Claims Analyst Jobs in Philadelphia, PA

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...

Shape the future of claims management by leading a dedicated team to meet performance goals and compliance standards, while fostering growth through training and support in a collaborative hybrid envi...

Drive timely execution of external audits by ensuring compliance with standards and addressing complex audit functions, while collaborating with departments to produce accurate, comprehensive response...

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 with clients as a trusted advocate, fostering strong relationships, identifying opportunities, and delivering innovative solutions within the commercial Property & Casualty insurance sector...

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...

Join a team that's dedicated to analyzing data and supporting regulatory rate approvals across multiple insurance lines. Collaborate with actuaries and underwriters to influence pricing and ensure com...

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...

Shape the future of claims management by overseeing commercial auto property damage and injury claims. Lead negotiations, collaborate with clients and partners, and provide strategic insights to enhan...

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...

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...

Elevate our claims process by collaborating with a dynamic team to investigate and analyze Employment Practices Liability claims, ensuring accurate coverage determinations and effective resolution of...

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...

Drive impactful clinical project outcomes by managing adjudication processes, ensuring timely, budget-compliant deliverables. Collaborate cross-functionally to enhance workflows and promote effective...

Lead the charge in optimizing clinical adjudication processes, ensuring timely project delivery and quality outcomes. Collaborate cross-functionally to develop training and reference materials for eff...

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...