Claims Analyst Jobs in Raleigh, NC

Shape the future of healthcare reimbursement by leveraging clinical knowledge and coding expertise to resolve DRG-related payer denials, ensuring compliance and enhancing revenue integrity through pro...

Unlock potential by analyzing market trends and designing innovative products, ensuring compliance with industry standards while enhancing existing offerings to drive growth and profitability...

Analyze and validate Medicare Advantage member medical records to ensure accurate risk adjustment submissions to CMS. Collaborate with healthcare providers and improve coding quality for optimal reimb...

Accelerate your career as a Property Claims Examiner, utilizing technology to investigate, evaluate, and settle moderate homeowner claims. Collaborate with vendors and customers to deliver exceptional...

Pioneer a transformative approach in commercial transportation claims, balancing leadership and hands-on support. Leverage technology to enhance team performance and client satisfaction while driving...

Unlock your potential by leading data quality efforts across teams, enhancing corporate trust in critical reports. Collaborate with stakeholders to prioritize and operationalize quality rules that pro...

Drive the transformation of complex Auto Casualty claims operations by leading innovative strategies, optimizing processes, and ensuring regulatory compliance, all while championing a culture of teamw...

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...

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...

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...

Support clinical excellence through quality evaluations, feedback, and strategic improvements. Act as a resource for technical assistance, aligning decision-making with regulations to enhance performa...

Explore impactful integration solutions! Leverage your technical expertise to manage EDI implementations, fostering relationships with partners while ensuring accuracy and efficiency in healthcare tra...

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...

Analyze utilization and financial data to support strategic regulatory decisions impacting facility planning and investment strategies. Collaborate with finance and operational teams to deliver detail...

Lead the charge in defining and managing business systems projects, ensuring optimal integration of functionality and supporting requirements while fostering collaboration between technical solutions...

Drive impactful decision-making by developing robust analytical tools and frameworks. Collaborate with senior leaders to address business needs through innovative solutions, while enhancing your exper...

Shape your career by optimizing internal controls while implementing AI solutions across financial reporting engagements. Collaborate with business partners to enhance risk management frameworks and d...

Drive impactful business analysis to enhance organizational efficiency, improving IT-business integration. Collaborate with stakeholders and leverage Agile principles to support project delivery and o...

Drive timely resolution of Workers Compensation claims through analysis, negotiation, and effective communication, ensuring client satisfaction and adherence to industry standards. Join a supportive t...

Unlock success as you analyze international financial data, support forecasting cycles, and partner with teams to deliver insightful variance analysis and reporting. Drive process improvement across g...

Drive the resolution of complex commercial casualty claims through litigation, managing injury cases from investigation to settlement or trial with minimal oversight, collaborating effectively with de...

Take ownership of product strategy in Syndicated Lending, collaborating with cross-functional teams and leveraging user insights to innovate and enhance loan syndication solutions while ensuring align...

Innovate IT solutions by creating high-level technical designs for complex projects. Collaborate with teams to analyze architecture, validate designs, and mitigate risks while ensuring adherence to st...

Unlock potential by leveraging advanced analytics to enhance revenue cycle operations. Collaborate with cross-functional teams to identify denial trends, improve claim processes, and drive strategic i...