Claims Analyst Jobs in Philadelphia, PA

Lead complex commercial casualty claims resolution by analyzing, negotiating, and providing exceptional customer service while ensuring compliance with industry standards and guidelines to achieve opt...

Oversee quality auditing of inpatient medical records to validate DRG codes, ensuring accuracy through detailed reviews and mentoring. Drive improvements by identifying trends and recommending process...

Reimagine claims management as a Claims Specialist Supervisor, leading a team to effectively evaluate and resolve complex title insurance claims, ensuring adherence to policies while providing expert...

Join us in shaping the future of healthcare operations by ensuring provider network accuracy and compliance. Leverage your expertise in claims analysis and enhance operational efficiency while collabo...

Support the development of informatics solutions for clinical research studies. Collaborate with multidisciplinary teams to enhance data collection, management, and reporting, ensuring research goals...

Deliver expert audit compliance support for DoD financial systems, ensuring integrity and adherence to regulations. Drive continuous improvement in audit practices and strengthen internal controls wit...

Champion the assessment of medical risks and cost projections for claims and underwriting. Utilize diverse data sources to ensure accurate evaluations and recommendations while staying current with me...

Join a team that's dedicated to promoting compliance while leading project initiatives. Collaborate across departments as a functional expert to establish policies and monitor compliance with regulato...

Take ownership of litigation claims management. Oversee investigations, evaluations, and negotiations of auto claims disputes while collaborating with internal teams to improve processes and reporting...

Champion excellence by driving risk-based audits and advising on critical operations while collaborating with all levels of management. Ideal for analytical minds eager to enhance internal controls an...

Unlock your potential as you manage ceded reinsurance claims, ensuring accurate reporting and timely recovery. Leverage your skills in a role that requires strong analytical and communication abilitie...

Optimize market presence by building and nurturing relationships with law firms. Drive consistent revenue growth through strategic account management and active field engagement. Embrace the potential...

Lead the charge in retirement plan document management, ensuring compliance and best practices are implemented across the firm's operations while training teams and advising on ERISA and Internal Reve...

Join a team that's dedicated to effective claims management and driving change on complex Surety matters. Collaborate with leaders to enhance processes, mentor staff, and create optimal resolutions wh...

Empower individuals by advocating for injured workers' recovery. Collaborate closely with medical providers while managing treatment plans and facilitating timely returns to work through effective com...

Empower injured workers by providing vital advocacy and care coordination. Manage complex medical conditions through strategic collaboration with healthcare professionals. Enjoy a hybrid work environm...

Oversee daily operations of the Itemized Bill Review team, ensuring SLA compliance, communication with clients, and identifying process improvement opportunities to enhance efficiency and performance...

Elevate your career as a Senior Medical Auditor by leading coding audits, ensuring compliance, and educating teams. Collaborate with diverse professionals, analyze data for quality assurance, and tran...

Unlock your potential by fostering strong, collaborative customer relationships, executing tailored account plans, and ensuring successful business agreements in a dynamic sales environment...

Empower employees by managing and enhancing benefits and leave programs globally. As a key subject matter expert, ensure compliance and operational excellence while collaborating cross-functionally to...

Elevate our product offering by driving agile processes and enhancing claims capabilities. Collaborate with cross-functional teams to ensure timely delivery of solutions that meet market needs and imp...

Champion a high-performing team to drive strategic Workers Comp claim initiatives, enhancing quality and outcomes while providing expert guidance and fostering collaboration in a dynamic environment...

Take ownership of optimizing top-of-funnel processes as a key partner across teams, driving automation and data quality, and ensuring lead management efficiency for sustainable revenue growth...

Engage cross-functional teams to shape complex customer solutions, leading requirements discovery, system design, and UAT while mentoring analysts. Act as a trusted advisor to drive continuous improve...

Engineer success by providing expert risk consultation and support for subcontractor default insurance. Collaborate nationally with contractors to enhance risk management strategies and optimize proje...