Claims Specialist Remote Jobs

Join a dynamic team as a Senior SIU Investigator to lead comprehensive fraud prevention and resolution efforts within life insurance, ensuring compliance and protecting stakeholder trust through strat...

Join a team that's dedicated to resolving complex liability claims while ensuring adherence to best practices and regulatory standards. Leverage your expertise to conduct thorough investigations and n...

Manage and resolve complex General Liability claims, emphasizing strategic analysis, investigation, and efficient resolutions across diverse programs. Leverage expertise in coverage interpretation and...

Lead a diverse team of claims examiners to drive operational excellence, ensuring effective adjudication of liability claims. Collaborate with management to identify trends and enhance processes, deli...

Join a dynamic team as you handle complex Directors and Officers claims, ensuring timely resolutions and excellent customer service. Adapt and strategize effectively in a flexible work environment wit...

Provide expert guidance in managing high-severity insurance claims, focusing on coverage analysis, strategic resolution, and compliance. Collaborate effectively with internal teams, carriers, and stak...

Drive the resolution of complex commercial casualty claims through litigation, managing injury cases from investigation to settlement or trial with minimal oversight, collaborating effectively with de...

Join a dynamic team to independently manage MS-DRG and APR-DRG coding reviews, ensuring accuracy in clinical documentation while collaborating with medical leadership to influence outcomes and shape a...

Optimize your expertise in MS-DRG and APR-DRG coding while conducting comprehensive reviews for clinical accuracy and reimbursement compliance. Leverage your professional judgment to drive quality imp...

Champion quality assurance in healthcare by leading a Utilization and Denials Management team, ensuring efficient operations, training staff, and collaborating with stakeholders to elevate production...

Grow your career with a dynamic team delivering exceptional claims advocacy. You'll guide clients through the claims process, ensuring compliance and effective communication while preserving their rig...

Champion the operation and supervision of multiple claims teams, driving efficiency and improving processes. Provide technical direction, oversee complex claims, and ensure compliance while leading st...

Join a team that's focused on independently managing complex California workers' compensation claims, investigating, determining compensability, and strategizing resolutions while ensuring compliance...

Join a team that's driving efficiency in claims operations by resolving complex system issues, improving workflows, and delivering user training. Collaborate with IT and help desk teams to enhance pro...

Elevate your career by managing General Liability Claims across multiple states, analyzing coverage, and strategizing legal defenses while utilizing AI resources to achieve optimal outcomes...

Unlock potential by leading the adjudication of complex environmental claims, leveraging your expertise to deliver exceptional results and guiding clients through critical decision-making processes in...

Lead the charge in effectively managing complex claims related to environmental damages and liabilities. Collaborate with legal and underwriting teams to ensure compliance, assess risks, and optimize...

Join a team that's redefining claims management, leveraging your New York Workers Compensation expertise to analyze and resolve complex customer claims within a dynamic, supportive environment...

Transform complex medical malpractice claims into timely resolutions while managing costs and ensuring high client satisfaction. Collaborate with legal teams and utilize strategic approaches to optimi...

Join a team that's dedicated to overseeing and enhancing claims operations by supervising examiners, directing technical processes, and fostering professional relationships with clients while driving...

Drive underwriting excellence by managing a diverse portfolio of environmental and casualty accounts, focusing on new business acquisition and renewals while assessing risks, setting terms, and foster...

Lead and elevate a team handling Commercial General Liability claims, ensuring operational excellence and exceptional service. Drive performance, promote accountability, and foster continuous learning...

Shape the future of healthcare by managing project activities and overseeing appeals processes. Collaborate with teams to ensure efficient operations while maintaining relationships with internal and...

Join us to conduct medical necessity reviews and appeals, enhancing care quality through collaboration and expert analysis of clinical documentation and payer regulations, ensuring compliance and impr...

Empower the auditing process by analyzing inpatient claims and ensuring coding accuracy. Leverage your clinical expertise and advanced coding knowledge to drive quality and productivity in chart valid...