Claims Specialist Remote Jobs

Analyze and resolve diverse LTSS claim issues, providing expert support and reporting to enhance service delivery. Collaborate with providers and ensure compliance with reimbursement standards in a pr...

Drive compliance and ethics initiatives to foster a culture of integrity and accountability, collaborating with leadership and engaging with all levels of the organization to ensure adherence to regul...

Lead the charge in transforming customer estimations with innovative solutions. Collaborate closely with clients to ensure smooth transitions and successful adoption of new technologies, driving excep...

Manage administrative actions and investigations to enhance program integrity. Work collaboratively with CMS and investigative teams, ensuring compliance and effective communication while mentoring te...

Unlock potential by managing comprehensive cost estimates for diverse projects. Collaborate with stakeholders, analyze costs, and ensure accurate forecasts throughout the project lifecycle, while cont...

Deliver exceptional legal representation in Construction Insurance Defense. Collaborate in a dynamic team to manage cases from inception, focusing on client service excellence. Embrace remote work fle...

Serve as a registered Principal focused on reviewing business social media profiles, ensuring compliance with regulatory standards. Collaborate across disciplines to enhance supervisory practices and...

Unlock potential by leveraging advanced analytics to shape reserving strategies. Collaborate with senior management, lead significant projects, and devise solutions that enhance organizational process...

Drive the care management team to enhance member healthcare quality and outcomes. Leverage your expertise in compliance, oversight, and team management to optimize processes, resolve escalations, and...

Join a dynamic team to provide advanced actuarial analysis, support pricing models, and lead complex projects across health programs to drive financial forecasting and strategic business decisions...

Champion the development and delivery of specialized training programs for clinical audit staff focused on IPF and IRF claims, ensuring compliance and improved accuracy through expert guidance and inn...

Optimize document control processes by managing workflows, storage, and compliance for critical projects. Collaborate with teams to maintain organized records, ensuring accuracy and timely completion...

Lead a talented team in advancing valuation and financial reporting for Health Solutions. Transform complex data into actionable insights and enhance profitability through innovative modeling strategi...

Shape the future of enterprise customer support by providing technical and operational solutions. Collaborate with diverse teams to enhance product functionality and improve customer experience throug...

Champion the future of hybrid enterprise environments with expert technical support for Windows, Linux, and Kubernetes. Engage in complex troubleshooting while enhancing CI/CD pipelines for seamless a...

Drive exceptional client service through effective recordkeeping and administration, ensuring compliance with regulations while enhancing productivity and satisfaction across your book of business...

Grow results by leading a high-performing distribution network, focusing on strategy, agency development, and market expansion. Collaborate with cross-functional teams to drive profitability and stren...

Explore exciting opportunities to analyze and enhance healthcare data solutions, ensuring operational efficiency and strategic initiatives are met. Collaborate with cross-functional teams to improve p...

Manage the accounts payable function by overseeing a team, ensuring accurate processing of invoices, enforcing financial controls, and enhancing efficiency through process improvements for optimal fin...

Champion the clinical authorization process by leveraging your expertise to facilitate communication between patients, healthcare providers, and insurers for complex medical cases. Collaborate effecti...

Join a team that's driving a robust data privacy program across the US. You'll ensure compliance, champion privacy awareness, and manage risks in a dynamic regulatory landscape, collaborating with var...

Empower policyholders by delivering expert risk management consultations, identifying hazards, and enhancing safety protocols. Collaborate across teams to drive growth while fostering strong client re...

Transform the delivery of legal services by leading operations with a focus on productivity, client relationships, and team engagement. Drive process standardization, resource management, and strategi...

Unlock potential by leading risk assessment workshops and developing comprehensive risk strategies. Collaborate with experts, manage client engagement, and support project risk management across diver...

Champion underwriting excellence by assessing complex life insurance applications. Leverage advanced skills to evaluate mortality risks, mentor peers, and drive process improvements while ensuring exc...