38 Results for

Claims Processor Jobs in Salt Lake City, UT

Jobs

New!

Salt Lake City, UT4 days ago

$69,920–$133,620 Per Year

Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.

West Valley, UT22 days ago

$21.08–$28.45 Per Hour

Reviews, researches, and resolves payment variances to minimize inappropriate payment variances from expected reimbursement, processes payments/refunds/adjustments. Ensures timely and accurate posting of cash transactions, payments, adjustments, manual denials, insufficient fund checks/debit transactions, and general ledger accounting transactions.

New!

Salt Lake City, Utah6 days ago

Tasks require a variety of physical activities which do not generally involve muscular strain, but do require activities related to walking, standing, stooping, sitting, reaching, talking, hearing and seeing. This position plays a critical role in PEHP’s efforts to serve and create value for our members by processing a variety of medical claims proficiently and timely.

Sandy, UT22 days ago

$70,000–$87,000 Per Year

The ideal candidate for this position will have: Bachelor's degree or appropriate combination of insurance industry designations; At least five years of commercial liability claims adjusting experience; Understanding of the Unfair Claims Practices Act, policy contracts, and other insurance principles; Familiarity with claims management systems and claims estimating software systems; Sound literacy in the medical, automotive, and liability terminology and concepts; Strong communication skills; Organization, time-management, and decision-making skills; Proficiency in the Microsoft Office suite and Windows operating system. Our Commercial Claims Department has an immediate opening for a Bodily Injury & Liability Claims Adjuster at either the mid or senior level to join the Commercial Auto team at our Sandy, Utah headquarters.

Salt Lake City, UT30+ days ago

Remote

Full-time

Proficient 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.

Salt Lake City, UT30+ days ago

Remote

Full-time

Under 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.

Salt Lake City, UT30+ days ago

Remote

Full-time

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. 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.

SALT LAKE CITY, UT30+ days ago

_University of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who have experience working in settings with students and patients from all backgrounds and possess a strong commitment to improving access to higher education and quality healthcare for historically underrepresented students and patient populations._. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or Hospitals and Clinics Human Resources at (801) 581-6500 if you have questions regarding the post-retirement rules._.

Salt Lake City, UT30+ days ago

Remote

Full-time

The 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.

Farmington, Utah30+ days ago

Remote

The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives.

Salt Lake City, UT30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

South Jordan, Utah30+ days ago

Responsibilities: Investigates the claim or coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured or employer representatives, claimants or injured workers, witnesses and producers. Depending on the type of claim may:Communicate with internal Managed Care and Medical resources to ensure coordination with Medical providers on the development and authorization of appropriate treatment plans as well as accurate billing.

Salt Lake City, UT30+ days ago

Remote

Full-time

Independent 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.

Salt Lake City, UT8 days ago

$59,059.65–$90,000 Per Year

Competitive candidates should reside within one of the listed zip codes and will service this same territory: 84001, 84002, 84006, 84007, 84008, 84009, 84020, 84021, 84022, 84023, 84026, 84027, 84029, 84031, 84032, 84034, 84035, 84039, 84044, 84046, 84047, 84048, 84049, 84051, 84052, 84053, 84060, 84063, 84065, 84066, 84069, 84070, 84072, 84073, 84074, 84076, 84078, 84081, 84082, 84083, 84084, 84085, 84088, 84092, 84093, 84094, 84095, 84096, 84098, 84101, 84102, 84103, 84104, 84105, 84106, 84107, 84108, 84109, 84111, 84112, 84113, 84115, 84116, 84117, 84118, 84119, 84120, 84121, 84122, 84123, 84124, 84128, 84129, 84132, 84148. Additional Details: Employees must successfully complete all required training, including applicable licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).

Draper, UT30+ days ago

Saddle Rock Legal Group is committed to nurturing a supportive workplace environment in which every employee can grow professionally, collaborate with talented colleagues, and make a meaningful difference in the lives of the clients we serve. Saddle Rock Legal Group is an Arizona-based ABS law firm that specializes in helping victims seek and attain justice for injuries arising from corporate wrongdoing, negligence, and other disasters.

