Clinical Reviewer (Remote) Shape AI-Driven Claims
Brighterway
Brighterway is a remote-first company in the United States developing AI-native claims software for casualty claims. The clinical reviewer will audit AI-generated chronologies and summaries, compare them to source records, and help define clinically correct standards used by physicians, attorneys, and adjusters.
You will write clinical review guidelines, identify omissions or inaccuracies, and contribute to the ongoing improvement of customer-facing reviews and quality processes.
#J-18808-Ljbffr- ...Sedgwick, a leader in risk and claims services, seeks a Business Transformation... ...enterprise-wide initiatives and AI-enabled operating models. You will shape strategy, align cross-functional teams... ...governance, and drive data-driven decision making. #J-18808-LjbffrRemote workClaims
- ...Strala, an AI-native TPA for P&C claims, is seeking a claims adjuster to join the team. You will investigate auto bodily... ...You will report to the VP of Claims and work remotely in a fast-growing environment, helping shape a platform that reduces manual work while delivering...Remote workClaims
- ...Solution Architect (Camunda & Event-Driven Architecture) Location: Remote, Chicago, IL Duration: 06 months... ...implementation of a scalable, event-driven claims orchestration platform using... ...automation standards, business rules, AI-enabled workflow generation, and reusable...Remote workClaimsContract work
- ...Sedgwick is a leading global risk and claims solutions provider seeking a Senior Business Transformation Analyst - Finance to drive enterprise-wide initiatives leveraging data-driven insights and AI to strengthen performance. The role collaborates across departments...Remote workClaims
- ...seeking an experienced Medical Billing Specialist to handle claims processing and contribute to AI-powered tools for optimizing billing workflows. The... ...analytical skills are essential. Join us to help enhance AI-driven medical billing solutions in a collaborative environment...Remote jobClaims
- ...Reserv is seeking a seasoned Claims Manager to lead a remote team of claims professionals across multiple lines of business. You will drive operational performance, leverage technology and analytics, and ensure high-quality service for clients and policyholders. You will...Remote workClaims
- ...seeking a Specialist for Insurance - P&C Claims to manage a portfolio of active claims, coordinate... ...and clients. The role emphasizes quality review of estimates, regulatory awareness, and... ...teams. The position offers exposure to AI-powered transformation initiatives and...Remote workClaimsFor contractors
$68.64k - $74.88k
...through neighborhood clinics, grounded in a... ...fast‑paced, detail‑driven, and deeply collaborative. You’ll review charts, validate documentation... .... Location: Remote within the U.S.;... ...from hospital claims, radiology reports,... ...also welcome to use AI tools to help refine...Remote workClaimsHourly payFull timeLocal area$24 - $28 per hour
...Why USA Clinics Group? Founded by Harvard-trained... ...fast-growing, mission-driven company Job Summary:... ...automation, including AI-driven solutions.... ...Location: Northbrook, IL (Remote work is not an option)... ...Analyze and resolve claim denials , including root...Remote workClaimsFull timeMonday to Friday- ...Clinical Quality Reviewer - BCBAOnos Health's mission is simple... ...burden, driven by misalignment between... ...building the largest AI-driven healthcare... ...to help shape innovative technology... ...platformsExperience analyzing claims, utilization, or... ...District), remote-first...Remote workClaimsWork at officeHome officeFlexible hours2 days per week3 days per week
- ...accurate start dates and payments. This full-time, fully remote role reports to the Enrollment Manager and coordinates with Credentialing, Onboarding, and Claims teams. You will leverage Google Sheets, Excel, and AI tools to streamline submissions, manage records, and...Remote workClaimsFull time
- ...Lumicera is seeking an Analyst, Contract Operations to join its team. This data-driven role focuses on PBM and managed care contracting, translating complex claims data into actionable insights for client contracts. You will support discount programs and deliverables across...Remote workClaimsContract work
- ...Lemonade is seeking a Car Claims Advocate to guide customers through auto property damage claims from notice to resolution. You’ll handle... ...thinking, strong communication, and the ability to work remotely with a distributed team. A license in good standing is required...Remote workClaims
- ...Everest Group, Ltd. invites you to join its 10-week 2027 Claims Internship Program in Warren, NJ. This hybrid role blends in-office and remote work, with real-world exposure to Property & Casualty Reinsurance and insurance operations. You will support Claims leaders, participate...Remote workClaimsRotational programInternshipSummer internshipWork at office
- ...Strala, an AI-native Third-Party Administrator for P&C claims, is seeking an experienced auto bodily injury adjuster to join our Claims team. This remote, high-growth role investigates claims, evaluates damages, and negotiates settlements for clients. You will report...Remote workClaims
$152k - $190k
