Claims Data Analytics Jobs

This temporary remote role involves managing complex and high-profile Workers' Compensation claims for a national risk management firm. The specialist is responsible for investigating claim validity, establishing financial reserves, authorizing payments, and negotiating settlements while coordinating early return-to-work efforts. The position offers the appeal of working within a stable, growing organization known for its supportive culture and career advancement opportunities. Key duties include collaborating with case managers and attorneys to reduce claim costs and maintaining compliance with state regulations. The role requires strong analytical skills and industry experience to ensure optimal outcomes for all parties involved.

The Senior Vendor Management Professional serves as a liaison between the organization and external vendors within the healthcare sector. Key responsibilities include negotiating contract terms, resolving invoice discrepancies, monitoring vendor performance, and influencing departmental strategy. This role requires managing moderately complex operational issues with a high degree of independence. The position is appealing due to the opportunity to make a tangible impact on consumer health experiences within a caring community. It offers a remote work arrangement with occasional travel for training or meetings, providing flexibility while supporting the mission of improving care for millions of members.

The Associate Vice President of Finance role at Texas A&M University at Galveston provides strategic and operational leadership for campus financial activities within the Chief Operations Officer's department. Key responsibilities include developing and administering the university budget, presenting financial data to executive leadership and the Board of Regents, and serving as the campus compliance and risk management authority. The position also involves advising senior leadership on the financial implications of strategic initiatives and managing cross-campus contractual agreements. This opportunity appeals to experienced professionals seeking to lead in a welcoming, collaborative ocean campus environment that supports lifelong learning and professional development. The role is based on-site in Galveston, Texas, and offers the chance to contribute to a diverse, high-performing team while managing critical financial and compliance functions for a major university system.

The Joint SOF Program Analyst role at Sugpiat Defense supports Department of Defense clients in Tampa, FL, and Fayetteville, NC, focusing on operational planning and program coordination for Joint Headquarters and Joint Task Forces. Key responsibilities include developing strategic operational plans, evaluating performance-based operations, and preparing high-level briefings and documents for senior military leadership. The position involves managing project milestones, analyzing external policy impacts, and facilitating staff development events to optimize deployment activities. This opportunity appeals to professionals seeking to contribute to national security missions within a high-tempo joint environment. The role requires a Top Secret clearance and offers the chance to work on complex strategic initiatives while supporting warfighters and mission assurance.

This provisional Assistant Auditor role within the City of Buffalo involves performing professional auditing work of significant complexity under general supervision. Key responsibilities include examining purchase transactions, invoices, and payrolls for accuracy, reconciling revenue accounts, and assisting in the design or computerization of accounting systems. The position requires strong knowledge of auditing principles to detect irregularities and may involve supervising personnel. The role appeals to candidates seeking to apply advanced auditing techniques in a stable municipal environment. Successful candidates must maintain continuous residence in the City of Buffalo throughout their employment.

The Wage Fraud Investigator role within the Maine Department of Labor's Bureau of Unemployment Compensation focuses on protecting the state's Unemployment Trust Fund by identifying benefit overpayments. Key responsibilities include reviewing unemployment claims and wage audits to determine if overpayments were accidental or intentional, validating identity documents to prevent fraud, and participating in appeal hearings to defend investigative findings. This position offers a hybrid work arrangement requiring at least one day per week in an office after training, with occasional statewide travel. The role is appealing for its purposeful mission to ensure program integrity, the opportunity to utilize analytical and interviewing skills in a professional setting, and access to a comprehensive benefits package including significant health insurance contributions, retirement matching, and generous paid leave.

This full-time on-site role in Charlotte supports the Technical Department by managing warranty claims for key national accounts. The position involves reviewing and processing claim documentation, coordinating with engineers for validation, and ensuring timely reimbursement through accurate data entry and tracking. Key responsibilities include handling customer inquiries via phone and email, maintaining organized claim status records, and coordinating the logistics for tire inspections and shipments. The role appeals to candidates seeking a structured environment where strong organizational skills and problem-solving abilities are valued. It offers the opportunity to work closely with engineering and administrative teams while developing expertise in warranty policies and customer service operations within a collaborative office setting.

The Project Controller role at Rising Edge Group supports the project controls function within an electrical contracting team specializing in high-voltage infrastructure across North America. Key responsibilities include maintaining data integrity in construction management software, updating weekly budgets and cost forecasts, preparing consolidated financial reports, and assisting project managers with schedule adjustments and change management. This position appeals to candidates seeking a people-first culture that prioritizes safety, offers extensive career growth through mentorship, and provides opportunities to work on meaningful energy projects. The role involves a mix of office-based financial analysis and collaboration with field teams, supporting a mission-driven organization dedicated to strengthening critical energy infrastructure.