Tooele, Utah20 days ago

You'll receive extensive training to engage with small and medium-sized businesses across various industries, interfacing directly with business owners and decision-makers to offer industry-leading supplemental insurance products and services. Balancing cold lead generation and sales with warm leads and appointments with existing clients, leveraging provided sales leads and engaging in targeted cold-calling efforts.

Lehi, Utah13 days ago

Unlike traditional office-based roles, you will spend the majority of your day out in the field, cold calling using our Custom Salesforce CRM, building rapport with potential clients, and delivering compelling product presentations. Because your primary goal is to establish connections with business owners and key decision-makers at small and medium-sized businesses within your sales territory through in-person sales calls, the hours that you work should/will reflect times when these businesses are open.

South Jordan, Utah8 days ago

We will train you to call on small and medium-sized businesses that operate in a variety of industries, meeting face-to-face with business owners and decision-makers to offer some of the industry's best supplemental insurance products and services to them and their employees. You will work with business owners, benefits managers, and their employees individually at times; other times, you will give product presentations with employee groups as large as 50-100+ people.

New!

Layton, Utah5 days ago

Salt Lake City, UT30+ days ago

Remote

$130,000–$160,000 Per Year

In this role, you will be responsible for driving sales of Office Ally's products and services to Health plans, including Commercial, Government, Managed Service Organizations (MSO), Independent Physicians Associations (IPA), and Third-Party Administrators (TPA). We offer a range of affordable, cloud-based solutions, from practice management to electronic health records (EHR), that help providers streamline operations and reduce administrative burdens so they can focus on what matters most: patient care.

Salt Lake City, UT30+ days ago

$110,000–$130,000 Per Year

In collaboration with the sales enablement team, facilitate the design and implementation of comprehensive sales enablement programs, including battlecards, competitive positioning guides, demo scripts, pitch decks, and objection handling frameworks that measurably improve win rates. Deliver regular training sessions for sales teams on product positioning, ideal customer profiles, competitive differentiation, and how to articulate value in discovery calls, demos, and presentations.

Lehi, UT30+ days ago

This role leads a team responsible for accurate claims processing, compliance, and revenue cycle performance while supporting continuous improvement across billing processes. Serenity Healthcare is seeking an experienced Medical Billing Manager to oversee billing operations for a growing, multi-state provider organization.

Salt Lake City, UT30+ days ago

Remote

$117,600–$161,700 Per Year

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. + Works with the Test Lead to develop plans of action for testing new technology products, including identifying areas to be tested and designing targeted test strategies.

Murray, UT30+ days ago

$20.22–$30.81 Per Hour

The Pharmacy Benefit Specialist I is responsible for the day-to-day operations of Commercial programs, providing superior customer service to all inquiries and questions for members, providers, employer groups, facilities, brokers and other departments and teams. + Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.

Salt Lake City, UT30+ days ago

Remote

$65,000–$88,600 Per Year

Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Salt Lake City, UT30+ days ago

Remote

$78,400–$107,800 Per Year

The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

Salt Lake City, UT30+ days ago

Communicate effectively with physicians and pharmacy network providers to ensure that the needs of the provider and plan member are addressed in a courteous, helpful and timely manner. This role involves a high volume of daily contacts with members, physicians, and pharmacies to address medication-related issues, promote adherence, and ensure appropriate medication utilization.

Salt Lake City, UT30 days ago

Remote

Full-time

Technical Skills: Knowledge of technology impacts on business strategic direction enabling definition and integration of technical plans supporting the enterprise business functions; knowledge and expertise in project/program management methodologies and tools to include Agile; experience with product/solution/system lifecycles; expert knowledge in one or more of: system servers and data network; traditional telephony principals and support; Microsoft enterprise software, server principals and support; HP enterprise products and services: data communication and network architectures, design, and support; installation, maintenance and support of large scale application systems; healthcare industry experience, to include medical management and provider data/solutions: proficient with Microsoft Project, Project Server, Visio, and SharePoint Services. • 7+ years of related and progressive experience combining various elements of technical delivery or support, solutions implementation, process automation, project management, and team leadership .

