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Claims analysis Remote Jobs

22 fresh jobs found

Worker's Compensation Claims Examiner
Telecommuter GA, United States

Strategic vendor partnerships Vendor partnerships Insurance principles Social Security Claims coding Vendor Coordination Claims analysis Cost Containment Litigation management +36

Senior Mid Full Time

USD 61K+

Claims Specialist II - Commercial
TX Dallas (Office), United States

Commercial trucking operations Cargo liability laws Contractual disputes Multimodal transport Legal Collaboration Claims negotiation Claims analysis Policy interpretation Subrogation +10

USD 59K+

SIU Investigator
Remote-NY, United States

Centene Corporation

Claims analysis Investigative Organizing Fraud Investigation Report Writing Fraud detection Data Mining Claims Audits +13

USD 55K+

Payment Integrity Clinician - (Remote)
PA, Working at Home - Pennsylvania, United States

Highmark Health

Coding criteria Medical Policies Medical Documentation Payment Integrity Health care services Claims analysis Provider education Utilization management Quality improvement +11

Senior Mid Full Time

USD 57K+

Contract Implementation Analyst
Remote-LA, United States

Centene Corporation

Contract implementation Provider information system Provider contracts Amisys UAT Government programs Claims payment Claims analysis UAT testing +24

Entry Mid Full Time

USD 44K+

Claims Denial Analyst- Remote
AZ, United States

Tenet Healthcare

EOB Review Business Letter Writing UB-04 Managed Care Contracts Call Center Environment Hospital billing Claims analysis Business writing EOB +24

Entry Mid Full Time

USD 56K+

SIU Field Investigator
USA - GA (Remote), United States

Allstate Remote-first

Social media searches Analytic tools Data Research Customer Communications Complex claims Claims analysis Site inspections Investigating Property Damage +17

USD 62K+

Business Analyst IV - Claims
Remote-FL, United States

Centene Corporation

HEDIS Analysis Amisys Claims research TruCare MicroStrategy Process redesign Quality review Risk Evaluation Claims analysis +38

Entry Mid Full Time

USD 86K+

Pharmacy Network Consultant Principal - Remote
Home, United States

Prime Therapeutics

Pharmacy network management Pharmacy benefits management Claims analysis Contract negotiations Data interpretation Performance monitoring Claims Contract Negotiation Regulatory Compliance +17

Senior Full Time

USD 94K+

Pharmacy FWA Investigator I
Remote-FL, United States

Centene Corporation

Pharmacy fraud Audit experience Retail Pharmacy Data Sources Pharmacy Technician Corrective action plans Government programs Claims analysis Health Plan +32

Entry Mid Full Time

USD 44K+

Disability Claims Examiner (Remote)
Wash, 213 Washington St., Newark, NJ, United States

Prudential Financial Remote-first

State and federal laws Deductible sources of income Contractual provisions Insurance operations Group Insurance Disability claims Claims analysis Microsoft Teams Pricing +20

USD 55K+

Benefits Management Analyst
Remote USA, United States

Relational Database Programming Claims analysis Data Mining Power BI PowerPoint Word SQL Python Excel +2

Entry Mid Full Time

USD 55K+

Payment Auditor (Full-time Remote, North Carolina Based)
Morrisville, North Carolina, United States; Remote, North Carolina, United States; Charlotte, North Carolina, United States; Fayetteville, North Carolina, United States; Smithfield, North Carolina, United States

Alliance Health

Payment auditing Claims analysis HCPCS ICD-10 Technical Assistance CPT Medicaid Written communication Compensation +6

USD 56K+

Remote Senior Claim Specialist - Prime Specialty
Remote - New York, United States

Claims analysis Insurance Knowledge Claims processing Computer Time Management Insurance Interpersonal Organizational Leadership +1

Senior Mid Full Time

USD 100K+

Claims Implementation Analyst
Remote - NY, United States

CPT4 Macess ICD10 Claims Configuration Crystal Reports Claims analysis Medical Coding Reporting tools Microsoft Access +23

Entry Mid Full Time

USD 49K+

Workers Compensation Claims Examiner | IL Claims Exp Required | Remote Potential
Naperville, IL - Centre Point - 1833, United States

Strategic vendor partnerships Vendor partnerships Social Security Insurance principles Claims coding Claims analysis Cost Containment Litigation management Rehabilitation +33

Senior Mid Full Time

USD 70K+

Payment Integrity Clinician - RN (Remote)
PA, Working at Home - Pennsylvania, United States

Highmark Health

Coding criteria Health care services Medical Documentation Payment Integrity Claims analysis Provider education Utilization management RN Managed Care +10

Senior Mid Full Time

USD 57K+

Intermediate Claims Examiner (Medicare Supplement)- Work from Home
Work From Home, USA, United States

Fraud monitoring Annuity Claims analysis Retirement Solutions Investment solutions Annuities Retirement plans Employee Benefits Discretion +16

USD 44K+

Sr Consultant, Brokerage Excess Underwriting - E&S/ Specialty
Arizona-Work from Home-2, United States

Underwriting policies Reinsurance Placement Broker management Data evaluation Business knowledge Insurance Law Claims analysis Technical Underwriting Loss control +33

Senior Full Time

USD 126K+

Claims Team Lead Assistant - Workers Compensation (REMOTE- NEEDS CA CLAIMS & MGR EXPERIENCE
San Diego, CA - Murphy Canyon, United States

Strategic vendor partnerships Social Security Vendor partnerships Claims coding Vendor Coordination Performance development Clerical Insurance principles Claims analysis +44

Senior Mid Full Time

USD 85K+

Claims Adjuster - Workers Compensation (REMOTE - Needs Cali claims Experience)
San Diego, CA - Murphy Canyon, United States

Strategic vendor partnerships Social Security Vendor partnerships Claims coding Vendor Coordination Performance development Clerical Insurance principles Claims analysis +44

USD 80K+

Health Economics Manager (Remote)
California, San Jose 5900 Optical Ct, United States

Value-based resources Claims analysis Epidemiology Health Economics M Coverage Strategic Functions Health Services +19

Senior Mid Full Time

USD 115K+

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