Claims Analyst Jobs in Alpharetta, GA

Unlock your potential in claims management! Manage primary casualty claims from start to finish while collaborating with various stakeholders. Drive solutions and enhance processes for exceptional ser...

Help us investigate and adjust high exposure claims, collaborating with defense counsel and vendors to ensure compliance. Leverage your expertise in casualty claims management while optimizing custome...

Empower your career by joining a dynamic team handling complex cyber claims. Collaborate with industry experts to assess risk, manage vendor relationships, and provide exceptional service while drivin...

Join a team that's dedicated to analyzing and validating actuarial data to develop impactful Medicaid rates. Contribute to forecasts and pricing models while working collaboratively in a dynamic hybri...

Join a team that's transforming claims processing by investigating liability and efficiently managing claims within our established frameworks while adhering to accuracy and compliance standards...

Seeking a detail-oriented analyst to perform complex clinical and coding reviews of facility claims, ensuring adherence to medical guidelines and fostering optimal performance through expert analysis...

Take ownership of data analysis for Commercial Risk Adjustment CMS submissions, ensuring compliance while supporting audits and migrations to cloud technologies. Drive innovation and automation within...

Transform the Reinsurance process by leading data analysis and CMS submissions, optimizing workflows, and implementing innovative solutions. Collaborate cross-functionally to enhance operational perfo...

Engage in auditing healthcare claims to identify fraud and compliance risks. Collaborate with teams to improve processes and support training for new hires. Maintain knowledge of coding regulations to...

Join the cyber claims team to empower exceptional service by evaluating and resolving cyber incidents, building relationships, and improving underwriting practices through collaboration and data-drive...

Partner with us to analyze and validate actuarial data while refining pricing and forecasting models, contributing to critical decision-making and product development within our dynamic and flexible w...

Transform the claims process by managing severe bodily injury cases, ensuring accuracy, compliance, and superior service while collaborating with cross-functional teams and mentoring peers to enhance...

Optimize the handling of complex commercial auto liability claims, leveraging advanced technology and analytics to achieve high-impact outcomes. Collaborate with multiple stakeholders to ensure effici...

Empower the auditing process by analyzing inpatient claims and ensuring coding accuracy. Leverage your clinical expertise and advanced coding knowledge to drive quality and productivity in chart valid...

Lead the management of complex commercial general liability claims, overseeing investigations, evaluations, and litigation, while mentoring junior analysts and ensuring optimal claims outcomes in alig...

Lead the charge in managing complex casualty claims as a technical expert. Utilize decision-making skills and collaborate with internal teams to resolve high-exposure claims effectively while adhering...

Analyze and mitigate risks associated with fraud and abuse in healthcare claims. Collaborate across teams to enhance claims processing integrity, ensuring compliance with industry standards while trai...

Join a team that's dedicated to enhancing payment integrity through detailed audits. Utilize your expertise in medical coding and fraud prevention to drive improvements, support investigations, and tr...

Shape the future of healthcare with your expertise in claims processing and business analysis. Drive innovation and provide domain knowledge while leading projects, collaborating with teams, and enhan...

Join a team that's committed to excellence as you adjudicate complex claims, streamline processes, and drive performance. Use your expertise to support operations and mentor others, ensuring fair reso...

The Senior Claims Specialist is responsible for managing and overseeing various commercial and financial lines claims, including D&O, E&O, and EPL claims. This role involves direct interaction with cu...

Innovate credit risk strategies by leveraging data analytics to enhance portfolio health and optimize underwriting processes, ensuring balanced risk and growth in a dynamic financial landscape...

Unlock potential by auditing outpatient and specialty claims, ensuring coding accuracy, clinical necessity, and compliance with industry standards. Leverage advanced coding expertise to identify billi...

Support the Clinical Chart Validation team by reviewing appeals and claims, applying coding guidelines, and providing expert feedback to ensure accurate recovery determinations and maintain compliance...

Lead the charge in managing reinsurance claims, ensuring precision in reporting and compliance while optimizing recoveries and collaborating cross-functionally for the best outcomes in a complex, dyna...