Claims Adjudicator
WellSense • United States, REMOTE • Posted June 18, 2026
About the Role
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...
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...