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Remote Claims Recovery Analyst Jobs in Michigan (NOW HIRING)

CSAA

Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ... Types of analyses may range from, but not limited to, root cause, cost benefit, performance ...

BeneSys, Inc.

Specialty Claims Analyst (Troy, MI)

Troy, MI · Remote

$21 - $24/hr

Specialty Claims Analyst (Troy, MI) Summary - The Specialty Claims Analyst will process Disability ... Applicants for this remote role will only be considered if they live in these locations: Illinois ...

New

CSAA

... recover from life's uncertainties. You will join a collaborative, inclusive culture where your ... Partner with cross-functional teams, including Legal, Product Management, Actuarial, Claims ...

New

CSAA

... recover from life's uncertainties. You will join a collaborative, inclusive culture where your ... Investigate coverage by analyzing policy language, endorsements, and applicable state regulations ...

CSAA

Job Title Process Manager, Commercial Casualty Claims - Remote Requisition Number R7810 Process ... Solid understanding of business process analysis, design and engineering methodologies and ...

Summit

$69K - $92K/yr

Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee. #LI-Remote Job ... Demonstrates strong analytical, negotiation, and problem-solving skills. Demonstrates knowledge of ...

Summit

$69K - $92K/yr

Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee. #LI-Remote Job ... Demonstrates strong analytical, negotiation, and problem-solving skills. Demonstrates knowledge of ...

Great American Insurance Group

$69K - $92K/yr

Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee. #LI-Remote Job ... Demonstrates strong analytical, negotiation, and problem-solving skills. Demonstrates knowledge of ...

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Remote Claims Recovery Analyst information

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.
What are the most commonly searched types of Claims Recovery Analyst jobs in Michigan? The most popular types of Claims Recovery Analyst jobs in Michigan are:
What are popular job titles related to Remote Claims Recovery Analyst jobs in Michigan? For Remote Claims Recovery Analyst jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Remote Claims Recovery Analyst jobs in Michigan look for? The top searched job categories for Remote Claims Recovery Analyst jobs in Michigan are:
What cities in Michigan are hiring for Remote Claims Recovery Analyst jobs? Cities in Michigan with the most Remote Claims Recovery Analyst job openings:
Remote Claims Recovery Analyst jobs near you

Claims Analyst

Global Information Technology (Michigan)

Southfield, MI • Remote

Contractor

Re-posted 23 days ago

Job description

Job Title: EDI Claims Analyst
Job Location: Remote
Job Type: Contract

Job Description:

The EDI Claims Analyst is responsible for analyzing and processing electronic data interchange (EDI) transactions, including claims and eligibility inquiries. This role involves reviewing and resolving claim rejections, ensuring accurate data submission, and supporting various EDI transactions. The analyst will work closely with provider relations, IT, and other internal teams to ensure smooth and efficient claims processing.

Requirement:

  • Strong understanding of EDI transactions and claims processing
  • Proficiency in SQL and data analysis
  • Knowledge of Edifecs Smart-Trading platform, Availity Essentials, Informatica, and Apigee
  • Familiarity with CBH systems, including Connects and Flexicare
  • Excellent problem-solving and analytical skills
  • Ability to mentor and train team members
  • Executive leadership client facing
Interested candidates can send their updated resumes at jobs@global-itech.com

Apply