Claims Analyst Jobs in Philadelphia, PA

Lead the charge in optimizing clinical appeals processes, ensuring compliance and high-quality outcomes. Manage a skilled team while collaborating with stakeholders to enhance operational effectivenes...

Deliver innovative pricing solutions as an Actuarial Analyst, leveraging statistical analysis to enhance insurance models. Collaborate with teams to ensure compliance and execute complex projects that...

Drive service excellence and client retention as a strategic leader overseeing a national Client Services organization. Collaborate with internal and external partners to enhance claims experience and...

Join a dynamic team as you leverage your actuarial expertise to develop innovative solutions in pricing, reserving, and financial modeling, while collaborating across departments to influence strategi...

Drive growth and retention strategies for customer accounts, ensuring high satisfaction levels while fostering strong relationships and facilitating multi-level engagement across client teams for opti...

Lead the evolution of reinsurance pricing strategies and actuarial models, driving innovation and technical excellence. Engage with senior leadership to communicate analytical insights clearly and sha...

Transform data into actionable insights by developing actuarial models for pricing, reserving, and forecasting. Collaborate with cross-functional teams to ensure profitable product development while a...

Join a team that's transforming healthcare risk management through expert underwriting of medical stop-loss products. Manage portfolios, develop pricing strategies, and collaborate with brokers to del...

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 our team to tackle complex commercial claims, ensuring thorough investigation and effective resolution of property damage and bodily injury cases while honing your analytical and negotiation skil...

Tackle complex commercial claims with an independent, proactive approach. Utilize your analytical and negotiation skills to investigate and resolve a variety of property damage and bodily injury claim...

Transform data quality management by leveraging your expertise in Collibra. Drive impactful workflow creation and enhance collaboration with data owners to ensure seamless data integrity and remediati...

Unlock potential by driving the integration of PLM solutions through technical documentation, collaborative process development, and compliance support in engineering environments, ensuring alignment...

Join a team that's shaping operational excellence in claims management. Oversee locations, ensure compliance with industry standards, manage staff training, and lead budget management while fostering...

Unlock potential by leading client analytics setups to create impactful reporting for health systems, enhancing revenue cycle efficiency through data processes, and driving implementation improvements...

Analyze and manage complex General Liability claims while collaborating with internal teams and TPAs. Use your expertise to drive excellence and innovation in claims management, ensuring timely resolu...

Lead the charge in ensuring quality compliance for clinical audits, utilizing expert knowledge in claims auditing and healthcare protocols to enhance process efficiency and accuracy across various cli...

Join a team that's passionate about data analysis. You'll monitor production models, create insightful reports, and optimize decision-making processes to enhance business performance in the auto lendi...

Unlock potential by reviewing coding audits and mentoring coders to enhance accuracy. Collaborate with leaders to improve processes and ensure compliance in a dynamic healthcare environment focused on...

Shape the future of claims management by building strong relationships, overseeing claims handling, and driving productivity to achieve business objectives while collaborating with cross-functional te...

Oversee the investigation and settlement of complex commercial insurance claims, ensuring fair evaluations and communication. Foster collaboration with stakeholders while navigating policy terms and e...

Lead the charge in coaching and directing a casualty resolution team, ensuring effective claims handling and staff development. Collaborate with stakeholders to drive operational efficiency and uphold...

Lead quality assurance for clinical DRG audits, ensuring accuracy and consistency in coding. Mentor auditors, recommend process changes, and analyze errors to enhance performance. Collaborate effectiv...

Shape the future of our claims management by leading individual cases, ensuring top-quality service for clients and brokers, and collaborating on portfolio oversight to optimize performance in a growi...

Contribute to compliance excellence by analyzing contracts, managing post-closing distributions, and coordinating with teams to ensure the timely release of funds while maintaining exceptional client...