Claims Specialist Remote Jobs

Manage low to moderate-complexity claims, facilitating negotiations and investigations while ensuring compliance with regulatory requirements. Engage with insureds and claimants to evaluate and resolv...

Engage with clinical services to ensure quality and consistency in Coding Validation processes. Collaborate with clients and internal teams, applying coding expertise to address inquiries, deliver tra...

Join us to enhance long-term care services by leveraging your nursing or social work expertise. You'll improve care plans, assess claimant needs, and collaborate with healthcare professionals in deliv...

Design audit concepts and processes, mentor teams, and ensure quality control while developing innovative solutions in the healthcare auditing domain to generate recoverable claims for clients...

Contribute to the enhancement of encounter operations by leveraging your expertise in claims, analysis, and regulatory compliance. Engage collaboratively across teams to resolve complex issues and dri...

Champion the claims process as you expertly manage workers' compensation claims from inception to closure, ensuring compliance, timely payments, and optimal outcomes through strategic negotiations and...

Pioneer innovative life underwriting solutions by analyzing complex applications. Leverage independent judgment to meet client needs while mentoring junior underwriters. Collaborate with teams to ensu...

Engage in high-stakes claims management, addressing complex latent liabilities with expertise. Use analytical skills to assess case strategies, negotiate settlements, and collaborate with legal counse...

Analyze and resolve complex Construction Defect claims, ensuring compliance with standards while guiding junior staff. Collaborate across teams to negotiate settlements and prepare reports on claims s...

Innovate high-severity commercial auto casualty claims management, utilizing advanced data and technology. Collaborate effectively to ensure optimal outcomes in complex situations while maintaining hi...

Champion payment integrity by overseeing audits, compliance strategies, and educational initiatives, ensuring adherence to regulations while driving operational efficiency across healthcare services...

Join a team that's driving excellence in medical malpractice claims management. Lead strategic investigations, oversee litigation, and collaborate on risk mitigation to enhance patient safety and secu...

Transform your career by managing a diverse portfolio of General Liability claims. This fully remote role relies on your expertise to analyze coverage, negotiate settlements, and deliver excellent cus...

Lead the development of a high-performing General Liability claims team, ensuring timely resolution of complex claims while providing strategic direction and fostering professional growth across multi...

Reimagine sales strategies in the healthcare payer sector through relationship building and expert selling. Leverage your extensive experience with C-level executives to drive significant growth in a...

Lead a skilled team of claims professionals in managing Commercial General Liability claims of varying complexity across multiple jurisdictions, ensuring operational excellence, customer satisfaction...

Shape the future of healthcare by conducting thorough audits of medical records to ensure coding accuracy and compliance, while providing actionable insights to enhance processes for Fraud, Waste & Ab...

Shape the future of complex claims management by leading a dynamic team specializing in high-exposure liability cases. Drive strategies for innovative resolutions while ensuring exceptional service an...

Unlock potential by leading strategic initiatives to enhance revenue recovery and drive operational excellence in healthcare financial operations. Collaborate with cross-functional partners to achieve...

Analyze and resolve insurance claims by evaluating coverage, negotiating settlements, and ensuring compliance with relevant laws. Collaborate with legal counsel and maintain thorough documentation whi...

Unlock potential by leading complex claims management for Management Liability. Ensure effective strategy execution and maintain customer satisfaction through expert analysis, negotiation, and complia...

Champion complex provider dispute resolutions by analyzing claims, interpreting contracts, and guiding teams. Collaborate across departments to enhance operational accuracy and efficiency through expe...

Reimagine global compliance strategies as you guide regulatory submissions, assess product impacts, and collaborate across teams to ensure adherence to medical device regulations while enhancing quali...

Partner with us to enhance data operations by troubleshooting and resolving technical issues, collaborating with cross-functional teams, and driving improvements in production support processes. Shape...

Accelerate the performance of a dynamic claims team by leveraging your leadership skills and insurance expertise. Guide staff in achieving operational excellence while balancing management and hands-o...