Claims Analyst Remote Jobs

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 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...

Contribute to the enhancement of encounter operations by leveraging your expertise in claims, analysis, and regulatory compliance. Engage collaboratively across teams to resolve complex issues and dri...

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...

Unlock potential by leading Itemized Bill Review initiatives that enhance clinical, coding, and audit strategies. Drive improvements in payment integrity and billing accuracy while serving as a key su...

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...

Help us analyze and resolve complex member appeals in healthcare, ensuring compliance with regulations. This role involves clinical consultation, documentation, and trend analysis to enhance service q...

Manage low to moderate-complexity claims, facilitating negotiations and investigations while ensuring compliance with regulatory requirements. Engage with insureds and claimants to evaluate and resolv...

Champion complex provider dispute resolutions by analyzing claims, interpreting contracts, and guiding teams. Collaborate across departments to enhance operational accuracy and efficiency through expe...

Deliver innovative solutions by implementing and optimizing EPIC EHR systems, ensuring effective collaboration with clinical teams to enhance operational workflows and resolve issues in a dynamic heal...

Drive effective litigation strategies and resolutions for moderately complex claims, ensuring compliance with state laws while delivering exceptional member service through proactive communication and...

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...

Advance your career by expertly managing moderate to high complexity claims, resolving liability issues, and ensuring compliance with regulations while delivering outstanding customer service and deve...

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...

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...

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...

Deliver expertise in managing complex claims while ensuring compliance, risk mitigation, and fostering strong relationships with clients and brokers. Collaborate with stakeholders to achieve timely re...

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...

Transform data into actionable insights that drive business performance and risk outcomes. Collaborate with stakeholders to analyze complex claims data, identify trends, and deliver strategic recommen...

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...

Unlock your potential in a dynamic role overseeing complex claims. Focus on delivering exceptional service and strategic outcomes while collaborating with diverse stakeholders to navigate the intricac...