 Remote Requirements
• Reliable high-speed internet
• Dedicated, quiet home workspace
• Must reside in the U.S.
💡 Why It’s a Win for Remote Job Seekers
• Join a Fortune 100 company with growth potential
• Contribute to meaningful, data-driven decision-making
• Inclusive, flexible, and remote-first work culture
• Pathways to grow in analytics, data science, and tech
• Full benefits package available through Allstate
✍️ Call to Action
If you’re ready to turn numbers into impact from wherever you are, apply today and become a key part of National General’s data-driven future.
by Terrance Ellis | Jul 18, 2025 | Uncategorized
(Remote – South Carolina Only)
🧾 About the Role
National General, part of The Allstate Corporation, is hiring a Virtual Auto Claims Adjuster based in South Carolina. In this early-career role, you’ll handle material damage claims by building accurate estimates, negotiating settlements, and issuing payments. The position is primarily remote with occasional field visits, ideal for someone who knows the claims process and values flexibility.
✅ Position Highlights
• Salary: $51,854.40 – $74,004.80 (based on experience)
• Schedule: Full-Time
• Location: Remote (South Carolina residents only)
• Field Work: ~20% travel in South Carolina
• Department: Claims
• Job Level: Early Career
• Job ID: R19006
• Posted: July 7, 2025
📋 What You’ll Own
• Estimate 1st and 3rd party material damage claims accurately
• Work 80% remotely and 20% in the field
• Negotiate fair settlements and issue payments within authority
• Maintain clear documentation and ensure regulatory compliance
• Provide customer support throughout the claims process
• Stay up to date on policies, tools, and regulations
🎯 Must-Have Traits
• 0–2 years of auto claims or estimating experience (preferred)
• Bachelor’s degree preferred (or equivalent practical experience)
• Strong grasp of estimating tools and principles
• Clear communicator with negotiation skills
• Knowledge of South Carolina claims regulations is a plus
💻 Remote Requirements
• Must reside in South Carolina
• High-speed internet connection
• Willingness to travel locally for field inspections (up to 20%)
💡 Why It’s a Win for Remote Job Seekers
• Medical, dental, and vision benefits
• Free mental health support and wellness resources
• 401(k), pension access, and financial counseling
• PTO, paid holidays, and flexible schedule
• Tuition assistance and internal career mobility
• Supportive team culture backed by a Fortune 100 company
✍️ Call to Action
If you’re ready to start or grow your career in auto claims with flexibility, training, and nationwide impact, apply now and join National General as a Virtual Auto Claims Adjuster.
by Terrance Ellis | Jul 18, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
WVU Medicine is hiring a full-time Insurance Authorization Specialist III to handle infusion and injection pre-authorizations. This remote role plays a critical part in securing timely approvals, ensuring financial clearance, and protecting the patient experience. You’ll collaborate closely with clinical and pharmacy teams to navigate documentation, coding, and payer requirements.
✅ Position Highlights
• Pay: Not listed
• Schedule: Full-Time (Day shift)
• Location: Remote (U.S.)
• Employment Type: Non-Exempt
• Department: Hospital Authorization Unit
📋 What You’ll Own
• Obtain prior authorizations for elective infusions and injections
• Review clinical notes and support approval or appeal processes
• Submit and follow up on authorizations via portals or phone
• Act as a liaison between providers, pharmacists, and insurance payers
• Interpret and verify CPT/ICD-10 codes and insurance policies
• Manage Epic work queues, in-baskets, and Outlook communication
• Handle peer-to-peer reviews, denials, and retro authorizations
• Submit inpatient chemo admissions and observations for approval
• Attend team meetings and monthly check-ins
🎯 Must-Have Traits
• High school diploma + 2 years of medical office or insurance experience
OR Associate’s degree + 1 year of relevant experience
• Proficiency in medical terminology, ICD-10, CPT coding, and insurance protocols
• Strong communication, organizational, and multitasking skills
• Proficient in Microsoft Office and comfortable with fast-paced workflows
• Minimum 25 WPM typing speed
💻 Remote Requirements
• Reliable internet, computer, and phone
• Ability to sit for extended periods
• Comfortable navigating Epic, payer portals, fax software, and productivity tools
💡 Why It’s a Win for Remote Job Seekers
• 100% remote with stable day shift
• Supportive team culture with structured onboarding
• Opportunity to grow within one of the nation’s largest academic health systems
• Clear responsibilities and meaningful behind-the-scenes impact
✍️ Call to Action
If you’re experienced in healthcare authorizations, fluent in payer processes, and thrive in fast-paced environments—apply now and join WVU Medicine’s remote authorization team.
by Terrance Ellis | Jul 18, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
Velera is hiring a full-time Fraud Detection Representative to help identify and stop suspicious debit and credit card activity before losses occur. You’ll join a fast-paced fraud call center, working directly with account alerts, flagged activity, and member outreach. This remote role starts with paid training on September 2, 2025 and plays a direct role in financial risk prevention.
✅ Position Highlights
• Pay: $17.87 – $18.03 per hour
• Schedule: Full-Time; includes nights, weekends, and holidays (24/7/365 operations)
• Start Date: September 2, 2025
• Location: Remote (U.S.-based)
• Equipment: Tech setup and Ethernet cable provided
• Internet Requirement: 100 Mbps down / 30 Mbps up minimum
📋 What You’ll Own
• Monitor and investigate debit and credit fraud cases via Falcon system
• Make outbound verification calls and respond to real-time inbound alerts
• Flag suspicious patterns and support proactive fraud prevention steps
• Process lost/stolen account reports with attention to compliance
• Log accurate notes and ensure appropriate next steps to protect members
• Stay current with emerging fraud trends and contribute to reporting
• Meet performance metrics for call volume, accuracy, attendance, and quality
🎯 Must-Have Traits
• High school diploma or GED
• Minimum 6 months customer service experience (call center preferred)
• 1+ year experience in fraud detection or investigation (preferred)
• Proficient with PC-based tools and multiple platforms
• Calm, focused, and quick under pressure
• Strong multitasking and communication skills
• Detail-oriented and committed to safeguarding customer data
💻 Remote Requirements
• Quiet, dedicated home office
• Reliable hardwired internet connection (100 Mbps down / 30 Mbps up minimum)
• Smartphone or tablet running iOS 15+ or Android 8.0+
• Must provide proof of internet speed and connectivity as requested
💡 Why It’s a Win for Remote Job Seekers
• No commute, full benefits, and a purpose-driven role in fintech
• Paid holidays, PTO, and volunteer time off
• Mental health support and tuition reimbursement
• 401(k) with match, healthcare options, and room for advancement
• Inclusive culture rooted in innovation, growth, and integrity
✍️ Call to Action
If you’ve got a sharp eye for fraud, a steady voice under pressure, and a drive to protect people from financial risk—apply now to join Velera as a Fraud Detection Representative. Help stop fraud before it starts and build a lasting remote career.
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