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Mechanical Claim Analyst Remote Jobs (NOW HIRING)

Imagenet

Claims Quality Analyst - Remote

Omaha, NE · On-site +1

Familiarity with Medi-Cal and Commercial insurance claim * Strong analytical and problem-solving ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

ImageNetLLC

Claims Quality Analyst - Remote

Omaha, NE · Remote

Familiarity with Medi-Cal and Commercial insurance claim * Strong analytical and problem-solving ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

Imagenet

Claims Quality Analyst - Remote

Omaha, NE · Remote

Familiarity with Medi-Cal and Commercial insurance claim * Strong analytical and problem-solving ... Remote work offered * Equipment provided * Paid training to set you up for success * Comprehensive ...

Berkley

Stop Loss Claims Analyst

Overland Park, KS · Remote

$70K - $80K/yr

... Remote The company is an equal employment opportunity employer. As a Stop Loss Claims Analyst, you'll perform quality review and evaluation of all claim submissions received and logged into our ...

Berkley

Stop Loss Claims Analyst

Overland Park, KS · Remote

$70K - $80K/yr

... Remote The company is an equal employment opportunity employer. Responsibilities As a Stop Loss Claims Analyst, you'll perform quality review and evaluation of all claim submissions received and ...

Cartwheel

RCM Operations Analyst (Remote)

Cambridge, MA · On-site +1

$62K - $83K/yr

Remote WHAT YOU'LL DO Denial & Rejection Analysis * Conduct structured analysis of denial and ... Execute claim corrections, resubmissions, and payer follow-up as a hands-on operational contributor ...

Cartwheel

RCM Operations Analyst (Remote)

Cambridge, MA · Remote

$62K - $83K/yr

Remote WHAT YOU'LL DO Denial & Rejection Analysis * Conduct structured analysis of denial and ... Execute claim corrections, resubmissions, and payer follow-up as a hands-on operational contributor ...

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How much do mechanical claim analyst remote jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for mechanical claim analyst remote in the United States is $25.60, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $27.16 per hour, depending on experience, location, and employer.

What is a Mechanical Claim Analyst (Remote)?

A Mechanical Claim Analyst (Remote) is a professional who evaluates and processes mechanical claims, typically related to warranties or insurance, from a remote location. They review documentation, assess repair estimates, and determine the validity of claims for mechanical failures in vehicles or equipment. Working remotely, they use specialized software and communicate with service providers, customers, and other stakeholders to ensure claims are handled accurately and efficiently. This role requires strong analytical skills, attention to detail, and knowledge of mechanical systems and warranty policies.

What are the key skills and qualifications needed to thrive as a Mechanical Claim Analyst (Remote), and why are they important?

To thrive as a Mechanical Claim Analyst (Remote), you need a solid understanding of automotive systems, strong analytical skills, and experience in claims processing, usually supported by a relevant degree or technical certification. Familiarity with claims management software, automotive diagnostic tools, and industry databases is typically required. Exceptional attention to detail, problem-solving ability, and clear written communication help set top performers apart. These skills ensure accurate claim assessments, minimize errors, and facilitate efficient, customer-focused service in a remote environment.

What is the difference between Mechanical Claim Analyst Remote vs Mechanical Claims Adjuster?

AspectMechanical Claim Analyst RemoteMechanical Claims Adjuster
CredentialsCertifications in claims processing, mechanical knowledgeAdjuster licenses, certifications in claims handling
Work EnvironmentRemote, office-basedField and office-based
Industry UsageInsurance, claims processing companiesInsurance companies, third-party administrators
Job FocusAnalyzing mechanical claims, documentation reviewAssessing damages, settling claims

While both roles involve claims related to mechanical issues, the Mechanical Claim Analyst Remote primarily focuses on analyzing and reviewing mechanical claims remotely, often with a focus on documentation and data. The Mechanical Claims Adjuster typically involves more direct assessment of damages, sometimes in the field. Both roles require relevant certifications and are common in the insurance industry, but their work environments and specific responsibilities differ.

What are some common challenges Mechanical Claim Analysts face when working remotely, and how can they be addressed?

Mechanical Claim Analysts working remotely often encounter challenges such as ensuring clear communication with clients, repair shops, and team members without face-to-face interaction. Additionally, accessing technical documents or collaborating on complex claims can be more difficult outside of a traditional office setting. To address these issues, it's important to leverage digital collaboration tools, maintain regular video or phone check-ins, and organize files for easy remote access. Building strong relationships with colleagues and external partners virtually can also enhance efficiency and claim resolution.

Claims Quality Analyst - Remote

Imagenet

Omaha, NE • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago

Job description

Claims Quality Analyst | Remote
Job Type: Full time
Work Setup: Remote
Reports to: Claims Supervisor
Position Summary:
The Claims Quality Analyst plays a key role in ensuring the accuracy, compliance, and effectiveness of claims processing and provider dispute resolution. The ideal candidate has hands on experience with EZCap, auditing claims, analyzing dispute claims and evaluating internal policies and regulatory requirements, with a particular focus on Medi-Cal and commercial health plans. This role is responsible to partners closely with cross-functional teams to drive continuous improvement and operational excellence.
Key Duties:
  • Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy and compliance with provider contracts and regulatory guidelines.
  • Analyze provider disputes for patterns or recurring issues.
  • Identify root causes and work with relevant teams to implement corrective actions and process improvements.
  • Develop and track performance related to claims accuracy, turnaround time, and dispute resolution efficiency.
  • Conduct thorough root cause analyses on high-impact errors or escalations.
  • Support training initiatives by identifying knowledge gaps and assisting in the development of updated procedures and documentation based on audit results.
  • Ensure all reviewed processes align with applicable regulatory requirements. Participate in internal and external audits as needed.

Qualifications:
  • High school diploma or equivalent
  • At least 3-5 years of Quality Analyst in healthcare, TPA, or health plan settings/ healthcare claims or in a claims processing/adjudication environment
  • Hands-on experience with EZCap (strongly preferred)
  • Familiarity with Medi-Cal and Commercial insurance claim
  • Strong analytical and problem-solving skills
  • Excellent verbal and written communication
  • Attention to detail in documentation and compliance
  • Ability to manage multiple tasks and meet deadlines
  • Experience with other claim adjudication platforms and provider systems.
  • Familiarity with DHCS, DMHC, CMS dispute handling regulations.

What We Offer
  • Remote work offered
  • Equipment provided
  • Paid training to set you up for success
  • Comprehensive benefits: Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth

COMPANY OVERVIEW:
Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans' members and providers.
The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans' members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.
Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.

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