Remote: Senior Claims QA & Audit Analyst
CSAA Insurance Group
CSAA Insurance Group is hiring for a Claims QA role supporting the claims organization. You will plan, execute, and analyze audits, lead teams on multiple projects, and prepare written reports for leaders.
The role emphasizes statistical concepts, data analysis, and cross-functional collaboration, with remote work across the United States (excluding Hawaii and Alaska). Qualified candidates have 6+ years in property claims handling and a related bachelor's degree.
#J-18808-Ljbffr- ...CSAA Insurance Group is seeking a Homeowner Claims Quality Assurance Senior Analyst for a remote role nationwide in the United States. You will apply QA techniques to examine claims processes, plan and execute audits, and present outcomes to claims executives. You...Remote workSeniorClaims
- ...CSAA Insurance Group is seeking a Homeowner Claims Quality Assurance Senior Analyst for a remote role based in the United States. You will apply QA techniques to evaluate claims processes, plan and execute audits, and present findings to leadership while leading multiple...Remote workSeniorClaimsWork at office
- ...CSAA Insurance Group is seeking a Homeowner Claims Quality Assurance Senior Analyst to join our remote-first team. This role applies QA techniques to examine claims processes and leads audits across multiple projects. You will plan and execute audits, analyze qualitative...Remote workSeniorClaims
- ...tango is seeking a Quality Assurance Analyst to join our growing healthcare team in Phoenix. The role focuses on validating claims data, analyzing billing accuracy, and developing audit determinations with objective documentation. You will escalate issues, support...Remote workClaims
- ...employment visa at this time. Branch is remote first, with most Branchers choosing... ...to the people who buy them. As a Senior Policy Forms & QA Analyst, you'll own the development and maintenance... ..., Underwriting, Pricing, Actuarial, Claims and Technology on changes that cross...Remote workSeniorClaimsFull timeContract workWork at officeWork from homeWork visaFlexible hours
$80k - $120k
...Senior Ophthalmology Revenue Cycle Manager Las Vegas, Nevada... ...and follow up on every unpaid claim until it's resolved. Work denials... .... Supervise and run chart auditing, insurance payment postings... ...time, on-site/hybrid/potential remote How to apply Compensation...Remote workSeniorClaimsFull time- ...HumanaPosted: Humana Inc. is seeking a Senior Medical Coding Outpatient Auditor to lead coding-focused audit activities, validate coding... ....The role involves researching claims anomalies, applying CPT/HCPCS... ...to improve audit strategies. Remote work with occasional travel is...Remote workSeniorClaims
- ...Thinkbrg is seeking a Senior Associate to join the Healthcare Transactions and Strategy group. You will perform medical record audits to assess coding accuracy and ensure compliant claims submission. The role includes developing audit methodologies, analyzing findings...Remote workSeniorClaims
$58.9k - $84.1k
...development. Summary As a Senior QA Analyst (Drug Rebate) at Gainwell,... ...limited to Point of Sale, Claims, Encounter, and Finance teams... ...special projects, external audits and process improvements in... ...in this role Fully remote options from Contiguous US locations...Remote workSeniorClaimsFull timeFlexible hours- ...waste, and abuse, the full-time Senior Fraud Analyst will analyze medical billing... ...detection algorithms in a remote work environment. Key... ...and data science teams with audit and FWA concepts and data mapping... ...terminology, coding guidelines, and claims adjudication processes...Remote workSeniorClaimsFull time
- ...appeals process for skilled nursing and other healthcare claims, the full-time State Licensed Senior Auditor will independently review and interpret... ...employment Five or more years of related healthcare and auditing experience, particularly with SNF, IRF, Home Health, DME...Remote workSeniorClaimsFull time
$180k - $240k
...ingestion, inference orchestration, audit logging, multi-tenancy.... ...inference. Work in a small, senior team. No layers, no bureaucracy... ...-making: you publish what you claim, you disclose subgroup... ...regulators. What we offer ~ Remote-first within the US. Boston HQ...Remote workSeniorClaimsFull time- ...ensure the outpatient and specialty audit teams operate with accurate payer-provider... ...and reimbursement policies, the remote Senior Contract Analyst will manage contract documentation, identify... ...integrity, provider contracting, or claims auditing Ability to read and...Remote workSeniorClaimsContract work
- ...Providence is seeking an experienced professional to manage the claims internal audit functions, ensuring accuracy in adjudicated claims and... ...on maintaining satisfaction of providers and health plans. Remote-friendly environment with team collaboration. #J-18808-Ljbffr...Remote workSeniorClaims
- Title: Senior Tax Associate, SALTLocation: Remote Any additional information you require for this job can be found... ...tax codes have helped businesses claim billions of dollars in tax credits... ....Lead and manage sales and use tax audits, prepare required documentation, respond...Remote workSeniorClaimsWork at officeLocal area
