Claims Analyst Jobs in Miami, FL

Unlock the potential of healthcare solutions by assessing and analyzing clinical appeals. Collaborate with teams to enhance quality standards and contribute to continuous improvement initiatives while...

Drive the resolution of complex major case claims involving serious injuries. Take ownership of the entire claims lifecycle while collaborating with stakeholders to achieve timely outcomes through eff...

Join our team to analyze and process complex auto and commercial transportation claims, ensuring accurate investigations, liability determinations, and timely resolutions to support our clients and in...

Empower healthcare quality as a detail-oriented Outpatient Quality Analyst. Mentor coding teams, ensure compliance, and drive process improvements in a dynamic remote environment, making a meaningful...

Unlock potential by expertly managing complex workers' compensation claims, ensuring timely resolutions while collaborating with clients and vendors. Engage in a rewarding role focused on innovative s...

Manage reinsurance claims operations and evaluate long-tail claims, ensuring compliance with contract requirements. Collaborate with teams to verify coverages, prepare summaries, and support managemen...

Drive audit excellence by leading a team of Clinical Validation Auditors. Optimize performance, ensure quality outcomes, and foster a collaborative environment to support high standards in place of se...

Investigate and adjust complex MPL and General Liability claims. Collaborate with insureds and stakeholders, develop negotiation strategies, and ensure timely documentation while maintaining strong co...

Take ownership of complex medical malpractice claims to ensure timely resolution, manage costs, and maintain high customer satisfaction while leading case management in compliance with standards and b...

Drive the future of auditing by conducting comprehensive financial, compliance, and operational audits, providing actionable insights, and enhancing internal controls to ensure organizational accounta...

Elevate your career by managing policy forms, drafting required changes, and collaborating across teams to enhance insurance products and maintain compliance while driving efficiency and accuracy in p...

Manage ceded reinsurance processes, oversee claims accuracy, and facilitate team training while ensuring effective communication with leadership and IT to enhance reporting capabilities...

Join a team that's pivotal in ensuring accurate client payment policies. You'll manage medical policy integrity while conducting research and analysis, collaborating with internal teams, and providing...

Drive the renewal lifecycle for leading legal software products by collaborating with cross-functional teams to ensure timely, accurate renewals while mitigating risks and maximizing opportunities for...

Optimize healthcare cost-processing solutions by driving high-quality software delivery and analysis. Collaborate with stakeholders to implement APIs and database solutions while ensuring performance...

Engage in advanced financial analysis and risk assessment to drive Value-Based Care initiatives. Collaborate across teams, analyze healthcare data, and contribute to vendor partnerships while gaining...

Join a dynamic team as you manage complex high-value property claims, driving negotiations and resolutions. Use your expertise to provide exceptional customer support while ensuring compliance with re...

Shape the future of business intelligence by analyzing complex claims data and delivering strategic insights. Collaborate with stakeholders to define requirements and ensure effective BI solutions tha...

Advance pediatric healthcare by ensuring comprehensive coding compliance and accuracy. Collaborate with clinical teams to identify and resolve discrepancies while educating staff on coding practices i...

Optimize claims handling for complex workers compensation cases across multiple jurisdictions. Collaborate with internal and external parties to ensure effective negotiation strategies and resolution...

Bring your expertise to analyze and optimize Epic PB claims, ensuring effective resolution and compliance. Collaborate with teams to enhance processes and deliver insightful solutions in a dynamic hea...

Innovate in claims management by overseeing Workers' Compensation Lost Time claims, ensuring effective evaluations and support for claimants while collaborating across teams to drive outcomes and impr...

Join a team that's dedicated to enhancing healthcare efficiency by analyzing the revenue cycle. Your expertise will drive improvements in billing operations, perform detailed assessments, and ensure s...

Drive effective resolution of commercial general liability claims through risk transfer analysis, expert investigations, and strategic negotiation to ensure optimal outcomes and comprehensive coverage...

Lead the charge in transforming analytics for Internal Audit Claims. Handle complex data projects while providing insights, reporting, and automation support to enhance decision-making and drive effic...