Claims Specialist Remote Jobs

Join a team that conducts vital audits and investigations into Medicare fraud. Oversee case evaluations, manage investigation plans, and lead a dedicated team to protect program integrity through rese...

Optimize property claims resolution by conducting thorough investigations, handling customer communications, and ensuring compliance with insurance policies. This role entails significant hands-on ins...

Analyze and evaluate medical and financial information to classify insurance risks while collaborating with clients and underwriters to ensure compliance with guidelines and maintain confidentiality...

Shape process improvement initiatives by collaborating with teams to analyze current practices, identify inefficiencies, and implement solutions that enhance operational performance. Drive change thro...

Advance your career by supporting quality management improvements through innovative project planning and implementation, while collaborating across teams to enhance healthcare performance and experie...

Champion a team of Claim Specialists, guiding complex claims processes, monitoring trends, and implementing strategies to optimize claims management in alignment with departmental objectives and regul...

Manage onboarding projects to ensure a seamless client experience while collaborating with vendors and internal teams. This role requires problem-solving, effective communication, and the ability to m...

Manage and enhance client relationships in private capital, delivering tailored insurance solutions while driving business growth and risk management strategies to ensure comprehensive protection and...

Join a team that's dedicated to managing a diverse book of commercial accounts, ensuring exceptional customer service, retention, and continuous improvement while leading a motivated account managemen...

Join a team that's at the forefront of healthcare technology, bridging customer needs with innovative solutions. Bring your expertise in risk adjustment and product engagement to drive real impacts in...

Champion the growth and profitability of a technology underwriting portfolio by leveraging sales acumen, analytical expertise, and strong relationships with clients and brokers to deliver tailored ins...

Join a team that's dedicated to ensuring compliance in global pharmacovigilance activities. Collaborate cross-functionally to support document management, training, quality, and audit readiness in the...

Elevate your career by underwriting innovative casualty reinsurance solutions, assessing risks, and managing portfolios to drive profitability and growth while collaborating with brokers and internal...

Transform your career by leading a high-performing sales team focused on innovative retail and commercial solutions. Drive growth through strategic market opportunities and executive relationships in...

Lead a dynamic team of claims handlers to adjudicate complex construction defect claims, ensuring top-notch resolutions while providing mentorship and strategic direction to optimize performance and c...

Transform complex data insights into actionable business strategies. Collaborate with teams to tackle medium to large-scale challenges, utilizing innovative analytics and visualization to influence de...

Elevate your career as you partner with us to deliver top-notch support for policyholders. This role involves conducting inspections, investigating claims, and utilizing technology to streamline resol...

Champion underwriting strategies within a multi-disciplinary team, managing a block of stop loss business. Engage in pricing, risk analysis, renewals, and supporting new business to meet financial tar...

Analyze legal bill audits and improve billing processes across multiple practice areas. Leverage legal expertise to communicate billing issues effectively with panel firms and enhance cost containment...

Drive the development and implementation of innovative insurance products in life sciences, collaborating across teams to meet market needs. Lead the drafting of coverage language while analyzing comp...

Engage in legal defense of insurance claims in New York, managing litigation from pleadings to trial. Collaborate with internal teams on case strategy while ensuring compliance with legal standards an...

Transform healthcare delivery by optimizing workflows as a Clinical Applications Analyst. Collaborate with stakeholders, lead projects, and become a subject matter expert in Epic systems to enhance op...

Drive optimal claim resolution by investigating and negotiating high-severity property claims. Oversee the full claim lifecycle while ensuring compliance with quality standards and state regulations...

Join a team focused on investigating healthcare fraud, ensuring compliance, and recovering lost funds. Leverage your expertise in complex cases, collaborate with law enforcement, and contribute to sha...

Drive the optimization of provider reimbursement strategies through data analysis and financial modeling, leveraging advanced tools and analytics to enhance accuracy and efficiency across healthcare c...