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Remote Claims Recovery Analyst Jobs in Oregon (NOW HIRING)

Careoregon

Payment Integrity Analyst

OR · On-site +1

This includes analyzing claims data to identify cost containment opportunities across many ... The role is integral in ensuring claims payment integrity as it supports all recovery efforts for ...

Corvel

Claims Specialist

Portland, OR · Remote

$52K - $85K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives Workers' Compensation ... Ability to identify, analyze and solve problems * Computer proficiency and technical aptitude with ...

RiteChoice Rx

Claims Auditor

Are you detail-oriented, analytical, and interested in helping pharmacies strengthen compliance and ... This position is remote, with occasional travel to the corporate office. Essential Job Duties

Next Insurance

Claims Advocate

OR · On-site +1

$60K - $80K/yr

Remote ERGO NEXT's mission is to help entrepreneurs thrive. We're doing that by building the only ... Your role is to interpret policy language and analyze initial loss reports to ensure that liability ...

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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 popular job titles related to Remote Claims Recovery Analyst jobs in Oregon?

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

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

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

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

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

Remote Claims Recovery Analyst jobs near you

Claims Analyst I (Analyst I - CPPW)

City of Portland, OR

Portland, OR • On-site, Remote

$40.97 - $58.47/hr

Other

Medical, Dental, Vision, Life, Retirement

Posted 6 days ago

Job description

Salary: $40.97 - $58.47 Hourly
Location : Portland Building, 1120 SW 5th Ave, OR
Job Type: Regular
Remote Employment: Remote Only
Job Number: 2026-00640
Bureau: Office of the Chief Financial Officer
Opening Date: 08/24/2026
Closing Date: 9/7/2026 11:59 PM Pacific
The Position
Job Appointment: Full Time, Regular
Work Schedule: Monday - Friday, 8:00 AM - 5:00 PM. Alternate schedules may be available.
Work Location: Fully Remote. Remote work must be performed within Oregon or Washington. For more information,
Union Representation: City of Portland Professional Workers Union (CPPW). To view current labor agreements,
Starting Pay: The City of Portland follows the Your salary is determined based on the experience listed in your resume that is directly related and equivalent to the position for which you are applying.
Position Summary:
The Claims Analyst is part of the Risk Management Division within the Office of the Chief Financial Officer. Risk Management administers the City's self-insured general liability and workers' compensation programs, procures commercial insurance for property and other risks, and supports City bureaus with employee safety, loss prevention, risk assessment, and third-party subrogation.
The Claims Analyst is responsible for investigating, evaluating, managing, and resolving a variety of claims involving the City and its employees. Claims may include general liability, auto liability, law enforcement liability, employment practices tort claims, and federal claims involving alleged constitutional violations.
The successful candidate will help minimize the City's financial exposure through thorough investigations, thoughtful claim evaluation, effective negotiation, accurate documentation, and sound professional judgment. This position requires the ability to independently manage a caseload while working collaboratively with claimants, attorneys, City employees, bureau leadership, and other stakeholders.
Claims Analysts are expected to exercise initiative, independence, discretion, and sound legal and professional judgment when evaluating claims and determining appropriate courses of action.
What You'll Do:
  • Investigate claims by interviewing involved parties, obtaining statements, reviewing records, conducting research, and gathering information necessary to determine the City's potential liability.
  • Conduct site inspections and document accident or incident scenes when appropriate.
  • Evaluate repair estimates, invoices, medical information, and other documentation supporting claimed damages.
  • Identify and investigate potential third-party liability and opportunities for recovery or subrogation.
  • Determine whether City employees were acting within the course and scope of their employment and coordinate indemnification and defense when appropriate.
  • Evaluate liability and damages by applying applicable laws, defenses, immunities, comparative negligence principles, tort limitations, and other relevant considerations.
  • Establish and maintain appropriate claim reserves within established authority levels and guidelines.
  • Negotiate and resolve claims with claimants, attorneys, insurers, and other representatives, including issuing timely settlements or denials when appropriate.
  • Monitor litigated claims and help forecast and control litigation expenses and potential damage awards throughout the life of the claim.
  • Collect, evaluate, and maintain accurate claims data within the City's Risk Management Information System (RMIS) to support tracking, forecasting, analysis, and reporting.
  • Maintain organized, accurate, complete, and current electronic claim files and documentation.
  • Communicate claim analyses, recommendations, and decisions to City staff, attorneys, management, elected officials, claimants, and other stakeholders.

