Claims Specialist Remote Jobs

Transform the suitability review process by leading a dynamic team focused on compliance, operational excellence, and continuous improvement. Collaborate across functions to ensure timely, accurate re...

Manage territory business plans to drive sales performance, engage healthcare providers, and support product launches. Collaborate with cross-functional teams to optimize patient access and ensure com...

Unlock potential by managing a diverse credit portfolio, conducting in-depth financial analysis, and presenting strategic recommendations to senior management while fostering relationships with financ...

Innovate solutions as an associate actuary, collaborating with a dynamic team to enhance workers' compensation coverage and drive strategic insights that impact stakeholders across Oregon and beyond...

Shape the future of community health by coordinating seamless transitions for members. Collaborate with care teams to develop effective plans, educate families, and enhance service delivery, ensuring...

Unlock potential by providing expert audit and advisory services to enhance risk management and internal controls across subsidiaries, ensuring effective governance and operational efficiency in a dyn...

Engage with healthcare payer clients to architect integrated solutions, driving revenue growth through strategic discovery, technical leadership, and value engineering. Collaborate across teams to del...

Unlock potential by joining a dedicated team focused on risk management. As a key contributor, you'll analyze exposures, support claims programs, and implement strategies to enhance safety and reduce...

Optimize logistics insurance strategies by leveraging your expertise in underwriting, product development, and business growth. Collaborate with brokers and clients to enhance market presence and deli...

Elevate your career by providing strategic leadership for a national remote case management team, ensuring service excellence, operational consistency, and client satisfaction while collaborating with...

Unlock potential by providing strategic legal counsel on clinical and commercial operations, focusing on regulatory compliance, privacy, and data protection in a dynamic biopharmaceutical environment...

Unlock potential by managing complex IT projects, ensuring timely completion and customer satisfaction through data analysis and effective communication across teams...

Shape the future of revenue cycle management by driving process improvements and reducing denials. Collaborate with teams to analyze trends, implement best practices, and enhance client satisfaction t...

Lead the charge in enhancing risk management services by providing expert safety training, conducting thorough underwriting surveys, and delivering actionable recommendations to improve policyholder s...

Champion the investigation of healthcare fraud and abuse, ensuring compliance with regulations. Analyze data, conduct audits, and collaborate with external agencies to identify and resolve fraudulent...

Unlock potential by driving product strategy through data analysis and market insights. Collaborate with cross-functional teams to enhance product performance and support decision-making across cellul...

Pioneer a culture of service excellence by leading a regional workers' compensation claims organization. Manage team performance, enhance claim quality, and ensure regulatory compliance while driving...

Lead the charge in managing Specialty Therapy and Rehabilitation Services, overseeing clinical operations, ensuring compliance, and driving quality improvement initiatives while collaborating with pro...

Drive effective claims outcomes by conducting comprehensive vehicle inspections, estimating repair costs, and facilitating collaborations with repair facilities. Utilize your expertise in customer ser...

Join a dynamic team as you inspect and assess vehicle damage, estimate repair costs, and negotiate settlements. Utilize your expertise to ensure accurate claim evaluations and provide exceptional cust...

Empower cross-functional teams to drive the Future of Medicine initiatives, ensuring scalable processes and compliance while enhancing patient safety and experience through strategic planning and exec...

Reimagine pharmacy benefit strategies as a trusted advisor, leading procurement initiatives and optimizing client programs. Oversee analytics operations while delivering actionable insights and foster...

Transform underwriting strategies by managing excess casualty business, fostering relationships with wholesale partners, and ensuring profitable outcomes while adhering to company guidelines and marke...

Lead the charge in building and managing a comprehensive reinsurance data pipeline while developing sophisticated models for pricing, reserving, and capital optimization. Collaborate with cross-functi...

Drive impactful health program analysis by leveraging actuarial expertise, performing data analysis, and supporting pricing strategies. Collaborate with cross-functional teams to enhance financial for...