Claims Specialist
Baton Rouge, LA · Remote
Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist ... This position will analyze, investigate, and resolve problem cases, execute recovery processes, and ...
Baton Rouge, LA · Remote
Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist ... This position will analyze, investigate, and resolve problem cases, execute recovery processes, and ...
Baton Rouge, LA · Remote
Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist ... This position will analyze, investigate, and resolve problem cases, execute recovery processes, and ...
Strong analytical, project management, and organizational skills; self-motivated with sharp ... Remote work, but some travel is required * Charitable contribution match programs * Stock purchase ...
Strong analytical, project management, and organizational skills; self-motivated with sharp ... Remote work, but some travel is required * Charitable contribution match programs * Stock purchase ...
This role is eligible for fully remote work How you'll make an impact Supervise: Lead and encourage a Workers Compensation claims team handling a variety of caseload sizes and complexities to deliver ...
This role is eligible for fully remote work How you'll make an impact Supervise: Lead and encourage a Workers Compensation claims team handling a variety of caseload sizes and complexities to deliver ...
Baton Rouge, LA · Remote
This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties ... Analyze claims and cost savings data to drive insights for reporting and product improvement
Baton Rouge, LA · Remote
This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties ... Analyze claims and cost savings data to drive insights for reporting and product improvement
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Interpret claims data and connections to patient outcomes and utilization trends. * Interprets ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Interpret claims data and connections to patient outcomes and utilization trends. * Interprets ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Interpret claims data and connections to patient outcomes and utilization trends. * Interprets ...
Baton Rouge, LA · On-site +1
Those fully remote associates residing in states where service is required by contract, law, or ... Interpret claims data and connections to patient outcomes and utilization trends. * Interprets ...
Analytical and interpretive skills * Strong organizational skills * Excellent interpersonal skills ... claims #hybrid#LI-REMOTE #sedgwick Sedgwickis an Equal Opportunity Employer and a Drug-Free ...
Analytical and interpretive skills * Strong organizational skills * Excellent interpersonal skills ... claims #hybrid#LI-REMOTE #sedgwick Sedgwickis an Equal Opportunity Employer and a Drug-Free ...
Analytical and interpretive skills * Strong organizational skills * Excellent interpersonal skills ... claims #hybrid#LI-REMOTE #sedgwick Sedgwickis an Equal Opportunity Employer and a Drug-Free ...
Analytical and interpretive skills * Strong organizational skills * Excellent interpersonal skills ... claims #hybrid#LI-REMOTE #sedgwick Sedgwickis an Equal Opportunity Employer and a Drug-Free ...
Advanced data and analytics providing a comprehensive overview of the risk landscape is at your ... While this role is not currently open, it is fully remote, and we welcome the opportunity to ...
Advanced data and analytics providing a comprehensive overview of the risk landscape is at your ... While this role is not currently open, it is fully remote, and we welcome the opportunity to ...
Baton Rouge, LA · On-site +1
$34.19 - $40.20/hr
Work on the settlement of complex damage claims with land owners (or their designees) relative to ... Ability to work in remote locations for long periods of time; * Excellent interpersonal skills and ...
Baton Rouge, LA · On-site +1
$34.19 - $40.20/hr
Work on the settlement of complex damage claims with land owners (or their designees) relative to ... Ability to work in remote locations for long periods of time; * Excellent interpersonal skills and ...
Baton Rouge, LA · Remote
$15.25 - $21/hr
Next Stop Travel is a remote-based organization providing structured planning and coordination services to a broad client base. Our team is committed to delivering organized, accurate, and responsive ...
New
Baton Rouge, LA · Remote
$15.25 - $21/hr
Next Stop Travel is a remote-based organization providing structured planning and coordination services to a broad client base. Our team is committed to delivering organized, accurate, and responsive ...
New
Baton Rouge, LA · Remote
$15/hr
Part-Time Remote Customer Service RepresentativeWindow World | Baton Rouge, LAJoin America's Largest Replacement Window Company!Window World is looking for a friendly, dependable, and customer ...
Quick apply
Baton Rouge, LA · Remote
$15/hr
Part-Time Remote Customer Service RepresentativeWindow World | Baton Rouge, LAJoin America's Largest Replacement Window Company!Window World is looking for a friendly, dependable, and customer ...
Baton Rouge, LA · Remote
$15.25 - $21/hr
-No prior industry experience required -Meet with clients on Zoom to help them enroll in benefit programs -Explain options in a clear, simple, and relatable way -Help clients complete online ...
