Claims Specialist Remote Jobs

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...

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...

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 evaluating and settling homeowner claims. You'll investigate property losses both in-person and virtually, ensuring accurate assessments and effective resolutions. Grow...

Unlock potential by leveraging your data expertise to drive strategic insights and enhance decision-making across the organization, supporting regulatory and reporting initiatives through analytical p...

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...

Shape the future of contract management by overseeing contract lifecycles, ensuring compliance, and driving improvements in data management and policy development while collaborating with internal and...

Transform client outcomes by leveraging analytics and market intelligence to develop strategic insights. Collaborate with cross-functional teams to enhance program performance in managed care, ensurin...

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...