Claims Specialist Remote Jobs

Elevate financial decision-making by leading a team to deliver advanced analytics, drive insights, and solve complex problems in forecasting and financial modeling while ensuring compliance with regul...

Reimagine operational excellence as you lead a Site Reliability Operations team focused on robust observability, real-time monitoring, and incident management to enhance service reliability and custom...

Transform the Employee Benefits Underwriting landscape by leading a high-performing team. Drive profitable growth and innovation while ensuring compliance and operational excellence in Life, Absence...

Grow your career with a leadership role managing healthcare provider networks. Oversee contract negotiations, build provider partnerships, and optimize performance to ensure access to care while achie...

Drive operational excellence and service delivery improvements in Medicaid operations, collaborating with clients and leading a high-performing team to ensure regulatory compliance and innovate proces...

Contribute to a high-performing clinical review team by supervising utilization management operations, resolving complex care issues, ensuring compliance with standards, and driving quality improvemen...

Lead the charge in managing client services projects, ensuring high-quality results through effective team coordination and strategic planning. Drive client satisfaction while aligning projects with o...

Accelerate progress at the intersection of science and sales, engaging key Oncology stakeholders to drive the adoption of innovative treatments while ensuring compliance and collaboration across diver...

Grow your career with a strategic role in talent acquisition, driving full cycle recruitment by sourcing, assessing, and securing top talent for a range of positions, all while collaborating closely w...

Transform clinical trial budgeting by coordinating analyses, negotiating with sponsors, and ensuring compliance. Support a collaborative team to refine administrative processes and mentor junior staff...

Lead a dynamic team in managing and underwriting a profitable transportation portfolio, driving growth and broker engagement through expert relationship management and strategic risk evaluation...

Manage reimbursement strategies supporting business goals across product areas. Collaborate with teams to guide product development, analyze landscapes, and educate stakeholders on reimbursement impac...

Empower healthcare quality as a remote Inpatient Auditing Specialist, driving compliance and coding excellence. Collaborate closely with coders to educate, audit, and ensure optimal outcomes in patien...

Join a team that shapes the future of litigation by managing complex cases, mentoring junior attorneys, and advocating for clients with minimal oversight, all while working remotely and making impactf...

Explore member care strategies by assessing needs and developing tailored plans. Collaborate with healthcare teams to ensure high-quality, cost-effective services and advocate for member participation...

Lead the charge in complex fraud investigations and audits, collaborating with law enforcement and influencing departmental strategy, while ensuring billing appropriateness and preparing detailed repo...

Lead the delivery of projects from initiation to closure, coordinating efforts across multiple teams and managing risks effectively to ensure successful project outcomes while utilizing AI tools for e...

Drive strategic architectural initiatives to design and implement robust software solutions, enhancing system performance while collaborating with diverse teams and stakeholders to ensure alignment an...

Elevate your career by managing relationships with brokers to drive profitable growth in commercial insurance. Lead underwriting teams, create business plans, and optimize opportunities in the Great L...

Unlock your potential by leveraging your Neo4j DBA expertise to drive innovation and enhance complex ERP applications, improving client processes and delivering impactful solutions across the enterpri...

Grow your career with this role supporting complex oncology trials, ensuring data accuracy and compliance through meticulous coordination, collaboration with clinical teams, and mentorship to uphold t...

Drive regulatory transformation by leading the adoption of advanced AI solutions to enhance compliance workflows and empower regulatory organizations through effective training and support...

Support the M&A Liability Division by underwriting insurance policies and managing submissions. Collaborate with deal teams, maintain documentation, and engage in client correspondence to ensure timel...

Champion the defense in insurance litigation, managing cases from inception to resolution. Provide strategic legal counsel and collaborate with clients. Stay abreast of evolving regulations while navi...

Invent powerful actuarial solutions as you build and operationalize innovative analytics tools, collaborating closely with teams to enhance client decision-making in insurance deal cycles through impa...