NewSenior Auto Claims Adjuster - Freelance AI Trainer MindriftSenior Auto Claims Adjuster - Freelance AI TrainerBillings, MTcontributory) and assess likelihood of recovery; Develop supervisor-escalation scenarios that test whether the agent correctly recognizes authority-limit thresholds ($25,000) and stops short of auto-approving; Draft and evaluate reservation-of-rights letter scenarios, verifying language stays within the bad-faith line; Validate coverage-limits math when multiple endorsements (OEM, rideshare, extended rental) stack on a single claim; Document test cases clearly with correct answers, policy citations, and payout calculations. Ideally, contributors will have: Degree in Finance, Business, Insurance, or related field — or equivalent professional experience; no specific degree is required if AIC, CPCU, or comparable credentials are present, or if the candidate has 4+ years of hands-on claims adjusting experience; 3+ years of hands-on auto claims adjusting, examining, or supervisory experience at a U.S. carrier, independent adjusting firm, or SIU team; Ability to make coverage decisions (collision vs.
Surveillance / Claims Investigator - Part-Time Allied UniversalSurveillance / Claims Investigator - Part-TimeBillings, MTSurveillance / Claims Investigators validate the facts of loss for Insurance claims through scene Investigations, claimant and witness Interviews, document retrieval and data Interpretation. Associate's degree in Criminal Justice with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims.
Supervisor Workers Comp Claims - PNW CopperPoint Insurance CoSupervisor Workers Comp Claims - PNWBillings, MTRemote$105,000–$135,000 / yearThe majority of the supervision for this team is currently Alaska and Idaho workers' compensation claims- experience is a must for AK, and candidate must be willing and able to quickly learn ID jurisdiction and obtain licensure if no prior experience with ID claims. Develops and maintains partnerships and service level agreements with leaders within other divisions to ensure processes and workflows are effective, and customer service goals are being met.
Claims Specialist I (Full-time) Billings ClinicClaims Specialist I (Full-time)Billings, MTThe Claims Specialist is responsible for preparing and submitting timely and accurate insurance claims to government and third-party payers, assisting in the implementation of payer regulations and ensuring compliance to the regulatory requirements, and verifying payments and adjustments are appropriately applied to accounts based on government, contract or other regulations or agreements. Audits accounts by verifying that reimbursement amounts are appropriate, coordination of refunds, if appropriate, and coordinating adjustments, when necessary, claims appeals or resubmissions, moving balances from insurance responsibility to patient responsibility when appropriate, and reviews and resolves credit balances.
NewClaims Specialist I - CBO (Full-time) Billings ClinicClaims Specialist I - CBO (Full-time)Billings, MTThe Claims Specialist is responsible for preparing and submitting timely and accurate insurance claims to government and third-party payers, assisting in the implementation of payer regulations and ensuring compliance to the regulatory requirements, and verifying payments and adjustments are appropriately applied to accounts based on government, contract or other regulations or agreements. Audits accounts by verifying that reimbursement amounts are appropriate, coordination of refunds, if appropriate, and coordinating adjustments, when necessary, claims appeals or resubmissions, moving balances from insurance responsibility to patient responsibility when appropriate, and reviews and resolves credit balances.
Senior Claims Advocate Leavitt GroupSenior Claims AdvocateBillings, MontanaRemoteLeavitt Group is a nationally recognized and privately held brokerage, meaning this role will have access to broad market relationships, deep expertise, and resources that allow you to deliver stronger outcomes while maintaining the local, relationship-first approach our clients value. This high-impact, leadership role will focus on handling claims in a proactive, strategic, and client-centered process while driving faster action, stronger outcomes, and executive-level visibility.
Claims Recoup & Collect Anlyst TriWest Healthcare AllianceClaims Recoup & Collect AnlystBillings, MTRemoteFull timeUnder limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.
Supervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminBillings, MTRemoteFull timeThe Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.
Claims Escalation Rep TriWest Healthcare AllianceClaims Escalation RepBillings, MTRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; Detail-oriented.
Claims Reviewer TriWest Healthcare AllianceClaims ReviewerBillings, MTRemoteFull timeProficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.
Sr Claims Reviewer TriWest Healthcare AllianceSr Claims ReviewerBillings, MTRemoteFull timeProficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.
Insurance Biller Alcona Health CenterInsurance BillerBilling, MTYour Valued Contributions: Successfully bill patient accounts to the appropriate insurance company for payment, reconcile insurance payments and denials, follow up with insurance companies as needed, receive and resolve patient and insurance company phone calls regarding patient accounts. About Our Family: Established in 1978, Alcona Health Center (AHC) is a non-profit, Federally Qualified Health Center dedicated to making a lasting impact in the Northern MI communities we serve, offering medical, behavioral health, dental and pharmacy services.
