Claims Analyst Remote Jobs

Lead the charge in auditing medical records for accurate coding compliance and health plan policies. Prepare detailed reports, conduct relevant research, and maintain knowledge of healthcare guideline...

Join a dynamic clinical operations team, driving quality assurance and policy maintenance for Drug and Biological policies. Your expertise will enhance our coding processes and support client inquirie...

Help us enhance our security posture by monitoring and investigating breaches, identifying vulnerabilities, and implementing best practices. This role is vital for safeguarding digital assets and supp...

Unlock your potential by auditing outpatient claims. Leverage your clinical and coding expertise to enhance accuracy and improve treatment quality while contributing to innovative auditing solutions i...

Take ownership of coding operations by leading a team, overseeing quality and production, and collaborating with internal and external partners to achieve strategic goals and high customer satisfactio...

Lead a high-performing team of commercial auto claims specialists, ensuring technical excellence and operational efficiency in managing complex excess casualty claims while leveraging data-driven stra...

Support a team that evaluates and manages construction claims, ensuring effective strategies for investigation, negotiation, and resolution, while communicating findings with stakeholders and adapting...

Elevate your career as a subject matter expert in healthcare, specializing in ClaimsXten. Collaborate with clients and cross-functional teams, providing essential guidance on clinical content, policy...

Lead the charge in optimizing reimbursement processes through comprehensive analysis and collaboration. Utilize your expertise to identify discrepancies, enhance testing, and support strategic initiat...

Unlock potential by guiding healthcare providers through complex claims disputes. Represent clients in WC, MVA, TPL, and VA claims while ensuring compliance with state laws. Collaborate with teams to...

Shape the future of claims management by leading strategy for large accounts, providing analytics and insights, and fostering strong relationships with clients and stakeholders for optimal claim resol...

Drive impactful financial analyses and recommendations for healthcare reimbursement strategies, leveraging data to enhance competitive advantage. Collaborate with teams to optimize fee structures for...

Champion financial rigor by executing advanced analyses for rebate contracts, driving process optimization, and collaborating with cross-functional teams to enhance client relations and contract manag...

Join a team that's driving efficiency in claims operations by resolving complex system issues, improving workflows, and delivering user training. Collaborate with IT and help desk teams to enhance pro...

Lead the charge in ensuring accurate MS-DRG and APR-DRG coding while exercising autonomy in clinical documentation reviews. Collaborate with medical experts to optimize compliance and enhance reimburs...

Transform drug rebate processes by managing invoicing, disputes, and client interactions. Engage with manufacturers and clients to ensure accuracy and compliance while delivering exceptional service a...

Transform the future of risk management by analyzing claims trends, optimizing processes, and collaborating with diverse teams to enhance insurance functions as the organization scales in a dynamic en...

Champion proactive claims management by serving as a trusted advisor, partnering with clients and stakeholders to drive optimal outcomes in the insurance claims lifecycle across multiple coverage line...

Manage the litigation process for healthcare claims, ensuring effective resolution through negotiation and analysis for policyholders. Provide exceptional service and support to insured clients while...

Drive the resolution of complex major case claims involving serious injuries. Take ownership of the entire claims lifecycle while collaborating with stakeholders to achieve timely outcomes through eff...

Lead the charge in analyzing and processing workers' compensation claims, ensuring timely resolutions while upholding best practices. Collaborate across teams to deliver exceptional service and innova...

Shape your career by managing complex claims with a focus on delivering excellent service and equitable resolutions. Collaborate and drive strategic outcomes to support policyholders while adhering to...

Analyze and audit inpatient DRG claims by applying coding expertise to enhance accuracy and ensure compliance. Collaborate on process improvements to drive operational excellence in a dynamic healthca...

Drive analysis and documentation efforts to optimize internal workflows and support the delivery of high-quality tech solutions, collaborating closely with cross-functional teams to ensure clarity and...

Manage complex Lost-Time Workers Compensation claims while ensuring client satisfaction and adherence to industry best practices. Collaborate with a global team to deliver innovative solutions and mai...