Claims Specialist Remote Jobs

Join a team that's dedicated to defending California insurance cases. Leverage your litigation expertise to research laws, handle pleadings, and prepare legal documents, while maintaining strong clien...

Elevate your career by conducting vital actuarial analysis and risk assessments. Collaborate with senior leadership to influence strategy and improve processes in the healthcare sector while overseein...

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...

Advance efficiency by leading system integrations and enhancements in financial operations. Engage in requirement gathering, analysis, and testing for Oracle General Ledger and Fixed Assets. Support t...

Discover a pivotal role investigating suspicious claims and identifying potential fraud. Leverage analytical skills and investigative methods with a focus on collaboration and proactive solutions in a...

Optimize financial analysis projects through forecasting and risk assessment. Bring your expertise to Medicaid knowledge and analytical skills, working strategically to enhance provider contracting pr...

Join a team that's shaping the future of affordable healthcare through data-driven insights. In this pivotal role, you'll lead actuarial analyses and influence pricing strategies that directly impact...

Unlock operational efficiency by resolving complex provider disputes and enhancing claim processes. Collaborate with cross-functional teams to streamline workflows, ensuring compliance and optimal pro...

Shape the future of healthcare billing by leveraging your coding expertise to enhance payment integrity and provider partnerships, ensuring compliance with reimbursement models and guidelines while me...

Join us to lead complex stop-loss engagements, providing expert advice and mentorship while managing client relationships and negotiating with carriers for self-funded employers...

Grow your career with us as you manage and enhance global sanctions compliance standards. Collaborate internationally to monitor regulations, assess impacts, and drive strategy while ensuring adherenc...

Elevate risk management by partnering across teams to create tools mitigating fraud. You'll gather requirements, drive collaboration, and influence operational processes, ensuring successful project d...

Unlock potential by ensuring global sanctions compliance and managing risk in a dynamic environment. Collaborate across teams to develop standards and guidelines while adapting to legal changes and gu...

Innovate legal operations through project management and continuous improvement. Take ownership of key initiatives, facilitate cross-functional collaboration, and enhance processes in a remote work en...

Join a team that resolves complex commercial liability losses through investigation, negotiation, and expert testimony, enhancing company reputation while mentoring others and driving business growth...

Shape the future of healthcare consulting by utilizing your expertise in revenue cycle operations to enhance performance, drive financial improvement, and provide strategic guidance to healthcare orga...

Unlock potential by connecting with clients to provide tailored mortgage protection solutions, guiding them through the application process, and ensuring a seamless experience while building a rewardi...

Lead the charge in evaluating, pricing, and managing medical underwriting for a diverse book of business, serving as a subject matter expert and mentor while ensuring high standards of productivity an...

Drive quality improvement initiatives in healthcare by analyzing processes, leading teams, and deploying effective methodologies to achieve measurable outcomes. Collaborate with management to enhance...

Engage in Medicare coverage review activities, collaborating with pharmacists and healthcare providers to ensure timely access to pharmacy benefits. Balance independent tasks with team support to enha...

Join a dynamic team to design and build a comprehensive metrics store, enabling data-driven insights across business functions while shaping API layers to enhance analytics engineering practices for a...

Transform the energy underwriting landscape by developing innovative strategies and leading a dynamic team to drive profitable growth in upstream and midstream risks, ensuring alignment with corporate...

Deliver innovative pricing solutions as an Actuarial Analyst, leveraging statistical analysis to enhance insurance models. Collaborate with teams to ensure compliance and execute complex projects that...

Join a team that's driving actuarial innovation and efficiency through advanced analytics and strategic project leadership. Collaborate with experts to deliver impactful insights and guide complex ini...

Lead and develop a high-performing investigative team, overseeing case management, investigative quality, and compliance with standards. Collaborate with various stakeholders to ensure alignment with...