Claims Specialist Remote Jobs

Champion underwriting strategies within a multi-disciplinary team, managing a block of stop loss business. Engage in pricing, risk analysis, renewals, and supporting new business to meet financial tar...

Lead the creation of member enrollment content, focusing on welcomed kits, by collaborating with experts, managing projects, and ensuring effective communication across teams to enhance compliance and...

Analyze legal bill audits and improve billing processes across multiple practice areas. Leverage legal expertise to communicate billing issues effectively with panel firms and enhance cost containment...

Transform client relationships with strategic advocacy and adept insurance placement. As a key leader, you'll manage casualty lines while leveraging resources to deliver tailored risk solutions in a d...

Drive the development and implementation of innovative insurance products in life sciences, collaborating across teams to meet market needs. Lead the drafting of coverage language while analyzing comp...

Lead the charge in driving insurance sales performance and premium growth within the automotive finance sector. Collaborate across teams to enhance product offerings and strategically influence embedd...

Engage in legal defense of insurance claims in New York, managing litigation from pleadings to trial. Collaborate with internal teams on case strategy while ensuring compliance with legal standards an...

Transform healthcare delivery by optimizing workflows as a Clinical Applications Analyst. Collaborate with stakeholders, lead projects, and become a subject matter expert in Epic systems to enhance op...

Drive optimal claim resolution by investigating and negotiating high-severity property claims. Oversee the full claim lifecycle while ensuring compliance with quality standards and state regulations...

Join a team focused on investigating healthcare fraud, ensuring compliance, and recovering lost funds. Leverage your expertise in complex cases, collaborate with law enforcement, and contribute to sha...

Join a dynamic team as you drive payer contract compliance and support enrollment processes. Enhance operational efficiency through strategic documentation and regulatory management, ensuring alignmen...

Drive the optimization of provider reimbursement strategies through data analysis and financial modeling, leveraging advanced tools and analytics to enhance accuracy and efficiency across healthcare c...

Join a team that's dedicated to evaluating and settling homeowner claims. You'll investigate property losses both in-person and virtually, ensuring accurate assessments and effective resolutions. Grow...

Empower your career as a Senior Medical Reviewer, leading medical reviews, utilization management, and providing guidance to team members in a supportive, remote environment focused on high-quality he...

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...

Empower clinical documentation integrity by collaborating with teams to enhance compliance, optimize provider education, and ensure adherence to coding guidelines, ultimately improving risk adjustment...

Unlock your potential by managing claims billing and payment for healthcare facilities. Your role will encompass submission, follow-up, and reporting within the revenue cycle, ensuring accurate compli...

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...

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...

Engage customers by selling personal lines insurance products through warm inbound leads, utilizing extensive carrier options to address client needs while exceeding sales goals in a professional and...

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...