ZipRecruiter

Log In

2

Remote Claims Quality Analyst Jobs (NOW HIRING)

Imagenet

Claims Quality Analyst - Remote

Omaha, NE · On-site +1

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 ...

ImageNetLLC

Claims Quality Analyst - Remote

Omaha, NE · Remote

Claims Quality Analyst | Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor Position Summary: TheClaims Quality Analystplays a key role in ensuring the accuracy, compliance ...

Imagenet

Claims Quality Analyst - Remote

Omaha, NE · Remote

Claims Quality Analyst | Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor Position Summary: TheClaims Quality Analystplays a key role in ensuring the accuracy, compliance ...

Navitus Health Solutions, LLC

Analyst, Claims Quality

$43K - $52K/yr

Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New ... The Claims Quality Analyst is responsible for validating that Med D, Medicaid, and Exchange claims ...

CSAA

Job Title Commercial Claims Quality & Performance Analyst III - Remote Requisition Number R7783 Commercial Claims Quality & Performance Analyst III - Remote (Open) Location Oklahoma - Home ...

CSAA

Job Title Commercial Claims Quality & Performance Analyst III - Remote Requisition Number R7783 Commercial Claims Quality & Performance Analyst III - Remote (Open) Location Oklahoma - Home ...

CSAA

Job Title Commercial Claims Quality & Performance Analyst III - Remote Requisition Number R7783 Commercial Claims Quality & Performance Analyst III - Remote (Open) Location Oklahoma - Home ...

CSAA

Job Title Commercial Claims Quality & Performance Analyst III - Remote Requisition Number R7783 Commercial Claims Quality & Performance Analyst III - Remote (Open) Location Oklahoma - Home ...

CSAA

Job Title Commercial Claims Quality & Performance Analyst III - Remote Requisition Number R7783 Commercial Claims Quality & Performance Analyst III - Remote (Open) Location Oklahoma - Home ...

CSAA

Job Title Commercial Claims Quality & Performance Analyst III - Remote Requisition Number R7783 Commercial Claims Quality & Performance Analyst III - Remote (Open) Location Oklahoma - Home ...

CSAA

Job Title Commercial Claims Quality & Performance Analyst III - Remote Requisition Number R7783 Commercial Claims Quality & Performance Analyst III - Remote (Open) Location Oklahoma - Home ...

CSAA

Job Title Commercial Claims Quality & Performance Analyst III - Remote Requisition Number R7783 Commercial Claims Quality & Performance Analyst III - Remote (Open) Location Oklahoma - Home ...

CSAA

Job Title Commercial Claims Quality & Performance Analyst III - Remote Requisition Number R7783 Commercial Claims Quality & Performance Analyst III - Remote (Open) Location Oklahoma - Home ...

CSAA

Job Title Commercial Claims Quality & Performance Analyst III - Remote Requisition Number R7783 Commercial Claims Quality & Performance Analyst III - Remote (Open) Location Oklahoma - Home ...

CSAA

Job Title Commercial Claims Quality & Performance Analyst III - Remote Requisition Number R7783 Commercial Claims Quality & Performance Analyst III - Remote (Open) Location Oklahoma - Home ...

next page

Showing results 1-20

All JobsRemote Claims Quality Analyst Jobs

Remote Claims Quality Analyst information

See salary details

$14

$27

$51

How much do remote claims quality analyst jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for remote claims quality analyst in the United States is $27.39, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $31.49 per hour, depending on experience, location, and employer.

What is the difference between Remote Claims Quality Analyst vs Remote Claims Examiner?

AspectRemote Claims Quality AnalystRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; certifications like CPC or CCAHigh school diploma or equivalent; certifications like CPC or CCA
Work EnvironmentRemote, quality assurance focus, reviewing claims for accuracyRemote, processing and reviewing insurance claims
Industry UsageUsed across insurance companies for quality controlUsed across insurance companies for claims processing
Common Search/ComparisonYesYes

The Remote Claims Quality Analyst primarily focuses on reviewing and ensuring the accuracy of insurance claims, emphasizing quality control. In contrast, the Remote Claims Examiner processes and evaluates claims for approval or denial. Both roles often require similar certifications and work in remote insurance environments, but their core responsibilities differ—quality assurance versus claims processing.

More about Remote Claims Quality Analyst jobs
What cities are hiring for Remote Claims Quality Analyst jobs? Cities with the most Remote Claims Quality Analyst job openings:
What are the most commonly searched types of Claims Quality Analyst jobs? The most popular types of Claims Quality Analyst jobs are:
What states have the most Remote Claims Quality Analyst jobs? States with the most job openings for Remote Claims Quality Analyst jobs include:
What job categories do people searching Remote Claims Quality Analyst jobs look for? The top searched job categories for Remote Claims Quality Analyst jobs are:
Remote Claims Quality Analyst jobs near you
Infographic showing various Remote Claims Quality Analyst job openings in the United States as of June 2026, with employment types broken down into 84% Full Time, 11% Part Time, and 5% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $56,974 per year, or $27.4 per hour.

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.

Apply