Claims Analysis Jobs

Lead the analysis of Medicare inpatient claims and development of PEPPER/CBR reporting using advanced data science, ML/NLP, and clinical coding expertise in a part-time remote role supporting CMS initiatives.

Lehigh Valley Health Network is hiring an Audit Clinical Data Coordinator to manage audit logging, claims analysis, denial follow-up, and reporting for clinical audit and compliance teams.

Lead Gravie’s claims payment and payment integrity operations to drive timely payments, effective recoupment, regulatory compliance, and a high-performing team.

Boeing is hiring an on-site Supply Chain Management Analyst in Portland to manage orders, analyze inventory, and support supply/demand planning across airplane programs.

Experienced workers' compensation investigator needed to analyze suspected fraudulent claims, prepare formal referrals, and collaborate with law enforcement and internal fraud teams at BHHC's Sacramento office.

Experienced commercial claims professional needed to lead multi-line claims handling, coverage analysis, reserving and legal coordination for Admiral Insurance Group's E&S business.

Experienced healthcare data analyst needed to analyze claims and clinical datasets, build SQL-driven reports, and deliver actionable insights to reduce costs and improve outcomes at a large national health organization.

Presbyterian seeks an experienced SIU Field Investigator to perform medium- to high-complexity onsite provider audits and investigations across New Mexico to detect and resolve healthcare fraud, waste, and abuse.

CareSource is hiring an Encounters Systems Analyst III to lead claims encounter analysis, regulatory reporting and process improvement efforts to ensure compliant, timely submissions.

Lead and develop the Provider Data Management team onsite in Tulsa to ensure accurate provider records and drive performance for Sutherland's healthcare operations.

Humana is hiring a Nurse Audit Manager to lead audit and validation of clinical documentation and coding, ensuring compliance and accurate reimbursement across a remote nationwide team.

Oscar Health seeks an analytical Associate on the Payment Integrity team to ensure accurate, timely claims payments and drive process improvements across the claims ecosystem.

Experienced claim professionals are sought to handle specialty liability and moderate-severity property claims in St. Paul for a leading national insurer focused on quality claim management and customer service.

Lead economic planning and financial partnership for Risant Health’s Value-Based Platform to translate value-based care strategies into measurable financial and clinical outcomes.

Experienced claims professional sought to manage complex D&O, EPL, Fiduciary and Financial Institutions claims for Berkley Professional in a hybrid Midtown Manhattan role.

Work as a Property/Casualty Claims intern in West Bend, supporting policy review, claims settlement, customer communication, and catastrophe response while gaining practical insurance experience.

Oscar is seeking a Senior Analyst on the Payment Integrity team to drive claims process improvements, investigate payment edits, and translate findings into prioritized business requirements.

Experienced program integrity analyst needed to evaluate Medicaid/Medicare leads and investigations, perform claims analysis, and recommend administrative actions for a global healthcare investigations firm.

Race Communications is hiring an Executive Administrative Assistant to provide hands-on administrative, compliance, and legal support for Operations at the South San Francisco office.

An experienced Financial Lines claims professional is needed to lead D&O/E&O claims management and TPA oversight for a global reinsurer operating through MGAs.

Experienced healthcare data analytics professional needed to deliver integrated reporting, actionable recommendations, and stakeholder consulting for a member-focused mutual health insurer based in Des Moines, IA.

Experienced E&S General Liability Claims Specialist sought to handle complex litigated and non-litigated commercial claims with strong coverage analysis and negotiation skills at AmTrust Financial Services.

Experienced claims professionals are needed to manage complex commercial trucking liability claims, including investigations, reserving and litigation management for a mature insurance company.

DoorDash is hiring a Senior Actuarial Analyst to drive reserving and pricing analyses, build analytical tooling, and deliver data-driven insights for its Corporate Risk & Insurance function.

Camber, a rapidly growing healthcare software startup, is hiring an SMB Account Manager to own high-value SMB relationships, drive product adoption, and uncover expansion opportunities across clinic customers.