...spend effortlessly. Brex’s AI-native automation and... ...business impact and shape our long-term technical... ...to be metric and data-driven and to think creatively... ...weeks per year of fully remote work!Responsibilities:Collaborate... ...domain. Any outreach claiming to be from Brex via...Remote workClaimsWork at officeWork from home$209k - $243k
...0+ proprietary clinical metrics across... ...S. — and using AI to scale that impact... ...design reviews and ensuring our... ...comfortable with remote work and occasional... ..., mission-driven team that operates... ...role, helping shape the future of... ...by someone claiming to be a Garner...Remote workClaimsFlexible hours- ...focuses on state growth and segmentation, turning policy, quote, and claims data into actionable recommendations. You'll learn pricing... ...while working with Databricks Genie, Claude Code, and MCP-enabled workflows in a supportive, remote-first environment. #J-18808-Ljbffr...Remote workClaims
- ...Kin Insurance is a remote-first homeowners insurer seeking a Pricing & Risk Analyst to identify profitable... ...segments. You will transform policy, quote, and claims data into actionable recommendations while learning our AI-enabled analytics stack. The role is entry-level,...Remote workClaims
- ...seeking a Director of Product for Facility Claim Review. You will own the product vision, roadmap... ...cross-functional teams and partner with AI/ML, analytics, and data science to... ...balancing innovation with financial health. Remote work is allowed; Minneapolis or DC area requires...Remote workClaimsWork at office
$181k - $239k
...harnesses the power of AI to transform how... ...people. We are shaping the future of revenue... ...customer processes to AI-driven workflows that... ...help you succeed in a remote environment.The... ...domain. Any outreach claiming to be from Gong via... ...applicable law.To review Gong's privacy policy...Remote workClaimsWork experience placementWork from homeFlexible hours- ...opportunities state by state. You’ll transform policy, quote, and claims data into actionable pricing recommendations and work with state... ...pricing metrics, segmentation, and insurance analytics while using AI tools and a supportive team to grow your career with Kin. #J-1880...Remote workClaims
- ...lead major process redesigns and drive data-driven programs across the finance function. You... ...orchestrate cross-functional teams, and shape strategic plans that align with the... ...ability to influence at the highest #J-18808-Ljbffr Sedgwick Claims Management Services LtdRemote jobClaims
- ...seeking a Director of Customer and Product Operations Support for the Claims Source product in a role that oversees advanced technical support... ..., and process optimization. You will guide automation, AI-enabled enhancements, and mentor a team of specialists to deliver...Remote jobClaims
- Overjet, a leader in dental AI, seeks an experienced dental claims reviewer to utilize radiographs and clinical expertise to assess medical necessity and eligibility for insurer... ..., and 5+ years of clinical experience, with remote work options and strong English...Remote jobClaims
- ...advanced technology and AI, we are helping... ...and zero balance reviews to aged accounts receivable... ...vehicle accident claims, workers'... ...building a results driven environment where high... ...of a team that is shaping the future of healthcare... ...obligationsUS remote-based colleagues are...Remote workClaimsContract workFor contractors
$192k - $240k
...spend effortlessly. Brex’s AI-native automation and... ...business impact and shape our long-term technical... ...to be metric and data-driven and to think creatively... ...weeks per year of fully remote work!Responsibilities:Collaborate... ...domain. Any outreach claiming to be from Brex via...Remote workClaimsWork at officeWork from home- ...segmentation opportunities. You will transform policy, quote, and claims data into actionable pricing insights, working with Databricks... ...emphasizes learning how analytics drive pricing and risk decisions in a remote-first environment, collaborating with state managers and...Remote workClaims
$94.5k - $138.6k
...UX Researcher 6sense builds AI-driven products for B2B marketing and... ...for hallucinations, unsupported claims, and weak reasoning. You... ...providing feedback to peers to shape research studies. * Comfort with... ...and paid time off (PTO). #Li-remote Notice of Collection and Use of...Remote workClaimsFull time- ...strategist to own paid growth for a book of client accounts and build AI workflows that streamline build-outs, reporting, and QA. You will... ..., and programmatic partners, while keeping a human brand and claims check before live spend. This role emphasizes AI fluency and...Remote workClaims
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Reviewer (Remote) Shape AI-Driven Claims. Be the first to apply!
- medical records clerk United States
- medical records administrator United States
- certified clinical medical assistant United States
- health records assistant United States
- clinical reviewer United States
- clinical lab assistant United States
- clinical administrative assistant United States
- medical records clerk part time United States
- remote clinical documentation specialist United States
- clinical operations assistant United States




