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Remote Claims Analyst Jobs in Arizona (NOW HIRING)

Swift Transportation

Claims Examiner 4

Phoenix, AZ · On-site +1

$75K - $94K/yr

This position can be remote, in select locations, based on business needs Who We Are: Swift ... Responsible for the investigation, liability determination, negotiation, financial analysis and ...

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Remote Claims Analyst information

What is a remote claims analyst?

A Remote Claims Analyst reviews and processes insurance claims from a remote location, ensuring accuracy, compliance, and adherence to company policies. They analyze claim details, verify documentation, and determine coverage eligibility. The role may also involve communicating with policyholders, healthcare providers, or other parties to gather necessary information. Strong analytical skills and knowledge of insurance regulations are essential for success in this position.

What are the key skills and qualifications needed to thrive as a remote claims analyst?

Excelling as a Remote Claims Analyst requires strong analytical skills, attention to detail, and a solid understanding of insurance policies and claims processes, typically supported by a relevant bachelor's degree or work experience in insurance or finance. Familiarity with claims management software (such as Guidewire or Xactimate), proficiency in Microsoft Office Suite, and knowledge of data security protocols are highly valuable, while certifications like AIC (Associate in Claims) can be advantageous. Outstanding organizational abilities, time management, strong written and verbal communication, and problem-solving skills help set top performers apart in this remote role. These competencies ensure accurate claim assessments, efficient remote collaboration, and high levels of customer satisfaction.

What are some common challenges faced by remote claims analysts, and how can they be overcome?

Remote Claims Analysts often encounter challenges such as managing a high volume of claims, communicating complex case details virtually, and staying organized without on-site supervision. To overcome these, successful analysts use robust task tracking systems, maintain proactive communication with colleagues and clients through digital channels, and regularly update their knowledge of industry practices. Time management and self-motivation are key to meeting deadlines in a remote work environment. Many employers also provide online training and resources to help analysts adapt and grow in their roles.

What are the most commonly searched types of Claims Analyst jobs in Arizona?

The most popular types of Claims Analyst jobs in Arizona are:

What are popular job titles related to Remote Claims Analyst jobs in Arizona?

For Remote Claims Analyst jobs in Arizona, the most frequently searched job titles are:

What job categories do people searching Remote Claims Analyst jobs in Arizona look for?

The top searched job categories for Remote Claims Analyst jobs in Arizona are:

What cities in Arizona are hiring for Remote Claims Analyst jobs?

Cities in Arizona with the most Remote Claims Analyst job openings:

Remote Claims Analyst jobs near you
Infographic showing various Remote Claims Analyst job openings in Arizona as of August 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 100% Remote job distribution.

EDI Technical Analyst (Claims) - Hybrid

HJ Staffing

Phoenix, AZ • On-site, Remote

Full-time

Re-posted yesterday

Job description

HJ Staffing is seeking an EDI Technical Analyst (Claims) to support, analyze, test, and maintain EDI transactions, integrations, and data exchange processes for healthcare claims operations. In this role, you will partner with business and technical teams to troubleshoot production issues, develop technical documentation, create data mappings, and ensure successful data exchange between trading partners.

The ideal candidate combines strong analytical skills, EDI expertise, SQL proficiency, healthcare systems knowledge, and direct experience supporting payer platforms like QNXT to drive operational efficiency and data integrity.

Vital Requirements (Please Read Before Applying)
  • Work Location: Must currently reside in Arizona and be able to commute to the Phoenix office (85021) at least one day per week.
  • Work Authorization: Must be a US Citizen or Green Card holder. We cannot provide sponsorship now or in the future for this temp-to-hire role.
  • Platform Experience: Direct, hands-on experience with the QNXT platform is strongly preferred and must be clearly listed on your resume.
What You Will Do
  • Production Support: Support, troubleshoot, and resolve EDI production issues related to claims and trading partner transactions; participate in on-call support rotations.
  • Data Analysis & Mapping: Analyze, map, and validate healthcare data exchanges including 270/271, 834, 835, and 837 transactions.
  • SQL & Monitoring: Write and maintain SQL queries for production support, reporting, testing, and data validation. Utilize Splunk, App Insights, SOAP UI, and Postman to monitor and validate system performance.
  • Testing & Documentation: Create and execute test plans, process test files, document results, and resolve defects. Develop technical specifications, mapping documents, and process flows.
  • Integrations: Support API integrations, ETL processes, and enterprise data exchange initiatives while developing dashboards to monitor data quality.
  • Compliance: Maintain strict compliance with HIPAA requirements and healthcare EDI standards including TR3, CAQH CORE, and Blue Exchange guidelines.
What You Will Bring

    Required Experience

    • 3 years of experience in computer technology and/or information systems.
    • 2 years of experience in data analysis, data management and integration, data extraction, and reporting.
    • 2 years of healthcare EDI experience.
    • Hands-on experience with 270/271, 834, 835, and 837 EDI transactions.
    • Recent, hands-on QNXT experience within a healthcare payer environment is strongly preferred.
    • Hands-on experience with Microsoft SQL Server and writing SQL queries for production support, testing, troubleshooting, and reporting.
    • Experience with data mapping, flat-file analysis, EDI file testing, and production support.

    QNXT and Microsoft SQL Server is a must.
    Work Authorization
    Candidates must be U.S. citizens or Green Card holders. Sponsorship is unavailable because this is a 6-month temporary-to-hire position.
    Location
    This position is fully remote. However, candidates cannot reside in Alaska, California, Delaware, Hawaii, Kentucky, Maine, Massachusetts, Mississippi, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Puerto Rico, Washington, D.C., or Wyoming.

You Will Be Successful If:
  • You can quickly identify, troubleshoot, and resolve complex data and integration issues.
  • You confidently work with large datasets and translate complex business requirements into technical solutions.
  • You thrive in a fast-paced environment with competing priorities and deadlines.
  • You demonstrate strong communication skills and can easily explain technical concepts to non-technical business stakeholders.
Employment Type: FULL_TIME

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