Auto & HE Appraiser - 1099 - Billings, MT CCMS & AssociatesAuto & HE Appraiser - 1099 - Billings, MTBillings, MTAs a 1099 independent contractor, you will play a critical role in assessing damages, estimating repair costs, and delivering high-quality appraisals for auto and heavy equipment claims. CCMS & Associates is seeking experienced Auto and Heavy Equipment Appraisers to join our independent adjuster and appraiser roster.
Inpatient Pharmacy Technician 1.0 FTE (Certified or Non-certified) - On the job training available Billings ClinicInpatient Pharmacy Technician 1.0 FTE (Certified or Non-certified) - On the job training availableBILLINGS, MTAssists the pharmacist with all aspects of the Billings Clinic medication distribution system including compounding/admixing pharmaceutical preparations, filling bottles/bingo cards with prescribed tablets/capsules, processing prescriptions and emergent prescriptions, adjudicating claims, performing point of sale functions, proper utilization of outpatient pharmacy technology etc. Facilitates the delivery of all pharmaceuticals to meet the needs of the customer/patient and ensures proper point-of-sale (POS ) processes and balancing of POS funds and registers.
Pharmacy Technician Specialty Pharmacy - On the job training available Billings ClinicPharmacy Technician Specialty Pharmacy - On the job training availableBillings, Montana$17–$24.60 / hourAssists the pharmacist with all aspects of the Billings Clinic medication distribution system including compounding/admixing pharmaceutical preparations, filling bottles/bingo cards with prescribed tablets/capsules, processing prescriptions and emergent prescriptions, adjudicating claims, performing point of sale functions, proper utilization of outpatient pharmacy technology etc. * Facilitates the delivery of all pharmaceuticals to meet the needs of the customer/patient and ensures proper point-of-sale (POS ) processes and balancing of POS funds and registers.
Optical Retail Sales Associate PT Billings, MT #008 Eyemart ExpressOptical Retail Sales Associate PT Billings, MT #008Billings, MTPatient Assessment: Assess and interpret patient’s needs/wants based upon prescription requirements, facial features, lifestyle, and occupation, and suggest the most appropriate products (i.e., frames, lens type, coatings). The Retail Sales Associate, also known as a Retail Optician, will primarily assist patients in selecting the eyeglass frames, lenses, and lens coatings that best suit their needs.
Pharmacy Technician Specialty Pharmacy Billings ClinicPharmacy Technician Specialty PharmacyBillings, MTAssists the pharmacist with all aspects of the Billings Clinic medication distribution system including compounding/admixing pharmaceutical preparations, unit-dosing medications, filling & restocking medication kits/trays, medication cart-fill, etc. Maintains an accurate controlled substance perpetual inventory via appropriate use of controlled substance vault or controlled substance records.
Inpatient Pharmacy Intern (per diem) Billings ClinicInpatient Pharmacy Intern (per diem)Billings, MTli>Assists the pharmacist with all aspects of the Billings Clinic medication distribution system including compounding/admixing pharmaceutical preparations, filling bottles/bubble-packs with prescribed tablets/capsules, typing labels for bottles, unit-dose cart-fill, charge/crediting medications, etc. Reviews physician orders, obtains clarification as necessary and regularly consults with medical staff, nursing personnel and others in order to coordinate delivery of high quality pharmaceutical services.
Authorization Specialist (Part-time) Billings ClinicAuthorization Specialist (Part-time)Billings, MTWorks as a patient advocate and functions as a liaison between the patient, staff and payer to answer reimbursement questions and avoid insurance delays. Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered.
Field Adjuster (Residential or Commercial) - Billings, MT CCMS & AssociatesField Adjuster (Residential or Commercial) - Billings, MTBillings, MontanaInvestigate claims by obtaining recorded statements from insureds, claimants, or witnesses and by interviewing fire, police, or other governmental officials as well as inspecting claimed damages. CCMS & Associates offers multi-line claim adjusting and third-party administration services dedicated to solving the challenges of the complex claim in the property and casualty insurance industry.
Legal Assistant (Office Automation) U.S. Department of JusticeLegal Assistant (Office Automation)Billings, MT$40,736–$65,599 / yearp>Specialized experience is defined as experience providing trial support to attorneys by preparing complaints, motions, subpoenas, orders, or other hearing and/or trial documents accurately and in proper format; verifying citations and statutory references contained in legal documents; assisting with discovery, hearing or trial preparation by performing duties such as compiling trial notebooks, assembling jury instructions, and compiling witness and exhibit lists; and using software applications and legal and non-legal databases to produce legal related reports and documents, conduct factual research, develop tables of contents and indices to briefs, and prepare courtroom presentations. Specialized experience is defined as experience reviewing legal documents such as complaints, motions, orders, answers, pleadings, subpoenas, and libels for completeness of factual information; retrieving and assembling information for hearing and/or trial use; researching a variety of legal sources to obtain and/or verify information; and using automated software to produce legal related reports, documents, correspondence and related materials.