The Vice President, Insurance Defense Counsel is a senior legal leadership role within the Risk and Operations departments, responsible for overseeing a nationwide portfolio of complex insurance defense and commercial liability matters. Key responsibilities include managing high-exposure litigation from investigation through trial, coordinating with insurance carriers and brokers, and advising executive leadership on risk mitigation strategies. The position serves as a strategic partner to the C-suite, driving consistency across the national docket and implementing proactive claims prevention initiatives. This opportunity appeals to seasoned litigation experts seeking to influence enterprise-level decision-making in a highly regulated transportation environment. The role offers the chance to lead significant incident responses and develop systemic risk trends while working within a collaborative culture that values executive judgment and business-focused legal guidance.

This Financial Controller role at Flock involves leading the finance function for a rapidly scaling insurtech company focused on connected vehicle insurance. The position reports to the VP of Finance and includes overseeing day-to-day accounting operations, ensuring accurate month-end closes, and managing regulatory compliance and audit processes. Key responsibilities also involve driving process transformation through automation and AI, partnering with commercial teams to align finance with business goals, and coaching a small accounting team. The opportunity is appealing due to the chance to shape financial strategy at a pivotal growth stage, gain high visibility with the leadership team, and work in a culture that values innovation and professional development. The role follows a hybrid model requiring three days per week in the Central London office.

The HPE Synergy Product Manager role is a hybrid position based in the United Arab Emirates, requiring an average of two days per week on-site. This strategic role within the Engineering department drives the vision and roadmap for the Synergy infrastructure business, collaborating with sales, marketing, and engineering teams to align product offerings with market needs. Key responsibilities include defining value propositions and business cases for new products, synthesizing market requirements into actionable strategies, and optimizing margins across the product lifecycle. The position appeals to candidates seeking to work for a global edge-to-cloud leader that values varied backgrounds and fosters a culture of inclusion. The company offers robust support for personal and professional development, allowing employees to stretch their careers while managing work-life balance.

The HRP Consultant role functions as a strategic functional lead bridging healthcare payor and provider domains. The position involves defining end-to-end business workflows, translating complex requirements into functional specifications, and providing thought leadership on industry trends like value-based care and interoperability. Key responsibilities include advising on transformation roadmaps, ensuring regulatory compliance, and collaborating with technology teams to deliver scalable solutions. This opportunity appeals to professionals seeking to drive significant business transformation within a dynamic healthcare environment. The role offers a chance to work on high-impact modernization programs while leveraging deep expertise in claims, revenue cycle, and clinical operations.

This Associate Paralegal role supports in-house attorneys within the Legal department of a leading property casualty insurer. The position involves managing legal case files, conducting preliminary research, and drafting routine documents to assist with litigation and discovery processes. Key responsibilities include reviewing pleadings, maintaining attorney calendars, tracking compliance deadlines, and utilizing generative AI tools alongside case management systems. The opportunity is appealing due to the company's collaborative culture rooted in innovation and its strong commitment to community service. The role offers comprehensive benefits including health coverage, a fully funded pension, and a generous paid time off package, providing a stable environment for professional growth.

This entry-level Patent Attorney role supports a sophisticated patent disputes practice within a nationally recognized IP law firm. The position involves drafting and prosecuting applications through the U.S. Patent and Trademark Office, managing international filings, and supporting due diligence efforts. Key responsibilities include handling discovery strategy, motion practice, and claim construction for complex federal court matters. The role appeals to candidates seeking meaningful ownership of high-stakes litigation with exposure to trial and appellate work. The firm offers a streamlined, team-oriented environment that prioritizes mentorship and practical client strategy, featuring flexible work schedules and accelerated career growth opportunities.

The Human Resource Manager leads the HR department to align staff policies and activities with the organization's mission and talent strategy. Key responsibilities include overseeing HR staff, managing the full recruitment lifecycle, mediating employment disputes, and ensuring compliance with labor laws and accreditation standards. The role also involves analyzing HR metrics to support strategic planning and administering employee benefits and performance reviews. This position offers an opportunity to shape a positive, respectful workplace culture while driving organizational growth through effective talent management and policy development.

This Enterprise Architect role focuses on defining and governing the end-to-end architecture for a Medicaid Provider Enrollment system within the Human Services sector. The position involves designing scalable, secure cloud-based solutions primarily on AWS, translating complex business requirements into actionable technical strategies, and establishing enterprise-wide standards for data, integration, and infrastructure. Key responsibilities include guiding development teams, reviewing technical designs for compliance and security, and collaborating with stakeholders to align technology with program objectives. The role appeals to candidates seeking to lead modernization efforts in a mission-driven environment while working remotely. It offers the opportunity to shape critical healthcare systems and mentor developers in a collaborative, flexible setting.

The Revenue Cycle Representative role supports patients in securing insurance coverage for outpatient pharmacy medications within a hybrid work arrangement in Iowa. Key responsibilities include conducting benefits investigations, managing prior authorization processes, and researching financial assistance options to ensure timely medication access. The position also involves resolving billing discrepancies, appealing claim denials, and maintaining accurate documentation for compliance. This opportunity appeals to candidates seeking a collaborative environment within a complex hospital system, offering professional growth through training and the chance to improve revenue cycle efficiency. The role requires strong organizational skills, attention to detail, and proficiency with computer applications, with a Bachelor's degree and pharmacy technician certification preferred.