Salt Lake City, UT30+ days ago

Remote

Full-time

The Director ensures the delivery of exceptional service to providers and government stakeholders by directing cross-functional programs that enhance provider satisfaction, strengthen network engagement, and uphold contractual and regulatory compliance. Coaching / Training / Mentoring: Actively develops the skills and capabilities of direct reports and extended team members through constructive feedback, mentoring relationships, and structured development opportunities aligned with business outcomes.

Salt Lake City, UT30 days ago

Remote

Full-time

Technical Skills: The ability to solve problems independently while working in a fast paced, energetic environment; strong communication skills, (oral and writing skills); a proven ability as a facilitator/instructor; self-motivated, able to work in a team and independently. Independent 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.

Lehi, UT30+ days ago

The Revenue Cycle Manager will lead a dynamic billing team at the heart of a fast-growing, multi-state provider group—where precision meets progress. Using advanced medical devices recently released to market, Serenity Healthcare gives our patients long-term success even when other treatments have failed.

West Valley City, UT30+ days ago

$75,000–$200,000

We provide complete training through our in-house Sales Program, where you’ll learn: How to inspect roofs and identify storm damage. Comfortable working outdoors and meeting new people.

Lindon, UT30+ days ago

$18–$25

We are currently seeking a Patient Accounts Specialist with strong and proven experience in Medicaid (DENTAL) to oversee the aging and account follow-up for Medicaid patients. If you have direct experience in Medicaid billing and aging and want to join a team committed to excellence in patient care, we'd love to hear from you!

Salt Lake City, UT30+ days ago

$165,000–$180,000 Per Year

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

Salt Lake City, UT14 days ago

Remote

$80,000–$95,000 Per Year
Full-time

Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. This role requires a deep understanding of insurance industry workflows and the ability to translate business needs into actionable product strategies that deliver measurable impact.

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Claims Processor Jobs in Salt Lake City, UT

Jobs

Property Adjuster Specialist - FieldUSAA

Claims Processor, MedicalSutter Health

Medical Claims Adjuster IUtah Retirement Systems

Senior Bodily Injury & Liability Claims AdjusterWCF Insurance

Claims ReviewerTriWest Healthcare Alliance

Claims Recoup & Collect AnlystTriWest Healthcare Alliance

Sr Claims ReviewerTriWest Healthcare Alliance

Claims Specialist IUniversity of Utah Health

Supervisor, Claims AdminTriWest Healthcare Alliance

Senior Lost Time Workers Compensation Claims Adjuster - CO, UT, WY, OR, ID, MT, NV, WAGallagher

Medical Director - Claims ManagementHumana

Senior Claim ExaminerAmTrust Financial Services, Inc.

Claims Escalation RepTriWest Healthcare Alliance

Claim Specialist - Property Field InspectionState Farm Mutual Automobile Insurance Company

Legal Intake SpecialistSaddle Rock Legal Group

Sales LeaderSummit Business Group

Sales RepresentativeSummit Business Group

Insurance Sales RepresentativeSummit Business Group

Sales ConsultantSummit Business Group

Regional Vice President of Payer SalesOffice Ally

Product Marketing ManagerOffice Ally

Medical Billing ManagerSerenity Mental Health Centers

Medicaid State Technology LeadHumana

Pharmacy Benefit SpecialistIntermountain Health

Encounter Data Management ProfessionalHumana

Manager, Fraud and WasteHumana

Pharmacy Coordinator SeniorHighmark Health

IT Delivery LeadTriWest Healthcare Alliance

Director, Provider ExperienceTriWest Healthcare Alliance

Provider Relations RepTriWest Healthcare Alliance

Revenue Cycle ManagerSerenity Mental Health Centers

Sales Representative | $75K-$200K+ Annual EarningsKing Roofing

Dental Patient Accounts Specialist – Medicaid Experience RequiredProfessional Dental & Orthodontics

Managing Director, , Actuarial ServicesEvolent

Product Owner (AI & Insurance Innovation)Insurance Office of America

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