Claims Specialist Remote Jobs

Unlock potential by leading complex investigations into healthcare fraud, waste, and abuse. Collaborate with regulatory agencies and internal teams to ensure compliance and safeguard member care while...

Develop and optimize health and welfare plans, ensuring compliance and efficient administration. Collaborate with TPAs, oversee claims performance, and enhance employee engagement through effective co...

Support clinical studies by assisting teams with tasks like medical monitoring and protocol management. Collaborate across functions and engage with stakeholders to ensure successful trial outcomes wh...

Provide legal counsel on regulatory and transactional matters, structuring and negotiating agreements while ensuring compliance with FCC regulations. Play a key role in supporting M&A activities and g...

Lead the planning and execution of diverse research projects, ensuring alignment with organizational goals. Collaborate with stakeholders to manage timelines, deliverables, and budgets while fostering...

Join a team that's transforming healthcare through data-driven insights. As a Senior Medical Economics Analyst, you'll lead analytics initiatives, mentor a team, and collaborate with leaders to enhanc...

Drive the vision and strategy for Pharmacy Benefits Management, overseeing client services and ensuring satisfaction, performance, and profitability while leading a team to achieve business objectives...

Empower your career by managing key agency relationships and driving sales growth. Collaborate with partners to execute innovative strategies and enhance customer engagement in a dynamic, supportive e...

Empower your career by joining a dynamic team focused on healthcare compliance auditing. Utilize your analytical skills to drive impactful audits and contribute to client deliverables while receiving...

Lead the charge in shaping strategic actuarial solutions for a dynamic healthcare portfolio. Drive team performance and collaboration to deliver impactful pricing and projections while navigating comp...

Empower clinical research excellence by managing projects that ensure compliance with regulatory requirements and drive successful study delivery from initiation to closeout. Collaborate with interdis...

Drive underwriting excellence by managing referral decisions, enhancing guidelines, and optimizing processes for a growing cyber and technology E&O portfolio, ensuring timely and well-documented outco...

Drive strategic sourcing initiatives by optimizing services operations and supplier relationships. Collaborate with stakeholders to implement efficient processes, ensuring compliance and delivering co...

Elevate your career by leading a dynamic team in complex actuarial projects, driving innovative solutions for clients while ensuring compliance with regulations and standards. Embrace technology and m...

Join a team that's committed to delivering exceptional software solutions by leading quality assurance efforts and implementing robust test strategies, ensuring the reliability and performance of inno...

Drive impactful healthcare decisions by leveraging real-world data expertise. Collaborate with clients to evaluate and analyze RWD for regulatory assessments, ensuring high-quality evidence generation...

Shape the future of Surety pricing by owning and enhancing the SDI pricing model. Collaborate with underwriting leadership, conduct complex analyses, and mentor peers to drive strategic business decis...

Drive GRC initiatives by building and testing security controls, assessing risks, and automating evidence collection. Collaborate with teams to enhance compliance and support audits while ensuring eff...

Analyze complex business needs and drive strategic initiatives, collaborating with senior stakeholders to enhance risk and compliance frameworks. Lead cross-functional projects, ensuring effective gov...

Join us to enhance Business Continuity Management systems through innovative solutions, ensuring compliance and effective automation. Collaborate with teams to optimize processes and provide technical...

Lead the charge in expanding market reach and building partnerships with dealerships. This field-based role requires daily engagement, driving growth in the automotive finance sector while delivering...

Unlock potential by conducting thorough MLR examinations, ensuring compliance with federal and state regulations. Collaborate with teams to analyze data, review documentation, and enhance audit proced...

Lead the charge in driving strategic partnerships with major oncology centers, maximizing client engagement, and implementing innovative solutions. Collaborate across departments to achieve business g...

Join a team that's transforming home and specialty insurance solutions through data-driven analysis and innovative project management, delivering value to customers and driving growth in a dynamic env...

Join a team that's dedicated to optimizing privacy management processes and compliance technology. This role supports platform administration, user engagement, and operational improvements, ensuring e...