Claims Adjudicator

WellSense
📍 United States, REMOTE, United States 💼 Full-time 🕒 Posted June 27, 2026

Job Description

Position Type
Full-Time/Regular

It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

**Job Summary:**

Responsible for the accurate and timely processing of claims. Must meet published quality and productivity standards. Also, responsible for simple adjustments to previously processed claims.

Our Investment in You:

· Full-time remote work

· Competitive salaries

· Excellent benefits

**Key Functions/Responsibilities:**

· Evaluates and processes claims in accordance with company policies and procedures according to productivity and quality standards.

· Interprets and processes routine and less complex claims including CMS 1500 and UB04.

· Reviews and analyzes data from system-generated reports f...

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Submit your application today and join our talented team at WellSense.

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Job Details

  • Location United States, REMOTE
  • Job Type Full-time
  • Category other-general
  • Posted Date June 27, 2026
  • Application Deadline July 01, 2026