Claims Analyst Remote Jobs

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...

Champion complex commercial general liability claims by evaluating coverage issues, managing risks, and formulating effective resolution strategies to achieve optimal outcomes. Play a vital role on a...

Lead and inspire a diverse team in delivering client-centered results while fostering a culture of collaboration, accountability, and continuous improvement in the healthcare sector...

Drive operational excellence in billing and collections, ensuring accurate invoicing and compliance. Collaborate with cross-functional teams to enhance processes and minimize revenue leakage while lea...

Join a dynamic team as a Senior SIU Investigator to lead comprehensive fraud prevention and resolution efforts within life insurance, ensuring compliance and protecting stakeholder trust through strat...

Lead and optimize the clinical appeals function within Utilization Management, ensuring compliance and excellent outcomes through strategic oversight and collaboration with healthcare teams, while dri...

Empower the health plan as a Medical Policy Director, guiding coding and payment policy strategies while collaborating with diverse teams to optimize client solutions and deliver impactful presentatio...

Lead the charge in ensuring data quality, integrity, and governance, impacting regulatory compliance and patient safety across essential business operations. Drive high-impact analytics and continuous...

Elevate your career by analyzing workers' compensation claims, ensuring timely resolution while delivering exceptional customer service in a dynamic, supportive environment that values innovation and...

Innovate and elevate healthcare data management through proactive monitoring, system configuration, and root-cause analysis, ensuring seamless EHR integrations and preventing operational disruptions...

Elevate your career as a Large Loss Casualty Adjuster, managing complex claims and negotiating settlements up to $175,000 while working independently from home. Utilize your expertise in various liabi...

The Global Security Assurance Consultant at Aflac is responsible for maintaining cybersecurity controls and ensuring compliance with industry standards and regulations. This role involves conducting r...

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

Transform the coding and CDI landscape by leading audit and education initiatives, ensuring compliance and enhancing performance across teams. Drive training development and process improvement to fos...

Transform your career by leveraging clinical expertise to enhance member outcomes, optimize resource utilization, and collaborate with multidisciplinary teams to improve healthcare services while driv...

Oversee operations across multiple locations, implementing best practices to enhance claims management and client service. Develop tailored business strategies and foster a high-performance culture wh...

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

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...

Take ownership of complex injury claims by interpreting policies, conducting investigations, and negotiating settlements. Work collaboratively within a committed team to ensure exceptional customer se...

Bring your expertise to a pivotal actuarial role, analyzing data to shape pricing strategies and enhance profitability across insurance portfolios while collaborating with underwriting and leadership...

Unlock potential by leading strategic oversight and management of complex construction general liability claims, acting as a vital resource for clients and stakeholders to ensure effective resolutions...

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...

Analyze and audit clinical charts for accurate claims assessment while utilizing proprietary auditing tools. Collaborate with teams to maintain productivity and quality standards, leveraging clinical...

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...