Claims Analyst Jobs in Richmond, VA

Lead the charge in auditing medical records for accurate coding compliance and health plan policies. Prepare detailed reports, conduct relevant research, and maintain knowledge of healthcare guideline...

Join a dynamic clinical operations team, driving quality assurance and policy maintenance for Drug and Biological policies. Your expertise will enhance our coding processes and support client inquirie...

Help us analyze and optimize medical policies while providing key insights across clinical operations. Collaborate with teams to ensure effective policy development and quality assurance, enhancing ou...

Contribute to complex actuarial projects by analyzing risk contracts, enhancing pricing models, and supporting team training while collaborating on strategic financial initiatives in a dynamic work en...

Analyze complex actuarial studies and implement risk contracts while training junior analysts. Coordinate special projects to support capitation initiatives and compile management reports for strategi...

Help us enhance our security posture by monitoring and investigating breaches, identifying vulnerabilities, and implementing best practices. This role is vital for safeguarding digital assets and supp...

Lead comprehensive audits for Medicare cost reports and reimbursement evaluations. Collaborate with a dedicated team while gaining valuable experience and fostering professional growth in a dynamic he...

Unlock your potential by auditing outpatient claims. Leverage your clinical and coding expertise to enhance accuracy and improve treatment quality while contributing to innovative auditing solutions i...

Take ownership of coding operations by leading a team, overseeing quality and production, and collaborating with internal and external partners to achieve strategic goals and high customer satisfactio...

Lead a high-performing team of commercial auto claims specialists, ensuring technical excellence and operational efficiency in managing complex excess casualty claims while leveraging data-driven stra...

Support a team that evaluates and manages construction claims, ensuring effective strategies for investigation, negotiation, and resolution, while communicating findings with stakeholders and adapting...

Join a dynamic team to manage complex claims, ensuring accurate resolutions and effective communication with stakeholders. Leverage your expertise to train colleagues and optimize claims handling proc...

Drive the resolution of complex casualty claims as a technical expert, managing high-stakes litigation and policy analysis while collaborating with internal teams and stakeholders for optimal outcomes...

Unlock potential by guiding healthcare providers through complex claims disputes. Represent clients in WC, MVA, TPL, and VA claims while ensuring compliance with state laws. Collaborate with teams to...

Shape the future of claims management by leading strategy for large accounts, providing analytics and insights, and fostering strong relationships with clients and stakeholders for optimal claim resol...

Champion financial rigor by executing advanced analyses for rebate contracts, driving process optimization, and collaborating with cross-functional teams to enhance client relations and contract manag...

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...

Shape the future of asbestos claims management by leading complex cases, developing strategies, and driving litigation processes while ensuring compliance and oversight within a fast-paced environment...

Transform the future of risk management by analyzing claims trends, optimizing processes, and collaborating with diverse teams to enhance insurance functions as the organization scales in a dynamic en...

Champion proactive claims management by serving as a trusted advisor, partnering with clients and stakeholders to drive optimal outcomes in the insurance claims lifecycle across multiple coverage line...

Drive the resolution of complex major case claims involving serious injuries. Take ownership of the entire claims lifecycle while collaborating with stakeholders to achieve timely outcomes through eff...

Drive innovative solutions in pharmacy claims and adjudication as a Senior Advisor. Collaborate across teams to establish business architecture, define capabilities, and enhance operational impacts wh...

Analyze and audit inpatient DRG claims by applying coding expertise to enhance accuracy and ensure compliance. Collaborate on process improvements to drive operational excellence in a dynamic healthca...

Join a team that's transforming analytics, delivering actionable insights from complex data while driving innovation across scalable platforms. Collaborate with stakeholders to shape data strategy and...

Join our team to analyze and process complex auto and commercial transportation claims, ensuring accurate investigations, liability determinations, and timely resolutions to support our clients and in...