Customer Service Representative - State Farm Agent Team Member Jeff Keil - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberBillings, MTAs a Customer Service Representative with Jeff Keil's State Farm Insurance Agency, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Field Site Inspector - Part-Time Allied UniversalField Site Inspector - Part-TimeBillings, MT$23–$28 / hourKnowledge of Regulations: Familiarity with industry regulations, such as those from the National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC), Medicare Provider Enrollment, or other healthcare profession or facility credentialing, is highly preferred. The Field Site Inspector will perform site visit inspection services for Medicare and Medicaid providers/suppliers in accordance with established requirements.
Pharmacist Walgreen CoPharmacistBillings, MT$61.50–$75.95 / hourWalgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions.
Pharmacist - Sign-on Bonus Available Walgreen CoPharmacist - Sign-on Bonus AvailableBillings, MT$61.50–$75.95 / hourWalgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions.
Optical Retail Sales Associate FT Billings, MT Eyemart ExpressOptical Retail Sales Associate FT Billings, MTBillings, MTToday, Eyemart Express is celebrated for promptly delivering quality eyewear at great prices, while maintaining great relationships with optometrists and local communities. Provide Exceptional Customer Service: Use your optical expertise and product knowledge to precisely meet customer needs, ensuring personalized and informed interaction.
Pharmacy Intern Grad Walgreen CoPharmacy Intern GradBillings, MT$33.80–$41.80 / hourCounsels patients and answers their questions regarding usage of medicine, side effects, interactions, contraindications, patient information privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health needs addressed, and satisfaction with service. Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).
Disability Case Manager Telus CorpDisability Case ManagerMTRemotep>Our Absence and Disability Management business helps employers achieve improved health and productivity outcomes with services focused on absence reporting, proactive case management and effective return-to-work support for a variety of employee health risks or conditions, whether related to physical, mental, social or workplace health. Additional course work in occupational health, rehabilitation, legislation related to disability management, helping relationship skills, mediation, human resource management, disability insurance, psychological and workplace factors in disability would be an asset.
Freezer, Cooler and Deli Stocker Associate Walmart IncFreezer, Cooler and Deli Stocker AssociateBillings, MT$16–$23 / hourMaintains the Sales Floor and merchandise presentation in the Freezer/Cooler/Deli area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up, cleaning, and organizing product displays; removing damaged goods; signing and pricing merchandise appropriately; completing required audits, paperwork, logs, and other required documentation; and securing fragile and high-shrink merchandise. Follows Company policies and procedures related to Freezer/Cooler area by complying with food handling policies; operating, repairing, and sanitizing equipment; following Cold Chain procedures when stocking merchandise; cleaning freezer /cooler/deli area (for example, windows, mirrors, display cases and coolers); monitoring freezer/cooler fans, drains and doors for proper operation; and reporting issues to Management.
Medical Support Assistant (All Specialties) US Department of Health and Human ServicesMedical Support Assistant (All Specialties)MT$36,464–$47,334 / yearPurchased/Referred Care (PRC): Assists with processing referrals for medical services provided outside the facility; receives, logs, and tracks referral requests; reviews referral forms for completeness; enters and updates referral and patient data in Resource Patient Management System (RPMS), Electronic Health Record (EHR), or other systems; communicates with clinical staff, patients, and external providers to obtain or relay routine information; maintains files and logs to track referral status. Business Office: Performs support duties related to billing and revenue cycle operations; assists with preparing and processing claims for third-party payers; reviews billing documents for accuracy; enters billing and payment data into RPMS Third Party Billing or other systems; responds to routine billing inquiries; maintains records related to claims, payments, and accounts receivable.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)Pryor, MT$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
Sales Coordinator Tractor & Equipment Co.Sales CoordinatorBillings, MTFull timeHarnish Group Inc. is the Caterpillar Dealer in Central and Western Washington, Central and Eastern Montana, Northwestern Wyoming, Northwestern North Dakota and the state of Alaska. Our Member Companies are N C Machinery, N C The Cat Rental Store, N C Power Systems, Tractor & Equipment Co., T&E The Cat Rental Store, T&E Power Systems, and SITECH Northwest Inc., representing Caterpillar and other manufacturers.