Talent.com

Claims processor Jobs in Everett, WA

Create a job alert for this search

Claims processor • everett wa

Last updated: 3 days ago

Remote Health Insurance Expert - AI Trainer ($1150-$1450 per hour)

MercorEverett, Washington, US
Remote
Part-time

Role Overview**\n\nMercor is partnering with leading AI labs to engage experienced health insurance professionals — benefits administrators, underwriters, claims managers, actuaries, and compliance... Show more

HAACI3-Procurement Agent 3 - H21-Supplier Operations and Performance

ACL DigitalEverett, WA, United States
Full-time

Manage, evaluate, and drive overall supplier performance to meet established expectations by developing strong professional relationships across the supply base, with customers, and among enterpris... Show more

CONTRACT SPECIALIST

US Department of WarEverett, WA, United States
$56,715.00 yearly
Full-time

You will review requests for procurement of complex ship repair projects.You will determine the contractors eligible to bid/propose and whether or not sufficient competition is available in the imm... Show more

Cardiology Interventional Physician

Global Medical StaffingEverett, Washington, US
Full-time

Cardiology Interventional physician employment in Washington : Global Medical Staffing - Ready to start an exhilarating experience in healthcare? Pick up the phone and call Global Medical Staffing ... Show more

CONTRACT SPECIALIST

US NavyEverett, WA, United States
Full-time

You will review requests for procurement of complex ship repair projects.You will determine the contractors eligible to bid/propose and whether or not sufficient competition is available in the imm... Show more

Account Associate - State Farm Agent Team Member

Grace Bocalan - State Farm AgentEverett, WA, US
$20.00 hourly
Full-time

As Account Associate - State Farm Agent Team Member for Grace Bocalan - State Farm Agent, you are vital to our daily business operations and customers’ success.You grow our agency through meaningfu... Show more

Auto Parts Warranty Clerk

Fleet Service Auto & Truck RepairEverett, WA, USA
$21.00 hourly
Full-time
Quick Apply

Fleet Service Auto & Truck Repair.This car repair position earns a.Auto Parts Warranty Clerks the following benefits:.So, now that you've learned the who, what, where, and why, you may be wonde... Show more

Field Property Claims Adjuster

Liberty Mutual Insurance GroupEverett, WA, United States
Full-time

Field Property Claims Adjuster.Join us as a Field Property Claims Adjuster where you'll be responsible for helping our customers navigate the claims process and get back on their feet following dam... Show more

Outside Property Technical Specialist

020 Travelers Indemnity CoEverett,WA
Full-time

Taking care of our customers, our communities and each other.By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 17... Show more

CONTRACT SPECIALIST

US Marine CorpsEverett, WA, United States
Full-time

You will review requests for procurement of complex ship repair projects.You will determine the contractors eligible to bid/propose and whether or not sufficient competition is available in the imm... Show more

RISK MANAGEMENT SPECIALIST LEAD

Snohomish County, WAEverett, WA, United States
Full-time

County Risk Management Coordinator.Coordinates the County's risk management functions in accordance with applicable laws, regulations, and County policies; minimizes loss through effective claims m... Show more

Shared Services Processor

 First AmericanUSA, Washington, Everett
$20.31 hourly
Full-time

Join a team that puts its People First! First American's Direct division provides comprehensive title insurance protection and professional settlement services for real estate purchases, refinances... Show more

Outside Sales Representative

True North Group LLC.Everett, WA, US
Full-time

Join Our Team at True North Group.Position: Outside Sales Representative.Number of Openings: 1 Territory Role Available.At True North Group, we're more than an insurance agency—we're trusted partne... Show more

Medical Billing and Coding - Entry Level Training Program

DreamboundEverett, Washington, United States
Full-time

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more

Customer Service Representative - State Farm Agent Team Member

Kathy Northrop - State Farm AgentEverett, WA, US
$48,000.00 yearly
Full-time

As a Customer Service Representative - State Farm Agent Team Member with Kathy Northrop - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth ... Show more

Plaintiff Personal Injury Litigation

LawMates Legal Staffing & RecruitingEverett, Washington, United States
Full-time
Quick Apply

Trial Attorney – Plaintiff Personal Injury Litigation.Boutique plaintiff-side litigation firm in the Everett area is seeking an experienced Trial Attorney to handle serious personal injury and wron... Show more

People also ask
The cities near Everett, WA that boast the highest number of claims processor jobs are:
Remote Health Insurance Expert - AI Trainer ($1150-$1450 per hour)

Remote Health Insurance Expert - AI Trainer ($1150-$1450 per hour)

MercorEverett, Washington, US
15 days ago
Job type
  • Part-time
  • Remote
Job description
  • Role Overview \n\nMercor is partnering with leading AI labs to engage experienced health insurance professionals — benefits administrators, underwriters, claims managers, actuaries, and compliance specialists — to improve AI systems' reasoning around coverage determination, utilization management, and plan design. Contributors will apply their expertise in areas such as commercial group and individual plans, government programs (Medicare, Medicaid, ACA marketplace), prior authorization workflows, and insurance regulation to evaluate and enhance AI performance on health insurance-specific tasks. This is a project-based opportunity with potential for ongoing engagement depending on performance and project needs.\n\n Key Responsibilities \n\n- Review and evaluate AI-generated outputs related to plan benefit design, coverage determination, claims adjudication, and medical necessity criteria\n \n- Create realistic scenarios based on health insurance workflows — prior authorization decisions, explanation of benefits reviews, formulary exceptions, network adequacy assessments, and regulatory audits\n \n- Annotate, label, and validate data across health insurance use cases (e.g., ICD coding accuracy, payer policy interpretation, managed care utilization review)\n \n- Provide structured feedback on AI accuracy in areas such as federal and state insurance regulations (ACA, ERISA, HIPAA, CMS guidelines), payer contracting, and industry-specific terminology\n \n- Collaborate asynchronously with research teams to refine evaluation frameworks for health insurance AI\n \n\n Ideal Qualifications \n\n- 3+ years of professional experience at a health plan, benefits administrator, TPA, PBM, or managed care organization\n \n- Background in one or more areas such as : \n \n - Claims processing and adjudication (medical, dental, pharmacy)\n \n - Medical underwriting or actuarial analysis for health plans\n \n - Utilization management or care management (UM / CM)\n \n - Benefits administration (group, individual, Medicare Advantage, Medicaid managed care)\n \n - Regulatory compliance, product development, or government programs (ACA, Part D, CHIP)\n \n- Professional designations a plus (CEBS, AHIP, HIAA, Fellow / ASA actuarial credentials)\n \n- Strong analytical thinking and ability to translate health plan workflows into structured evaluation tasks\n \n- Clear written communication and attention to detail\n \n\n Compensation Note \n\n- Task Completion Pay : Competitive and based on task quality (~$1,150 – $1,450 per completed task, subject to change as the project evolves)\n \n- Performance Bonus : Top performers receive a weekly bonus incentive on top of their per task rate!\n \n- Hourly Opportunity : Top performers may be invited to transition to an hourly compensation model based on sustained quality and throughput.