Claims Specialist Remote Jobs

Drive impactful projects by collaborating across teams to enhance operational efficiency and deliver innovative solutions. Leverage your expertise to influence strategic decisions and contribute to a...

Drive revenue operations excellence by leading clean-claim workflows, overseeing claim accuracy, and enhancing cross-functional collaboration. Partner with various departments to ensure timely billing...

Champion innovative risk adjustment solutions by leveraging deep expertise to enhance payer and provider strategies. Collaborate with cross-functional teams to deliver impactful presentations and driv...

Lead the charge in case management by overseeing complex pharmacy reimbursement processes, ensuring timely completion of cases, and advocating for patients while collaborating with healthcare provider...

Elevate your legal career by managing complex subrogation cases and collaborating with claims partners. This remote role offers courtroom opportunities and the chance to lead strategies from inception...

Shape the future of patient care by coordinating high-quality, cost-effective services. Utilize your clinical expertise to advocate for members, ensuring appropriate care transitions and fostering col...

Grow your career with a dynamic role managing risk adjustment and quality improvement processes across multiple departments, driving operational excellence and strategic initiatives for healthcare pro...

Transform claims systems processes by managing complex projects and ensuring data integrity. Lead enhancements, mentor analysts, and support internal and external clients while optimizing claims adjud...

Transform enterprise learning by leading a team to design impactful solutions. Drive employee development, align training with business goals, and optimize learning technologies for enhanced performan...

Elevate your career by analyzing complex litigation claims, ensuring timely resolutions, and delivering exceptional client service in a dynamic, supportive environment. Join a global leader committed...

Champion property risk engineering by conducting site surveys and assessments for diverse industries. Collaborate with clients and underwriting teams to enhance risk management strategies and ensure c...

Innovate your career as you provide exceptional service, investigate claims, and negotiate settlements. Leverage your expertise in property adjustments to support customers through complex claims, ens...

Drive the management of complex Life insurance claims, ensuring compliance and accuracy while mentoring team members. Collaborate across functions to enhance processes and deliver empathetic support t...

Shape the future of healthcare reimbursement by developing and implementing payment policies that enhance accuracy, compliance, and provider experience in a dynamic payer environment. Collaborate with...

Lead complex construction claims, managing high-exposure cases end-to-end. Drive strategy, coordinate investigations, and collaborate with legal teams to achieve timely resolutions. Enjoy autonomy and...

Join a dynamic team as a Medical Claims Auditor, ensuring compliance and integrity in healthcare payments. Collaborate with cross-functional teams to identify fraud, waste, and abuse while leveraging...

Drive the substantiation of health claims for dietary supplements by reviewing scientific evidence and collaborating with cross-functional teams to ensure compliance with regulatory standards and enha...

Transform client payment policies by ensuring accuracy and compliance. Engage with internal and external teams to manage medical policy updates, conduct analyses, and enhance client relationships whil...

Transform the payments landscape by ensuring compliance and mitigating risk. As a key player, you'll review merchant applications, analyze transactions, and enhance fraud detection systems, all while...

Unlock your potential as a key investigator, analyzing complex fraud cases and leveraging data to protect assets. Collaborate with teams and external partners to dismantle fraudulent networks while en...

Unlock potential by translating complex business needs into precise HRP configurations. Collaborate cross-functionally to ensure compliance and enhance operational efficiency while driving continuous...

Lead the charge in executing the Medicare Compliance Advisory program, ensuring adherence to CMS regulations. Collaborate with stakeholders to provide regulatory guidance, assess compliance risks, and...

Help us drive impactful reserving strategies by leveraging actuarial expertise and analytical skills. Collaborate with management and partners to execute projects that enhance business goals through e...

Transform actuarial insights into strategic actions within a dynamic healthcare environment. Lead pricing strategies, manage vendor partnerships, and drive significant business initiatives to optimize...

Elevate employee benefits by designing and managing comprehensive health, welfare, and retirement programs. Collaborate with stakeholders to ensure compliance, optimize costs, and enhance coworker exp...