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Remote Claims Recovery Analyst Jobs (NOW HIRING)

Mastech Digital

Disaster Recovery Analyst

Dallas, TX · Remote

$60 - $70/hr

Dallas, TX (Remote) Salary: $60.00-$70.00/Hourly Role: Disaster Recovery Analyst Primary Skills: "DISASTER RECOVERY", Ransomware, Air Vault, DRP, Disaster Recovery policies Role Description: The ...

MDT Technical

Cost Recovery Analyst

Scottsdale, AZ · On-site +1

Cost Recovery Analyst (100% remote) Primary Location: 100% remote V-Soft Consulting is currently hiring for a Cost Recovery Analyst (100% remote) for our premier client. WHAT YOU'LL DO: Job ...

NTT DATA

Medical Claims Processor - Remote

$17.50 - $22/hr

Remote Claims Processing Associate At NTT DATA, we know that with the right people on board ... Effective troubleshooting where you can leverage your research, analysis and problem-solving ...

NTT DATA

Healthcare Claims Processor, Remote

$17.50 - $22/hr

Remote Claims Processing Associate NTT DATA is seeking to hire a Remote Claims Processing Associate ... Effective troubleshooting where you can leverage your research, analysis and problem-solving ...

Cedars Sinai

Revenue Recovery Analyst

Los Angeles, CA · On-site +1

$24 - $31.42/hr

A Little More About What You Will be Doing The Revenue Recovery Analyst is responsible for ... Prepares claims listings for third party liabilities recoveries Qualifications Job qualifications ...

One80 Intermediaries

Claims Examiner (Reinsurance)

$100K/yr

Oversees the management and analysis of reinsurance claims, including complex and high value exposures. Ensures accurate reporting, billing, and recovery of reinsurance assets while acting as a ...

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Remote Claims Recovery Analyst information

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

As of Jul 1, 2026, the average hourly pay for remote claims recovery 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 are the key skills and qualifications needed to thrive as a Remote Claims Recovery Analyst, and why are they important?

To thrive as a Remote Claims Recovery Analyst, you need strong analytical skills, attention to detail, and a background in finance, healthcare, or insurance, often supported by a relevant degree or experience. Familiarity with claims management software, data analysis tools, and Excel is typically required, and knowledge of industry regulations or certifications like Certified Professional Coder (CPC) can be beneficial. Excellent communication, problem-solving, and organizational skills are crucial for collaborating with stakeholders and managing multiple recovery cases efficiently. These competencies ensure accurate claims resolution, maximize recoveries, and uphold compliance in a remote working environment.

What is a Remote Claims Recovery Analyst?

A Remote Claims Recovery Analyst is a professional who reviews, investigates, and processes insurance or healthcare claims to identify overpayments, errors, or discrepancies. They work remotely to recover funds owed to the organization by analyzing claim data, communicating with clients or providers, and ensuring compliance with regulations. This role typically involves using specialized software, collaborating with other departments, and providing detailed reports on recovery activities. Strong analytical skills, attention to detail, and knowledge of insurance or healthcare claims processes are essential for success in this position.

What is the difference between Remote Claims Recovery Analyst vs Remote Insurance Claims Adjuster?

AspectRemote Claims Recovery AnalystRemote Insurance Claims Adjuster
Required CredentialsClaims certification, insurance knowledgeAdjuster license, insurance certification
Work EnvironmentOffice or remote, claims departmentRemote or on-site, claims handling
Employer & IndustryInsurance companies, third-party administratorsInsurance carriers, independent agencies
Common Search & ComparisonClaims recovery, debt collectionClaims assessment, settlement

The Remote Claims Recovery Analyst primarily focuses on recovering owed funds through claims analysis and debt collection, often working with insurance companies or third-party agencies. In contrast, the Remote Insurance Claims Adjuster evaluates and settles insurance claims, handling damage assessments and policy coverage. While both roles require insurance knowledge and certifications, their core functions differ—recovery versus claims settlement. Understanding these distinctions helps job seekers find the role that best matches their skills and career goals.

What are some common challenges faced by Remote Claims Recovery Analysts, and how can they be managed effectively?

Remote Claims Recovery Analysts often encounter challenges such as navigating complex insurance policies, managing large volumes of claims, and coordinating with multiple stakeholders virtually. To manage these effectively, strong organizational skills and attention to detail are essential. Proactive communication with clients, colleagues, and third-party payers, along with staying current on industry regulations, helps ensure accurate and timely claim resolutions. Regular check-ins with your remote team and leveraging digital workflow tools can also improve efficiency and collaboration.
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What cities are hiring for Remote Claims Recovery Analyst jobs? Cities with the most Remote Claims Recovery Analyst job openings:
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What job categories do people searching Remote Claims Recovery Analyst jobs look for? The top searched job categories for Remote Claims Recovery Analyst jobs are:
Remote Claims Recovery Analyst jobs near you
Infographic showing various Remote Claims Recovery Analyst job openings in the United States as of June 2026, with employment types broken down into 87% Full Time, 5% Part Time, and 8% Contract. Highlights an 100% Remote job distribution, with an average salary of $56,974 per year, or $27.4 per hour.
Senior Specialist, Claims Recovery - Remote

Senior Specialist, Claims Recovery - Remote

Molina Healthcare

Long Beach, CA • On-site, Remote

$33K - $73K/yr

Full-time

Posted 17 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 192 frontline employees who took The Breakroom Quiz

143rd of 277 rated insurance

Job description


JOB DESCRIPTION Job Summary
Provides senior level support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Collaborates with health plans and vendors to facilitate recovery of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion and in accordance with cost-control standards.
Essential Job Duties
• Prepares written provider overpayment notification and supporting documentation such as explanation of benefits (EOB), claims and attachments.
• Maintains and reconciles department reports for outstanding payment, uncollectible claims and autopayment recoveries.
• Prepares and provides write-off documents that are deemed uncollectible, and ensures collections efforts are exhausted for write-off approval.
• Researches simple to complex claims payments including researching tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate overpayments made to providers.
• Completes basic validation prior to offset to include, eligibility, coordination of benefits (COB), standard of care (SOC), and diagnosis-related group (DRG) requests.
• Enters and updates recovery applications and claim systems for multiple states and prepares/creates overpayment notification letters with accuracy; processes claims as a refund or auto debit in claim systems and in recovery application.
• Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claims recovery (refund request letters, refund checks, claims reversals), and reporting and documentation of recovery as explained in department Standard Operating Procedures (SOPs).
• Responds to provider correspondence related to claims recovery requests and provider remittances where recovery has occurred.
• Collaborates with finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers.
• Reviews daily and weekly variance reports to ensure quality and correct processing of claims.
• Completes weekly and monthly finance refund check reconciliations.
• Maintains accounts payable (AP) check provider add process.
• Assists with claims staff audits, inquiries, and training as needed.
• Supports claims department initiatives to improve overall claims function efficiency.
• Meets claims department quality and production standards.
• Completes claims projects as assigned.
Required Qualifications
• At least 3 years of experience in a clerical role in a claims, and/or customer service setting, and a minimum of 1 year of experience in claims recovery in a Medicaid managed care organization, or equivalent combination of relevant education and experience.
• Working knowledge of claims payments, multiple state billing guidelines and claims processing policies and procedures.
• Research, analysis and data entry skills.
• Organizational skills and attention to detail.
• Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines.
• Customer service experience.
• Effective verbal and written communication skills.
• Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications
• Experience in claims adjudication and/or claims examination.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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