Baton Rouge, LA · Remote
$15.25 - $21/hr
-No prior industry experience required -Meet with clients on Zoom to help them enroll in benefit programs -Explain options in a clear, simple, and relatable way -Help clients complete online ...
Baton Rouge, LA · On-site +1
$15.25 - $21/hr
... analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment ...
Baton Rouge, LA · On-site +1
$15.25 - $21/hr
... analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment ...
Baton Rouge, LA · On-site +1
$15.25 - $21/hr
... analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment ...
Baton Rouge, LA · On-site +1
$15.25 - $21/hr
... analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment ...
Baton Rouge, LA · On-site +1
$14/hr
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment ...
Baton Rouge, LA · On-site +1
$14/hr
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment ...
Baton Rouge, LA · Remote
$14/hr
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment ...
Quick apply
Baton Rouge, LA · Remote
$14/hr
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment ...
$14.08 - $17.33
14% of jobs
$19.28 is the 25th percentile. Wages below this are outliers.
$17.33 - $20.59
19% of jobs
The median wage is $22.73 / hr.
$20.59 - $23.84
26% of jobs
$23.84 - $27.09
9% of jobs
$28.78 is the 75th percentile. Wages above this are outliers.
$27.09 - $30.34
13% of jobs
$30.34 - $33.60
11% of jobs
$33.60 - $36.85
2% of jobs
$36.85 - $40.10
2% of jobs
$40.10 - $43.35
1% of jobs
$43.35 - $46.61
2% of jobs
$46.61 - $49.86
1% of jobs
$14
$26
$49
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.
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.
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.
For Remote Claims Analyst jobs in Baton Rouge, LA, the most frequently searched job titles are:
The top searched job categories for Remote Claims Analyst jobs in Baton Rouge, LA are:
Cities near Baton Rouge, LA with the most Remote Claims Analyst job openings:

Job Description STRATEGIC STAFFING SOLUTIONS HAS AN OPENING. This is a Contract Opportunity with our company that MUST be worked on a W2 Only. No C2C eligibility for this position.
Visa Sponsorship is Available. The details are below. "Beware of scams.
S3 never asks for money during its onboarding process." Job Title: Claims Specialist Remote Work Contract Length: 5 Months Job Ref #: 247717 The Claims Specialist will support claims operations by accurately processing claims edits, determining primacy for Coordination of Benefits, adjusting previously paid claims, and initiating procedures to recover funds on overpaid claims. This position will analyze, investigate, and resolve problem cases, execute recovery processes, and complete special projects while complying with applicable laws and regulations. Required Qualifications High school diploma or equivalent At least 2 years of medical claims-processing experience Strong analytical ability, including logical, systemic, and investigative thinking Strong oral and written communication skills Strong human-relations skills Working knowledge of relevant PC software Ability to prioritize multiple streams of work effectively Preferred Qualifications Coordination of Benefits processing experience Hands-on experience determining which insurance plan pays first when a member has multiple sources of coverage Experience identifying primary and secondary coverage Experience reviewing and updating claims based on COB rules Experience applying COB primacy rules, including subscriber status, effective dates, plan type, and Medicare coordination Experience communicating with members, providers, and other insurers to verify coverage information Experience correcting overpayments, initiating refunds or reprocessing claims, and maintaining accurate claim records Experience working within claims systems and following regulatory and compliance requirements, including HIPAA Responsibilities Review, research, and update claims, including recalculating benefits on previously processed claims Process claims edits according to contractual benefits and provider-reimbursement rules Initiate refund requests when necessary Identify denial codes, edits, and processing codes associated with coordinated and non-coordinated claims Request medical records when required Communicate orally and in writing with internal and external contacts to establish accurate claims records Review quality audits for correction or routing within 48 hours of receipt Research and determine the correct order of benefits for payment by applicable plans Make necessary corrections to COB records Notify the appropriate departments when Medicare has determined primacy incorrectly Analyze, investigate, and resolve problem cases involving COB records, adjusted claims, and overpayments Review previously processed claims to ensure payment consistency and maximize overpayment recovery Execute procedures to recover funds from providers, subscribers, or beneficiaries when overpayments occur Support training, implementations, documentation, and special projects Assist with matters involving internal-audit findings, provider-status changes, and system errors Perform other job-related duties within the scope of the position
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Professional, scientific, and technical services
201 - 500 Employees
Sparta, NJ, US