Claims Analyst Jobs in San Diego, CA

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...

Provide expert analysis on complex injury claims exceeding $60k, collaborating with law enforcement and medical professionals to determine coverage and liability, all while enhancing case resolution s...

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...

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...

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

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...

Shape the future of retiree health consulting by performing cost projections, valuations, and accounting reports. Collaborate with diverse teams to deliver analytical insights that enhance client rela...

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...

Join a team that's committed to analyzing complex California workers' compensation claims. Leverage your expertise to ensure accurate benefit determinations while delivering exceptional service and in...

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 the claims process by investigating complex injury claims, ensuring accurate coverage and liability assessments, while collaborating with various stakeholders to deliver exceptional resoluti...

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...

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...

Elevate the clinical adjudication process by leading cross-functional teams to ensure timely, high-quality project delivery while optimizing workflows and achieving strategic milestones in the pharmac...

Join a team that's driving project success in healthcare by leading clinical adjudication initiatives, enhancing workflows, and collaborating across departments to ensure quality and efficiency in pro...

Drive efficient resolution of complex injury claims by investigating, analyzing coverage, and consulting with key stakeholders. Collaborate in a hybrid environment, balancing office presence with remo...

Shape the future of claims management by investigating and resolving complex litigated property claims, enhancing client relationships while strategizing litigation outcomes in a fast-paced environmen...

Lead and manage the resolution of complex commercial general liability claims, both litigated and non-litigated, ensuring timely and effective communication with clients and stakeholders while providi...