An experienced healthcare revenue cycle analyst is needed to implement and optimize Experian's Claim Source solution, providing technical, data, and client-facing support in a remote role.

An early-career summer internship at HUB International offering hands-on insurance brokerage experience supporting client service, policy administration, and data tasks.

Centene seeks a meticulous Claims Quality Auditor to perform pre- and post-payment claim audits, identify payment errors, and drive corrective actions for a large, nationally diversified health plan.

MultiCare is hiring a Revenue Cycle Informatics Advisor to deliver data-driven insights, reporting, and process improvements that enhance revenue cycle performance across the health system.

The City of Austin is hiring a Temporary Risk Analyst to manage insurance programs, analyze exposures, and recommend risk mitigation strategies for City departments.

Senior field-based HEOR leader sought to shape and execute payer-facing health economics, real-world evidence, and value-based strategies across Ascendis Pharma's US portfolio.

Berkley Southwest is looking for an Actuarial Intern to support data analysis, modeling, and cross-team projects while gaining practical P&C insurance experience during a structured 10-week program.

AmTrust Financial Services is hiring a Construction Defect Claims Specialist to manage construction-related commercial liability claims, lead investigations, and negotiate resolutions.

Experienced credit leader needed to manage a division-level credit team, drive credit policy application, and balance sales growth with risk mitigation at Cornerstone Building Brands.

Experienced claim professionals are needed to handle and resolve General Liability bodily injury and property damage claims for Travelers' Alpharetta office, applying strong investigation, evaluation and negotiation skills.

Provide expert Auto and General Liability claims guidance and partner with our AI product team to improve claims decisions for a fast-growing insurtech.

Mission Driven

Inclusive & Diverse

Work/Life Harmony

Collaboration over Competition

Growth & Learning

Lead recruitment, training, rate negotiation, and performance management for a network of home service contractors in Phoenix to deliver fast, reliable repairs and meet financial KPIs for a fast-growing home care technology company.

Berkley Alliance Managers is hiring a Claims Examiner I in Jersey City to manage entry-level professional liability claims and assist with coverage, reserve and litigation management under supervision.

National General is hiring a Litigation Coverage Adjuster to manage complex auto and homeowner claims in litigation, focusing on coverage determination and resolution.

Configuration Analyst I needed to maintain and test benefit and claims system configurations, troubleshoot lower-complexity issues, and support cross-functional implementation efforts within a health plan environment.

Lead clinical strategy and operationalize evidence-based care models at firsthand to improve outcomes for people with serious mental illness while partnering closely with the Chief Clinical Officer and cross-functional leaders.

AIG is hiring a Claims Specialist III in Atlanta to adjudicate general and auto liability claims, manage moderate-severity injury cases and complex coverage issues, and deliver timely, client-focused resolutions.

Experienced healthcare-focused data analyst needed to analyze large, integrated datasets and deliver actionable insights that support clinical and cost-improvement initiatives.

Lead QA monitoring, audits, reporting, and staff supervision for ABH's WISE program to ensure compliance, quality improvement, and effective provider performance.

Experienced excess casualty claims professional needed to manage national litigation, coverage analysis, and settlements for Starr’s insureds from the Atlanta office.

Lead vendor strategy and lifecycle execution for Nationwide's P&C property vertical, managing multi-million-dollar vendor portfolios and influencing senior stakeholders to drive business results.

Lead incident investigation and risk mitigation efforts at St. Luke's Hospital to reduce patient harm and organizational liability through thorough analysis and collaborative prevention strategies.

Lead revenue cycle strategy and analytics for a fast-growing Series A startup delivering virtual mental health services to autistic and neurodivergent adults, optimizing billing, claims, and collections while partnering across engineering, clinical, and client teams.

Lead complex General Liability and long-term exposure claims for a wholesale E&S carrier, overseeing coverage analysis, litigation management, reserving and outside vendors.

TREND Health Partners is looking for a senior Claims Analyst III to remotely identify, analyze, and recover claim overpayments while supporting concept development and client-facing resolution efforts.