- ...Senior Project Manager (Full-Time) Application Instructions... ...Oversee and approve change orders, claims, and cost recovery strategies.... ...Work Environment & Travel: Remote work flexibility based on... ...practices, retention periods, or bias audit information. #penhall3 PI2...Remote workSeniorClaimsDaily paidFull timeContract workTemporary workFor contractorsWork at officeLocal areaWeekend work
- ...assets, lease liabilities (under ASC842 lease accounting), medical claims liabilities, IBNR, and other accrual accounts, debts, and... ...investors, and banks • Assist with interim and year-end financial audits • Assist with drafting and updating corporate accounting manual...Remote workSeniorClaimsInterim role
$50.4k - $72k
...professional to support quality assurance, auditing, and financial operations within a... ...Medicare, managed care, health insurance, claims, or government healthcare programs.... ...expect in this role This position is remote work from home, candidate must reside in...Remote workSeniorClaimsFull timeWork from homeFlexible hours$138k - $210k
...; you build models that other people can audit, stress-test, and trustExperience with financial... ...home stipend to help you succeed in a remote environment.The annual salary hiring... ...come from the @gong.io domain. Any outreach claiming to be from Gong via other sources should...Remote workSeniorClaimsImmediate startWork from homeFlexible hours$85k - $90k
...Opportunity We are seeking a Data Mining Senior Auditor to join our Payment Integrity... ...advanced data mining strategies, claims analysis, audit development, and payment integrity... ...Ability to work independently in a remote environment. Preferred Experience...Remote workSeniorClaims- ...Senior Outpatient CoderPosition Details: Full-Time Remote Reports to Coding Operations ManagerYou must reside in one of these... ...coding quality, coding edits, auditing, and staff education.Assigned... ...include an appropriate documented claim-hold reason before the account appears...Remote workSeniorClaimsFull timeWork experience placementWork at officeFlexible hours
- ...Senior Auditor Location US- ID 2026-1563 Remote Yes Overview JOB TITLE... ...oversees large and complex auditing investigations as... ...Auditors and Financial Analysts to ensure that it... ...Medicare billing and claims systems, or DoD inventory...Remote workSeniorClaimsFull timeContract workInterim roleWork from homeHome officeFlexible hours
$400k
...or bolt on a separate audit product with its own login... ...behind a queue for an analyst, or a spreadsheet the... ...Wednesday, and Thursday. Remote work is allowed up to... ...scope and judgment this senior role calls for.You've built... ...domain. Any outreach claiming to be from Brex via...Remote workSeniorClaimsWork at officeShift work3 days per week$28k
...Senior Premium Auditor (Workers' Compensation) | 100% Remote Opportunity General Summary Under minimal supervision... ...remote telephone premium audits of insured's records, verifying... ...appropriate. Analyze and review claims to verify employment, proper...Remote workSeniorClaimsWork from home$107.7k - $199.3k
...other data types. This Senior Manager will combine people... ...to oversee critical claims analytics and reporting... ...flexibility to work remote from home anywhere in the... ...performing and overseeing the auditing of data Oversee large... ...manage a team of data analysts of variable skill and...Remote workSeniorClaimsFull timePart timeH1bWork at officeWork from homeFlexible hours$91.7k - $163.7k
...Decision Intelligence team, the Senior Data Scientist will support our... ...opportunities that improve clinical audit processes. You'll enjoy the flexibility to work remotely * from anywhere within the U.S.... ...ADB Experience with healthcare claim data Experience in transitioning...Remote workSeniorClaimsMinimum wageFull timeWork experience placementWork at officeLocal area$86.97k - $130.46k
...Senior Payroll Analyst Lyric is the trusted leader in healthcare decision intelligence. Built on more than 35 years... ..., and policy expertise to deliver transparent, auditable insights in milliseconds across real-time claims workflows. Lyric augments human decision-making...Remote workSeniorClaimsFull timeLocal areaVisa sponsorship$90k - $110k
...Oklo! We are searching for a Senior Accountant, Financial Reporting... ...coordinating with internal and external audit teams. The ability to produce... ...company experiencePreferred remote location: U.S. Mountain or... ...Please be cautious of anyone claiming to represent Oklo who does not...Remote workSeniorClaimsInterim roleFlexible hours$75k
...Onco360 is looking for a Senior Accountant. Remote position may be possible for the right candidate... ...Responsible for recording and reviewing claim level transactions, reconciling large... ...information and documents to perform annual audit. Position Qualifications for the...Remote workSeniorClaimsTemporary workWork experience placement- ...Senior Revenue Cycle Director The Revenue Cycle Director is a Full... ...chargemaster maintenance and auditing. Monitor underbilling,... ...downstream billing. Lead billing, claims submission, payment posting,... ...required with limited remote flexibility. Evening/weekend...Remote workSeniorClaimsFull timeWork at officeAfternoon shift
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