Claims Analysis Jobs

Sailor Health is hiring a Founding Strategy & Operations Lead in NYC to build the operational backbone that will scale clinical care, insurance revenue operations, and credentialing across the country.

Be part of Presbyterian's payment integrity team, leading post-payment audits and recovery initiatives to reduce improper payments and improve reimbursement accuracy.

Oscar Health seeks an Associate on the Payment Integrity team to investigate claims payment issues, translate findings into requirements, and help implement process and edit improvements to ensure accurate, timely payments.

Inclusive & Diverse

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Open Door Policy

Cotiviti seeks an entry-level Client Service Analyst to provide remote support to client-facing teams through policy documentation, report analytics, and operational request management.

Senior Auditor needed to perform forensic audits and financial analyses supporting government fraud investigations for a mission-driven government contractor in Knoxville, TN.

VERTEX is hiring a Surety Consultant to perform construction claim evaluations, project risk assessments, and on-site management while supporting the surety practice with frequent travel to the Dallas, TX area.

Lead and supervise LTSS Provider Services in Albuquerque, ensuring compliant claims processing, effective provider education, EVV oversight and strong cross-functional collaboration.

CCMSI is hiring a seasoned Multi-Line Claim Specialist to manage complex litigated auto, GL, and premises liability claims for diverse clients in a remote, MST-aligned position.

Bon Secours Mercy Health is hiring a Risk & Insurance Manager to lead loss prevention, insurance program coordination, and risk analysis for assigned facilities across Ohio (remote).

DXC Technology is hiring an Associate Manager, Life Insurance Claims to lead claims transaction teams, improve processes, and ensure compliance within its insurance services practice.

DOHMH is hiring an Associate Staff Analyst to manage Mental Hygiene state aid claims, perform reconciliations and financial reporting, and act as the agency's liaison with state offices.

Greenridge Group is hiring a Senior Project Scheduler to produce and manage construction schedules and perform time-impact and critical-path analyses for large public-sector projects.

Serve as an Associate/Analyst in HRA's Office of Fiscal Operations to perform financial analysis, vendor budget monitoring, reconciliation, and claims coordination for DSS/HRA/DHS programs.

Berkshire Hathaway Homestate Companies seeks an experienced workers' compensation adjuster to manage indemnity claims end-to-end in a hybrid Plano-based role.

Children’s Mercy is hiring a Denials Prevention Analyst (Epic preferred) to analyze and reduce payer claim denials through data-driven root-cause analysis and cross-departmental collaboration in the Kansas City metro.

OneDigital seeks a detail-oriented Analyst to manage stop-loss marketing, analyze plan performance and support claims and renewal activities for self-funded and ASO clients.

Join OHSU's Centralized Managed Care team as a Denial Coordinator to lead denial resolution, implement process improvements, and reduce revenue cycle leakage across hospital and ambulatory services.

Experienced CPM Scheduler needed to create and manage Primavera P6 schedules, perform delay/claims analysis, and support expert reporting for a global construction consulting firm.

Senior underwriting leader needed to drive professional liability and casualty strategy, analytics, and best practices across Berkley’s decentralized operating companies.

UMass Chan is hiring a Healthcare Data Analyst to manage claims and financial reporting, ensuring compliance with state and federal reimbursement requirements and delivering actionable analyses to stakeholders.

Lead the development and delivery of a patient financial incentive platform, owning claims, adjudication, and operational tooling to improve healthcare choices and outcomes.

Serve as a Claims Specialist II in the Comptroller’s Law Division to investigate non-tort claims, evaluate liability and damages, and manage settlements and case files across City agencies.

Lead technical oversight of TPA-managed commercial auto claims and build HDVI’s internal claims team to drive optimal outcomes for fleet customers.

Hendrick Automotive Group seeks an experienced Manager, Claims to lead claims administration, litigation oversight, vendor relationships, and claims data analytics for its corporate risk program.

Oscar Health is hiring a Payment Integrity Analyst in Tempe to investigate dual coverage, verify claim payments, and support Coordination of Benefits initiatives.

