Claims Specialist Remote Jobs

Accelerate progress at the intersection of insurance and client service, supporting lead brokers while developing your own expertise. Build relationships, manage accounts, and contribute to business g...

Lead external channel strategy and execution, ensuring Optum Insight's expertise reaches target audiences while enhancing reputation through effective content activation and audience engagement across...

Accelerate progress at our Accounts Receivable Services team by leading daily operations, ensuring quality standards, and fostering client relationships. Drive team performance through training and pr...

Empower a dynamic actuarial team by analyzing financial risks and supporting quarterly forecasts. Collaborate across functions to drive insights for government services pharmacy products, ensuring eff...

Analyze pharmacy claims audits to ensure compliance with PBM contracts. Contribute to data quality checks, financial evaluations, and operational efficiencies while collaborating with internal teams a...

Drive impactful credit analysis by underwriting commercial loan requests, collaborating with analysts and portfolio managers to enhance our credit portfolio while ensuring compliance with regulatory s...

Join a team that's redefining financial analytics by developing cutting-edge predictive models. Collaborate globally, analyze large datasets, and drive impactful solutions in the financial services in...

Lead the integration of financial data within multi-Agency programs, optimizing analytics and governance practices as a key subject matter expert in a collaborative environment focused on government s...

Drive the enhancement of Compliance Monitoring and Testing programs, ensuring regulatory alignment and effective risk management. Collaborate with stakeholders to improve operational efficiency and su...

Shape the future of underwriting training by designing and delivering impactful programs that enhance risk assessment skills and employee engagement, while collaborating across teams to foster a cultu...

Drive data quality and analysis in Defined Benefits administration, serving as a subject matter expert. Collaborate on data-intensive projects, ensuring accuracy and efficiency while supporting client...

Advance healthcare outcomes by leading project teams to design and implement tailored revenue cycle solutions, fostering collaboration and driving transformation in mission-driven organizations. Empow...

Grow and manage a profitable large account portfolio by applying underwriting expertise, building broker relationships, and driving strategic agency performance insights. Collaborate with regional lea...

Partner with us to identify and develop innovative payment policies that drive cost savings and enhance healthcare delivery. Collaborate with stakeholders to assess opportunities and influence strateg...

Optimize clinical sales support for advanced vascular solutions, driving product adoption and exceptional patient outcomes. Collaborate with sales and clinical teams to enhance training, education, an...

Unlock potential by leading IT SOX compliance and enhancing global security culture. Balance technical auditing with advocacy, ensuring financial integrity and regulatory adherence while fostering a r...

Join a dynamic team to lead Quality Assurance efforts in Long-Term Services and Supports. Oversee compliance, collaborate with external partners, and drive operational excellence while ensuring adhere...

Drive the future of GHG emissions verification by leading audits, analyzing data, and ensuring compliance with industry standards. Collaborate with clients to enhance transparency and accuracy in emis...

Join a team that's redefining billing solutions in the legal sector. Leverage your expertise in law firm financial operations to support sales efforts, conduct client demos, and enhance our innovative...

Drive enterprise vendor management strategy by overseeing vendor relationships, governance, and performance. Collaborate with cross-functional teams to ensure compliance, optimize costs, and enhance o...

Join a team that's redefining healthcare compliance by leading detailed coding audits, mentoring auditors, and driving innovative solutions to enhance compliance and operational excellence in a dynami...

Elevate member care by utilizing advanced clinical judgment and collaboration to assess needs, coordinate services, and enhance health outcomes through effective crisis intervention and comprehensive...

Manage comprehensive clinical assessments and care plans, ensuring high-quality outcomes through collaboration with members and providers. Utilize your expertise in behavioral health to drive impactfu...

Drive commercial success by engaging healthcare providers and executing territory plans. Collaborate with cross-functional teams to support product launches and enhance patient access to innovative th...

Champion operational excellence by leading CFS initiatives, coaching managers, and driving performance metrics to enhance profitability and customer satisfaction across the organization...