This full-time Epic Principal Trainer role within the EPIC Acute department focuses on developing and maintaining comprehensive training programs for ambulatory medical informatics. The position requires a certified expert to design role-based curriculum, create instructional materials, and manage training environments for clinical and revenue cycle workflows. Key responsibilities include collaborating with application teams to build testing scenarios, facilitating classroom instruction, and mentoring additional trainers while ensuring all documentation aligns with change management protocols. The role appeals to candidates seeking a mission-driven environment where passion for customer focus and belief in the work are central to the culture. It offers a stable 40-hour schedule with opportunities for professional growth through wild growth and collaboration with enthusiastic over-achievers.

The Budget Manager serves as a strategic partner within the Town of Fort Myers Beach Finance team, reporting directly to the Finance Director. This role oversees the entire budget lifecycle, including developing the annual operating budget and capital improvement plan, conducting revenue forecasting, and monitoring departmental expenditures to ensure fiscal responsibility. Key responsibilities involve preparing financial reports for the Town Council, managing the purchasing system, and collaborating with department heads to align resources with organizational goals. The position offers a collaborative environment with a strong emphasis on public service, featuring comprehensive health benefits, immediate retirement plan vesting, and flexible scheduling options. While primarily based in the office, the role includes potential emergency response duties requiring availability during critical situations.

The Real Property Acquisition Agent II role within Pima County's Real Property Services Department focuses on managing the acquisition, sale, and disposition of real estate for public infrastructure projects. Key responsibilities include negotiating directly with property owners, reviewing engineering plans and legal documents for compliance, and preparing acquisition agreements in adherence to state and federal regulations. The position also involves managing relocation assistance for displaced occupants and overseeing the administrative closure of real estate files. This opportunity appeals to candidates seeking to contribute to community development through meaningful public service work. The role requires a mix of office-based analysis and field inspections, offering a stable career path within a government agency committed to inclusive employment practices.

This full-time role is for certified police officers within the City of Miami Police Department, focusing on law enforcement, public safety, and community engagement. Key responsibilities include patrolling assigned neighborhoods, responding to emergency calls, conducting criminal and crash investigations, and testifying in court. Officers also serve as Field Training Officers to mentor new recruits and utilize community policing strategies to resolve neighborhood issues. The position offers the opportunity to work in a dynamic environment with specialized assignments in plain-clothes investigations or traffic units. While the role requires flexibility to work various shifts including nights and weekends, it provides a chance to serve the community directly and exercise independent judgment in critical situations.

This full-time management role leads the Security Incident Response Team for the Americas region within GitLab's global Security Operations department. The position involves overseeing day-to-day team operations, coaching incident response engineers, and serving as the incident commander for high-severity security events. Key responsibilities include driving threat hunting, managing the full incident lifecycle from triage to retrospective, and implementing automation and AI to optimize defensive workflows. The role appeals to leaders who thrive in a remote-first, high-performance culture that values continuous innovation and psychological safety. Candidates will collaborate with cross-functional teams to protect GitLab's infrastructure while benefiting from flexible working arrangements and a mission to transform how the world develops software.

The Senior Tax Specialist role at Vistra involves supporting the corporate tax team in managing complex federal, state, and property tax matters. Key responsibilities include analyzing transaction facts to document tax positions, reviewing property tax returns for multiple legal entities, and assisting with the quarterly and annual provision process. The position also requires monitoring regulatory changes and providing technical research to support tax filing and refund claims. This opportunity appeals to professionals seeking to work with a global energy leader in a hybrid environment based in Irving, Texas. The role offers a collaborative culture focused on teamwork and effective communication, with a preference for candidates possessing Big 4 experience and a strong background in public company tax compliance.

The Reclaimed Water Production Manager leads the administrative and technical operations of the city's reclaimed water treatment plant, lift stations, and distribution system. This role oversees staff management, including hiring, training, and safety enforcement, while ensuring all facilities meet federal and state regulatory standards. Key responsibilities include managing capital budgets and asset plans, directing process improvements, and preparing detailed reports for regulatory agencies. The position appeals to candidates seeking a mission-driven role in environmental sustainability within a stable municipal environment. The manager serves as a vital liaison between the city, the public, and state agencies, with the added responsibility of participating in the city's emergency management team. The role requires a bachelor's degree and extensive experience in advanced water treatment operations.

The Senior Manager of Benefits and Claims is a leadership role within Ocean State Job Lot's corporate team, responsible for overseeing both the benefits and claims departments. Key duties include managing a comprehensive benefits package and 401(k) plan, administering leave programs in compliance with federal and state laws, and supervising workers' compensation and liability claims to mitigate risk. The position involves leading two teams, analyzing data to drive strategic improvements, and serving as the primary liaison with insurance carriers and brokers. This opportunity appeals to candidates seeking to shape a total rewards strategy for a rapidly growing retailer with a strong community focus. The role offers a hybrid work arrangement requiring three days in the corporate office and provides access to extensive perks such as health coverage, tuition reimbursement, and employee discounts.