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Claim adjuster Jobs in Henderson, NV

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Claim adjuster • henderson nv

Last updated: 4 hours ago

Remote Underpayment & Managed-care Contract Specialist - AI Trainer ($85-$85 per hour)

MercorHenderson, Nevada, US
$85.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Underpayment and Managed Care Contract Specialists to evaluate ... Show more

Litigated Claims Specialist, General Liability

Zurich Insurance CompanyVirtual, NV, US
Full-time

Zurich is seeking an experienced Litigation Claims Specialist to join its Commercial General Liability team.At Zurich North America Claims, we recognize that flexibility and work-life balance are k... Show more

Healthcare Operations Director

Behavioral Health SolutionsHenderson, NV, United States
Full-time

Behavioral Health Solutions (BHS) is seeking a.This leadership role oversees teams responsible for provider scheduling and insurance eligibility verification, ensuring efficient workflows, high acc... Show more

Sr. Manager of Research & Development

ProCaps LabsHenderson, NV, US
Full-time
Quick Apply

Manager of Research & Development.Research & Development (R&D) teams to execute science-driven innovation and formulation strategies for food, chocolates, cosmetics, and nutritional sup... Show more

Claim Examiner II, Construction

MarkelHenderson, NV, United States
$62,400.00 yearly
Full-time

Join Us And Play Your Part In Something Special.This position will be responsible for the resolution of moderate complexity and moderate exposure Construction claims in multiple jurisdictions.The p... Show more

HR Generalist

Empire CATHenderson, NV, United States
Full-time

The Human Resources Generalist provides general guidance and support to managers and employees across a broad range of HR disciplines, including employee relations, compliance, HRIS, compensation, ... Show more

Service Writer / Service Coordinator – Heavy Equipment

Goodfellow CorporationBoulder City, NV, USA
$28.00 hourly
Full-time
Quick Apply

SERVICE WRITERBoulder City, Nevada | Shop and Field Service SupportDepartmentServiceReports ToService ManagerFLSA StatusNonexemptEmployment TypeFull-timeLocationBoulder City, NevadaSupervisory Role... Show more

 • New!

Remote A/R Follow-up Manager - AI Trainer ($75-$75 per hour)

MercorHenderson, Nevada, US
$75.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced A/R Follow-Up Managers to evaluate AI tools designed to automat... Show more

Commercial Claims Adjuster - Carrier or TPA - REMOTE

Work At Home Vintage ExpertsHenderson, NV, US
Remote
Full-time +2
Quick Apply

Put your Insurance Experience to work – FROM HOME!.Our unique platform provides you with.WHAT YOU’LL LOVE ABOUT WAHVE.We created a welcoming place to work with friendly and professional... Show more

Configuration Manager

P3 Health PartnersHenderson, NV, United States
$100,000.00 yearly
Full-time

The main functions of this position are responsible for leading, coaching and guiding staff that implement, support, and maintain the core administrative system configuration including but not limi... Show more

Remote Patient Access Leader - AI Trainer ($80-$80 per hour)

MercorHenderson, Nevada, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Patient Access leaders to support the evaluation and improvemen... Show more

Insurance and Financial Services Position - State Farm Team Member

Nick Sage - State Farm AgentHenderson, NV, US
$50,000.00 yearly
Full-time

State Farm Insurance Agency located in Henderson / Las Vegas, NV is seeking an outgoing, friendly, and career-oriented professional to join our team.If you are a motivated self-starter who thrives ... Show more

Remote Denials Management & Appeals Manager - AI Trainer ($70-$93 per hour)

MercorHenderson, Nevada, US
$70.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Denials Management and Appeals Managers to evaluate AI tools de... Show more

Remote Healthcare Administrative Specialist - AI Trainer ($40-$50 per hour)

MercorHenderson, Nevada, US
$40.00 hourly
Remote
Full-time

About the Role** We're looking for professionals with deep, hands-on experience in the administrative and operational work that keeps healthcare organizations running — the "back office" of a medic... Show more

