Claims Analyst Jobs in Grove City, OH

Advance your career by managing claims and providing exceptional client advocacy in a fully remote role. Collaborate with diverse teams to drive positive outcomes and deliver exceptional service acros...

Empower business success by serving as a key liaison between business and IT. Collaborate to define requirements, enhance processes, and ensure the effective implementation of technology solutions tha...

Shape the future of healthcare by conducting thorough audits of medical records to ensure coding accuracy and compliance, while providing actionable insights to enhance processes for Fraud, Waste & Ab...

Explore a dynamic auditing role focused on Coding & Clinical Chart Validation for inpatient care. Use your clinical nursing and coding expertise to conduct audits, ensure coding accuracy, and improve...

Partner with us to enhance data operations by troubleshooting and resolving technical issues, collaborating with cross-functional teams, and driving improvements in production support processes. Shape...

Join a team that's redefining claims management, overseeing complex claims and guiding junior staff. You'll ensure fair outcomes while managing relationships with TPAs and maintaining data accuracy in...

Analyze and process complex bodily injury auto claims by evaluating coverage, investigating liability, and managing damages for timely resolution within best practices and client expectations in a col...

Engage in high-stakes claims management, addressing complex latent liabilities with expertise. Use analytical skills to assess case strategies, negotiate settlements, and collaborate with legal counse...

Transform your expertise into impactful solutions as you analyze and develop medical policies for genetic testing. Collaborate across teams while delivering high-quality insights in a fast-paced envir...

Design audit concepts and processes, mentor teams, and ensure quality control while developing innovative solutions in the healthcare auditing domain to generate recoverable claims for clients...

Join a dynamic team where you'll lead complex analyses and provide actionable solutions to drive business outcomes in the insurance sector. Collaborate across departments and mentor junior analysts wh...

Engage with clinical services to ensure quality and consistency in Coding Validation processes. Collaborate with clients and internal teams, applying coding expertise to address inquiries, deliver tra...

Drive impactful audits and advisory engagements, leveraging data analytics to enhance operations while developing strong relationships across the organization. Bring your analytical skills and proacti...

Transform data into actionable insights as a Senior Risk Data Analyst, enhancing decision-making in payments risk and compliance. Collaborate cross-functionally to develop reporting and automation sol...

Deliver expertise in managing complex claims while ensuring compliance, risk mitigation, and fostering strong relationships with clients and brokers. Collaborate with stakeholders to achieve timely re...

Empower your career by reviewing medical records to draft appeals for denied claims. Use your clinical expertise to suggest coding changes and ensure compliance by achieving persuasive outcomes in a d...

Contribute to healthcare economics by analyzing data and financial metrics. Join a team focused on driving strategic initiatives across clinical, pharmacy, and value-based care to enhance affordabilit...

Transform the payment ecosystem by acting as a key link between Medicare policies and automated execution. Drive compliance, vendor performance, and implement AI initiatives to revolutionize clinical...

Elevate the clinical adjudication process by leading cross-functional teams to ensure timely, high-quality project delivery while optimizing workflows and achieving strategic milestones in the pharmac...

Join a team that's driving project success in healthcare by leading clinical adjudication initiatives, enhancing workflows, and collaborating across departments to ensure quality and efficiency in pro...

Shape the future of claims management by investigating and resolving complex litigated property claims, enhancing client relationships while strategizing litigation outcomes in a fast-paced environmen...

Lead and manage the resolution of complex commercial general liability claims, both litigated and non-litigated, ensuring timely and effective communication with clients and stakeholders while providi...

Deliver exceptional claims management for Kansas and Missouri workers' compensation. Utilize your expertise to investigate, negotiate, and resolve claims efficiently, driving favorable outcomes while...

Join a team that empowers strategic decision-making with advanced actuarial analysis. Utilize your expertise to transform healthcare data into insights that enhance affordability and drive business pe...

Shape the future of chargeback processes by leveraging your analytical expertise and collaboration skills. Join a dynamic team focused on optimizing financial operations within the pharmaceutical indu...