Claims Analyst Jobs in Philadelphia, PA

Join a dynamic team as you lead Clinical Validation Auditors, ensuring quality outcomes, optimizing performance, and enhancing team capabilities. Drive success through effective training and managemen...

Shape efficient utilization management by overseeing medical appeals, ensuring compliance with regulations, mentoring team members, and coordinating complex cases while supporting high-quality patient...

Unlock potential by expertly managing complex professional liability claims. You will investigate, negotiate, and resolve intricate cases while ensuring exceptional customer service and adherence to i...

Manage and evaluate complex casualty claims, guiding junior adjusters and ensuring compliance with legal frameworks. Utilize expertise in New York Labor Law and collaborate across teams to uphold best...

Grow your career with a dynamic client-facing role, leading client engagement and insurance program execution while enhancing relationships and driving service delivery. Collaborate closely with teams...

Join a team that's focused on enhancing global insurance strategies by managing property/casualty placements. Collaborate with senior management on risk finance techniques while overseeing claims admi...

Empower operational excellence by liaising between teams to analyze and resolve complex technical issues, enhancing data platform performance and driving process improvements for business stakeholders...

Drive superior service by managing and evaluating lost time workers' compensation claims, ensuring cost-effective resolutions while collaborating with stakeholders for best outcomes and continuous imp...

Join a collaborative team as you manage complex claims involving design professionals. Leverage your expertise in legal analysis and problem-solving to resolve disputes effectively while ensuring exce...

Join a team that's supporting data analytics initiatives on a national scale, focusing on insights for underwriting, financial analysis, and client consulting. Collaborate with stakeholders to enhance...

Transform claims management by delivering expert evaluation and resolution for complex MPL and General Liability claims, ensuring exceptional service for policyholders through meticulous investigation...

Shape the future of claims management by driving optimal outcomes in specialty lines. Leverage your expertise in litigation and coverage analysis while collaborating with diverse partners to enhance s...

Join a team that's dedicated to conducting clinical reviews for Medicaid fraud investigations. Leverage your nursing expertise and coding knowledge to ensure compliance with Medicare and Medicaid guid...

Explore exciting opportunities to analyze and enhance healthcare data solutions, ensuring operational efficiency and strategic initiatives are met. Collaborate with cross-functional teams to improve p...

Empower healthcare data integration by executing interface projects and collaborating with teams to ensure successful deployments. This role offers a great opportunity for detail-oriented individuals...

Optimize pricing strategies and enhance underwriting capabilities by leveraging actuarial expertise to ensure profitable growth within US Programs while collaborating with various business partners an...

Lead actuarial projects to enhance pricing strategies and profitability for US Programs. Collaborate with underwriting, MGA partners, and product teams to develop and execute data-driven analyses, del...

Unlock potential by analyzing and validating healthcare provider data, ensuring accuracy and compliance across systems, while supporting credentialing, roster management, and process improvements...

Elevate your career by leading coding compliance audits and enhancing healthcare standards. You'll conduct thorough reviews, coach auditors, and drive continuous improvement initiatives while ensuring...

Join a team that's focused on enhancing financial systems and reporting. This analytical role merges finance with data to drive accuracy, efficiency, and informed decision-making across an organizatio...

Join our Analytics team as you analyze client data to identify trends, optimize reporting, and enhance dashboards. Collaborate across functions and present findings while developing your skills in a d...

Join a dynamic team to conduct clinical chart reviews for audits, applying critical thinking to ensure compliance with guidelines while enhancing operational efficiency and accuracy in claim assessmen...

Transform healthcare auditing by leveraging your clinical expertise to conduct thorough reviews, ensuring compliance with care standards. Join a dynamic team dedicated to improving outcomes through pr...

Join our team as a vital point of contact for clients, nurturing relationships and ensuring seamless communication between customers and internal teams. Lead account management and problem resolution...

Shape the future of claims management by leading a team of adjusters, ensuring regulatory compliance, and optimizing processes for complex Master Policy TLL and Contents Claims. Drive department effic...