Remote Intellectual Property Expert - AI Trainer ($90-$100 per hour)

MercorHenderson, Nevada, US
$90.00 hourly
Remote
Full-time

Role Overview** - Mercor is seeking senior intellectual property professionals to build evaluation tasks for AI systems operating in patent prosecution, licensing, and IP enforcement contexts.The w... Show more

Customer Service Representative - State Farm Agent Team Member

Carl Endorf - State Farm AgentHenderson, NV, US
$34,000.00 yearly
Full-time

Valid Nevada Property & Casualty License Required.State Farm Agency Experience a plus.As Customer Service Representative - State Farm Agent Team Member for Carl Endorf - State Farm Agent, you a... Show more

Bankruptcy Processor (Mortgage Servicing)

Village Capital & InvestmentHenderson, NV, USA
Full-time
Quick Apply

Job Title: Bankruptcy Processor (Mortgage Servicing)Location: Henderson, NV Job Type: Full-Time Company: Village Capital & Investment LLCAbout UsVillage Capital & Investment LLC is a well-establish... Show more

Remote Coding Manager / HIM Coding Leader - AI Trainer ($80-$80 per hour)

MercorHenderson, Nevada, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Coding Managers and HIM Coding leaders to evaluate AI-powered c... Show more

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Remote Underpayment & Managed-care Contract Specialist - AI Trainer ($85-$85 per hour)

Remote Underpayment & Managed-care Contract Specialist - AI Trainer ($85-$85 per hour)

MercorHenderson, Nevada, US
30+ days ago
Salary
$85.00 hourly
Job type
  • Full-time
  • Remote
Job description
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Underpayment and Managed Care Contract Specialists to evaluate AI tools designed to detect payment variances and automate contract compliance monitoring. Your expertise in payer contract interpretation, payment variance analysis, and underpayment recovery will help AI systems optimise net revenue and identify systematic underpayments. **Responsibilities** - Identify, analyse, and recover underpayments and payment variances across commercial, Medicare Advantage, and Medicaid managed care payer contracts. - Evaluate AI-generated underpayment detection alerts, contract compliance outputs, and payment variance analyses for accuracy. - Interpret payer contract terms including fee schedules, carve-outs, outlier provisions, and payment methodologies to validate claim payments. - Conduct contract modelling and payment reconciliation to identify systematic underpayment patterns. - Develop and submit underpayment claims and recovery correspondence to payers. - Collaborate with managed care contracting teams to identify contract language gaps and renegotiation opportunities. - Monitor underpayment recovery KPIs including identified underpayment dollars, recovery rates, and payer response rates. - Ensure compliance with payer contract terms, HIPAA, and timely filing requirements for underpayment recovery. - Annotate AI outputs and provide structured feedback to support AI training datasets. **Requirements** - 5+ years of experience in underpayment recovery, payment variance analysis, or managed care contracting, with demonstrated expertise in contract interpretation. - Deep knowledge of payer payment methodologies including DRG-based, per diem, per cent-of-billed charges, and fee schedule reimbursement. - Strong experience with contract modelling, payment reconciliation, and payer dispute resolution. - Familiarity with managed care contract management systems and payment variance detection tools. - Proficiency with Excel-based financial analysis and revenue cycle analytics platforms. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to identify payment discrepancies in complex contract structures and AI-generated outputs. **Preferred Qualifications** - CHFP, CRCR, or managed care contracting certification. - Experience with contract management software (e.g., Experian Health, Recondo, or similar). - Background in hospital, health system, or large physician group underpayment recovery operations. - Familiarity with AI tools and comfort evaluating AI-generated payment variance content. - Experience negotiating payer contracts and presenting underpayment analysis to executive leadership. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in managed care contracting and the revenue cycle. - Opportunity to work on high-impact projects shaping the future of healthcare AI.