Claims Analyst Jobs

Transform the financial landscape by supporting accounting and reporting for life insurance investment portfolios. Collaborate with cross-functional teams to enhance processes and ensure accurate fina...

Transform your career by leading a team in quality assurance for Prior Authorization reviews, ensuring compliance and driving improvements in clinical decision-making and operational efficiency...

Engage in quality assurance leadership for Prior Authorization reviews, ensuring compliance, accuracy, and efficiency. Oversee a team of auditors, drive improvement initiatives, and enhance provider a...

Analyze member appeals and grievances, ensuring timely clinical reviews and compliance with guidelines. Collaborate with medical teams to address quality issues and enhance member care within regulato...

Analyze and review member appeals and grievances, ensuring compliance with clinical guidelines and regulations. Collaborate with medical directors to address quality issues and provide timely resoluti...

Champion clinical reviews of member appeals and grievances, ensuring compliance with guidelines. Collaborate with Medical Directors to address quality issues and deliver timely determinations in a fas...

Accelerate progress at the forefront of member appeals and grievances, ensuring timely clinical reviews and compliance with medical necessity standards while collaborating with medical directors to en...

Elevate your nursing career by conducting clinical reviews of member appeals and grievances, ensuring compliance with medical necessity and quality standards while collaborating with medical directors...

Optimize clinical quality and cost-effectiveness of drug rebates through data analysis and operational management, collaborating with account teams to enhance performance and achieve financial goals f...

Elevate your career by managing complex casualty claims, driving strategy and collaboration while leveraging your expertise to shape significant outcomes in a flexible, supportive environment...

Unlock potential by managing complex casualty claims, influencing key decisions and collaborating with legal partners. This remote or hybrid role offers growth through training and mentorship, with co...

Join a team where your expertise in managing complex casualty claims drives impactful outcomes. You'll navigate severe auto and homeowner claims, collaborating with counsel and leveraging your judgmen...

Pioneer a dynamic team environment by supervising multiple workers' compensation examiners. Drive innovative solutions, ensure compliance, and enhance client relationships while fostering professional...

Join a dynamic team to lead workers' compensation claims, ensuring efficient adjudication and exceptional client service. Leverage your expertise to drive process improvements and mentor staff in a su...

Transform claims operations by leading system enhancements, governance audits, and data mapping initiatives. Collaborate with cross-functional teams to ensure effective processes and compliance, drivi...

Lead the charge in enhancing clinical documentation integrity by supervising staff, conducting quality reviews, and fostering professional development. Collaborate with teams to implement effective st...

Join a dynamic team to support product management for government insurance, ensuring compliance and driving strategic initiatives. Leverage your expertise to lead analysis, define requirements, and en...

Join a team that's dedicated to driving commercial performance in healthcare. Engage with providers, build relationships, and support innovative therapies while collaborating with cross-functional par...

Execute data initiatives by partnering across teams to design analytics solutions. Shape data culture through impactful dashboards and insights, enabling informed decision-making for both internal tea...

Unlock insights through data analysis to enhance property and casualty insurance ratemaking. Collaborate with cross-functional teams to optimize processes, ensure data quality, and drive strategic dec...

Contribute to innovative solutions by analyzing complex business systems, gathering requirements, and collaborating with technical teams to enhance software functionality and drive project success...

Join a dynamic team to conduct comprehensive risk analyses, support decision-making, and enhance risk management practices across the export portfolio. Collaborate with various stakeholders to mitigat...

Champion the resolution of injury and property damage claims, ensuring timely communication and professional service. Collaborate with stakeholders to evaluate liability and negotiate settlements whil...

Drive the resolution of injury and property damage claims by managing investigations, evaluating liability, and ensuring timely payments. Collaborate with stakeholders to deliver exceptional service w...

Unlock potential by managing and investigating low to moderate complexity claims, ensuring timely resolutions and professional communication with all parties involved while maintaining high service st...