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Remote Claims Recovery Analyst Jobs in Florida (NOW HIRING)

Gallagher

Claims Adjuster Senior

Orlando, FL · Remote

Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a ... This role is eligible for fully remote work. How you'll make an impact * Apply claims management ...

Bosun

Full-Service Restoration Reviewer

Jacksonville, FL · On-site +1

$67K - $70K/yr

... analytical Full-Service Reviewer to join their remote Claims Force team. As a Full-Service Reviewer, you will be responsible for reviewing estimates across a broad range of restoration service types ...

Iatinsurancegroup

Senior Surety Claims Counsel

Orlando, FL · On-site +1

$97K - $213K/yr

... remote arrangements for the ideal candidate. Responsibilities: * Interacts with attorneys for ... Manages litigation and salvage recovery actions. * Analyzes payment bond claims and makes ...

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Remote Claims Recovery Analyst information

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 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 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.

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 the most commonly searched types of Claims Recovery Analyst jobs in Florida?

The most popular types of Claims Recovery Analyst jobs in Florida are:

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

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

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

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

What cities in Florida are hiring for Remote Claims Recovery Analyst jobs?

Cities in Florida with the most Remote Claims Recovery Analyst job openings:

Remote Claims Recovery Analyst jobs near you
Infographic showing various Remote Claims Recovery Analyst job openings in Florida as of August 2026, with employment types broken down into 2% As Needed, 81% Full Time, 15% Part Time, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Denial Recovery Analyst | Enterprise Denials

UF Health

Saint Johns, FL • Remote

Full-time

Re-posted 29 days ago

Job description

Overview

Work remotely while using your denial management expertise to make a direct impact on healthcare operations.

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???? FTE: Full-Time (1.0 FTE)

Responsible for reviewing technical denial claims and submitting reconsiderations and appeals to ensure accurate and timely reimbursement. Optimizes financial performance within the revenue cycle by maintaining low denial rates and maximizing recovery across the enterprise.

Conducts root cause analysis of denied payments through comprehensive review of patient encounters, payer contracts, historical denial trends, and appeal outcomes. Maintains strong relationships with third-party payers, responding to inquiries, disputes, and correspondence.

Collaborates with Enterprise Technical Denial Assistance leadership and Managed Care to escalate and resolve complex denial issues while ensuring compliance with state and federal regulations. Serves as a subject matter expert in denial management, partnering with revenue cycle teams to implement best practices that improve reimbursement and reduce organizational write-offs.


Responsibilities

Key Responsibilities

  • Identify, prioritize, and resolve denied claims, including initiating timely appeals and reconsiderations.
  • Interpret and apply payer contract terms to ensure accurate claim resolution and reimbursement.
  • Conduct internal and external correspondence clearly, professionally, and in compliance with organizational standards.
  • Review and take appropriate action on EOBs, denial letters, appeal determinations, and documentation requests in a timely manner.
  • Meet productivity and quality standards, including managing an average of 60 accounts per day while maintaining a 98% accuracy rate.
  • Manage and work multiple payer workqueues, including Medicare, Medicaid, government, commercial, and Medicare Advantage plans.
  • Research and resolve denials related to eligibility, registration, billing errors, missing information, authorizations, and documentation requests.
  • Initiate, track, and follow up on appeals to prevent timely filing denials and maximize reimbursement opportunities.
  • Evaluate accounts and drive resolution using remittance advice, denial codes, payer portals, and payer communications.
  • Identify payer-specific denial trends and escalate findings to leadership with actionable recommendations for root cause analysis.
  • Collaborate with coding, billing, clinical, and revenue cycle teams to improve workflows and reduce future denials.
  • Review payer policies, reimbursement guidelines, and communications to remain current on regulatory and industry changes.
  • Proactively identify and resolve at-risk accounts receivable to minimize revenue loss and ensure compliance with contractual deadlines.
  • Maintain detailed account documentation and ensure all actions are accurately recorded within designated systems.
  • Support organizational revenue integrity initiatives through denial prevention, reimbursement optimization, and process improvement efforts.
  • Serve as a subject matter resource for denial resolution, payer requirements, and reimbursement best practices.
 

Qualifications

Minimum Qualifications

• High School Diploma or GED required

• Minimum of four (4) years of experience in billing, insurance follow-up, collections, or denial management within a hospital or clinical setting

Preferred Qualifications

• Associate’s degree or higher in a health or business-related field

• Experience in coding, medical record review, auditing, or insurance-related functions

• Experience supporting data governance and security policies

• Strong skills in report and dashboard development

• Ability to monitor BI tools and recommend process improvements

Apply