Ideal Candidate Profile:
The ideal candidate is an experienced claims professional who can independently investigate complex situations, analyze competing information, apply applicable laws and policies, and make well-supported decisions. They are comfortable handling sensitive and sometimes contentious matters while maintaining professionalism, objectivity, confidentiality, and excellent customer service.
To Qualify
Applicants must demonstrate how their education, training, and experience meet each of the minimum qualifications listed below:
  1. Experience investigating, evaluating, and resolving general liability and auto liability claims.
  2. Experience applying laws, regulations, and legal principles affecting potential liability, exposure, or settlement limitations, including comparative negligence, immunities, defenses, Medicare reimbursement requirements, and tort claim limitations.
  3. Experience applying best practices for managing electronic claim files and records, including using online research tools, claims data or risk management information systems, and Microsoft Office applications.
  4. Ability to communicate effectively verbally and in writing regarding sensitive or complex matters and provide clear claim analyses, evaluations, and recommendations to a variety of audiences, such as claimants, attorneys, City management, external partners, and elected officials.
  5. Ability to understand, interpret, explain, and apply complex laws, rules, regulations, policies, and procedures; prepare clear, concise, and accurate reports and correspondence; and represent an organization authoritatively when negotiating claim settlements.
  6. Experience establishing and maintaining effective working relationships with diverse internal and external stakeholders, such as employees, legal counsel, managers, claimants, members of the public, and others encountered in the course of claims administration.
Applicant must also possess:
  • A valid state driver's license and

Preferred Qualifications:
  • Experience investigating and resolving public entity or governmental liability claims.
  • Professional insurance or risk management designations such as Associate in Risk Management (ARM), Associate in Claims (AIC), or Casualty Claim Law Associate (CCLA).
  • Experience using Marsh ClearSight/Riskonnect or a comparable Risk Management Information System (RMIS).

The Recruitment Process
How to Apply:
  • Submit your resume and cover letter by the closing date.
  • (Optional) Submit , if applicable.
    If this is your first time applying with the City of Portland, or if you haven't requested veteran preference before (and would like to now), please attach your DD214-Member 4 and/or VA Benefit Letter to your application. Once we verify your eligibility, we'll record your veteran preference in our system, so it automatically applies to your future applications.

What to Expect:
  1. Application Review - Week of September 7, 2026: We'll review your application materials to ensure you meet the minimum qualifications listed above.
  2. Notice/Feedback - Week of September 14, 2026: You will receive an email when the minimum qualification review is complete. If you disagree with the evaluation results, you may request a review within 14 days of the email notice, per
  3. Selection Process - Late September/Early October: The hiring bureau will review qualified applications, conduct interviews, and check references.
  4. Conditional Job Offer: Final candidates may undergo a background or driving record check, depending on the position.

Additional Information
Learn More About:
We're committed to providing a fair, inclusive, and accessible hiring process. If you need assistance with your application or would like to request a reasonable accommodation due toa disability, pregnancy, or religious belief, please contact the recruiter listed below.
Questions? We're here to help!
If you have questions about this recruitment or need assistance, contact:
Tamela Ressler, Senior Recruiter
Bureau of Human Resources
A Career with the City of Portland offers many Employee Benefits
We offer a comprehensive benefits package, including but not limited to
  • Health Care (Medical, Vision and Dental)
  • Carrot Fertility
  • Wellness Benefits
  • Life Insurance
  • Long-term disability
  • Employee Assistance Plan
  • Flexible Spending Accounts
  • Retirement
  • Oregon Public Employees Retirement System (PERS), including contributions to the PERS IAP plan paid by employer
  • Family Medical Leave
  • City Paid Parental Leave
AND SO MANY MORE!
Benefits may vary depending on bargaining unit and employment status.
01
Thank you for your interest in the City of Portland. We value your time and hope to make your application experience as positive as possible.
Your Cover Letter and Resume are an important step to assist us in the review for minimum qualifications for the posted vacancy.
In your Cover Letter, write specific and unique responses to address each of the minimum qualification listed in the "To Qualify" section. The information you provide must correctly reflect your work history/resume. A lack of information in your application materials to each of the minimum qualifications may result in elimination from the recruitment.
Note: Request for veterans' preference, please add a copy of your DD214 and/or Veteran's Benefit letter. All documents must be uploaded by the closing date and time of this announcement.
Have you read and understood all the information listed above?
  • No - If you have a questions, please contact the recruiter on the announcement.
  • Yes

02
Where did you first learn about this job opportunity? (If on a website or job board, please specify which one)
03
The City of Portland sometimes gets requests for public records. Please choose the response that best fits your preference:
(Your choice will not affect your application process.)
  • I want my application to stay private. I understand that the City of Portland will keep my information confidential unless required to share it by law.
  • I allow my application to be shared. I understand that by choosing this option, my information is no longer private.

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