Peraton's SGS team is hiring a Data Analyst to analyze Medicare claims, detect potential fraud patterns, and support investigations and referrals.

Lead Cricut’s claims, fines, and returns operations to reduce risk and cost through data-driven process improvements and cross-functional collaboration.

Experienced healthcare fraud investigator sought to perform claims investigations, data mining, and prepare referrals to state and federal agencies for a national healthcare organization.

Brink's is hiring a hands-on Regional Claims Analyst in Philadelphia to investigate variances, partner with branch management on corrective actions, and reduce claims through timely audits and case management.

Citizens is hiring a Senior Claims Litigation Analyst to lead litigation data analysis, manage discovery and legal billing, and support system enhancements within the Claims Litigation team.

Lead a casualty claims team at Continental Western Group to drive timely, compliant claim resolution and loss-cost management from our Urbandale, IA hybrid office.

Lead Avesis’s payment integrity strategy and vendor oversight efforts to drive measurable financial impact, compliance, and operational improvements across the enterprise.

Nautilus Insurance Group is hiring a Senior Litigation Specialist to lead advanced litigated commercial general liability claims, deliver expert coverage analysis, and oversee defense strategies across E&S accounts.

Travelers is recruiting a Senior Technical Specialist (General Liability) to handle complex bodily injury and property damage claims from investigation through negotiation and litigation management.

Lead payer compliance and reimbursement integrity for UChicago Medicine’s revenue cycle in a hybrid Director role based out of Burr Ridge, overseeing analytics, contract enforcement, and payer relationships.

Manulife/John Hancock is seeking an Associate Data Scientist to build time-series, graph, and anomaly-detection models and production-ready controls to detect and mitigate fraud in long-term care insurance.

EPIC’s JWF Specialty team is hiring a Complex Claims Liability Specialist to handle moderate-to-complex commercial and public entity liability claims and lead coverage, litigation, and client-facing activities remotely.

Emory Healthcare is hiring a Provider Relations Consultant to increase regional referrals and revenue through physician engagement, marketing outreach, and data-driven relationship management.

Data-driven Business Analyst sought for Brown & Brown's National Pharmacy Team to analyze PBM claims, build forecasting models, and deliver actionable insights to clients.

Lead Avesis's payment integrity strategy as a senior, analytics-driven leader responsible for vendor oversight, audit/program design, and executive reporting to drive measurable financial and compliance outcomes.

Sun Life U.S. is hiring a Client Support Liaison to serve as the primary group-claims contact for mid-market employer clients, driving service recovery, reporting, and client-facing education.

SageSure is hiring a Product & Coverage Manager to lead strategy, development, and performance optimization for its specialized P&C optional coverages, partnering closely with carriers, reinsurers, and cross-functional teams.

CompScience, an AI-driven workplace-safety startup, is seeking a Claims Program Supervisor to lead oversight of TPAs and carriers and establish best-in-class multi-state workers' compensation claims practices.

Travelers’ Strategic Resolution Group is hiring a Technical Specialist to handle complex high-exposure claims and develop coverage, liability and litigation strategies for efficient resolution.

Travelers is hiring a Claim Technical Specialist in Indianapolis to manage complex toxic tort, latent injury and environmental claims within its Strategic Resolution Group.

Experienced operations leader needed to oversee multi-site claims and call center operations for Archimedes, driving financial performance, operational efficiency, and excellent customer experience.

AbbVie is hiring a Manager, HEOR Strategy Oncology to lead health economics and outcomes research—developing economic models, evidence plans, and publications that demonstrate the value of oncology assets.

Dewberry is hiring a seasoned Program Controls Manager to lead project controls teams and oversee cost, schedule, risk, and change management for large public infrastructure programs.

Cigna Healthcare seeks a data-driven Business Analytics Lead Analyst to perform provider contract and network underwriting analysis, influence contracting strategies, and drive unit-cost improvements.

Avalere Health is hiring an Associate Principal/Principal in Policy Analytics to lead Medicare Advantage-focused modeling, claims-based research, and data-driven advisory work for industry and government clients.