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Remote Claims Recovery Analyst Jobs in Tennessee

Senior Claims Representative (Remote)

Columbia, TN · On-site +1

$109K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Are you a seasoned claims professional with a passion for navigating complex cases? MEM Insurance ... analysis and negotiate with third-party insurers or attorneys for maximum recovery. Settlements ...

Director, Claims

Nashville, TN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Director, Claims Remote Company Overview: AMSURG is an independent leader in ambulatory surgery ... Prepares reports and analyses for the VP of Insurance/Corporate Risk Management summarizing the ...

Director, Claims

Nashville, TN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Director, Claims Remote Company Overview: AMSURG is an independent leader in ambulatory surgery ... Prepares reports and analyses for the VP of Insurance/Corporate Risk Management summarizing the ...

Director, Claims

Nashville, TN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Director, Claims Remote Company Overview: AMSURG is an independent leader in ambulatory surgery ... Prepares reports and analyses for the VP of Insurance/Corporate Risk Management summarizing the ...

Director, Claims Remote Company Overview: AMSURG is an independent leader in ambulatory surgery ... Prepares reports and analyses for the VP of Insurance/Corporate Risk Management summarizing the ...

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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 Tennessee?

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

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

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

General Liability & Premises Liability Claims Adjuster (Remote)

CCMSI

Nashville, TN • Remote

$75K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago


Job description

OverviewSenior General Liability & Premises Liability Claims Adjuster (Remote)Compensation: $75,000-$85,000 annually (based on experience)Schedule: Monday-FridayWork Model: Fully Remote 

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.

We don't just process claims-we support people. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.

Job Summary 

The General Liability & Premises Liability Claims Adjuster is responsible for the investigation, evaluation, negotiation, and resolution of commercial general liability, premises liability, and bodily injury claims within a national accounts environment.

This role supports several high-profile national account programs operating within the hospitality, retail, and entertainment industries, requiring exceptional communication, strong liability analysis, and the ability to independently manage claims from assignment through resolution.

Approximately 15% of the claim inventory involves New York exposures, making an active New York Adjuster License a requirement for consideration. Claims are handled across multiple jurisdictions nationwide and frequently involve litigated matters, attorney representation, bodily injury exposures, and complex liability investigations.

The ideal candidate brings significant experience handling commercial general liability and premises liability claims, understands litigation management and defense counsel oversight, and is comfortable working directly with sophisticated national account clients that expect responsiveness, thorough documentation, and proactive claim management.

This is not a high-volume production environment. Adjusters are expected to own their files, exercise sound judgment, maintain strong client relationships, and deliver high-quality claim outcomes.

ResponsibilitiesWhen we hire adjusters, we look for professionals who take ownership of their work, navigate complex claims with confidence, and deliver exceptional service with integrity. In this role, you'll manage your files independently while contributing to a collaborative, highperforming team.What You'll Do
  • Investigate, evaluate, and adjust multiline liability claims (GL & bodily injury) in accordance with CCMSI standards and state requirements.
  • Manage claims involving commercial vehicles, trucking exposures, commercial general liability premises/product claims, and thirdparty liability.
  • Determine coverage, assess liability, and develop defensible claim strategies.
  • Review medical, legal, and vendor invoices for accuracy and reasonableness; negotiate discrepancies as needed.
  • Establish, monitor, and adjust reserves in alignment with exposure and authority guidelines.
  • Negotiate settlements with claimants, attorneys, and representatives in accordance with client expectations.
  • Engage, coordinate, and manage defense counsel or other external vendors when appropriate.
  • Identify and pursue subrogation opportunities.
  • Maintain detailed and timely claim documentation, diary management, and financial reporting.
  • Support excess reporting requirements and client communication needs.
  • Deliver consistent, highquality service with professionalism and integrity.
Who Will Thrive in This Role?

You may be a great fit if you:

  • Have extensive General Liability and Premises Liability claim experience
  • Enjoy investigating and resolving complex liability claims
  • Are comfortable managing litigation and working with defense counsel
  • Prefer a relationship-driven national account environment over high-volume transactional claim handling
  • Take ownership of your files and proactively communicate with clients and stakeholders
  • Thrive in hospitality, retail, entertainment, or other customer-facing liability exposures
Qualifications

What You Bring

Required
  • Active New York Adjuster License required
  • Active adjuster license in home state required
  • Minimum 5 years of General Liability and Premises Liability claim handling experience
  • Experience handling:
    • Commercial General Liability (CGL) claims
    • Premises Liability claims
    • Bodily Injury claims
    • Attorney-represented claims
    • Litigated claims
  • Experience managing claims from investigation through resolution
  • Experience working directly with defense counsel and litigation management
  • Strong liability investigation and coverage analysis skills
  • Ability to evaluate damages, establish reserves, and negotiate settlements
  • Experience handling claims across multiple jurisdictions
  • Excellent written and verbal communication skills
  • Strong organizational and diary management skills
  • Ability to work independently in a fully remote environment
  • Reliable attendance during business hours
Preferred
  • Experience performing coverage evaluations and coverage position analysis
  • draft/issue tender letters
  • Experience working within a TPA environment
  • Bilingual (English/Spanish) is a bonus but not required 

Why You'll Love Working Here

  • 4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
  • Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
  • Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
  • Career growth: Internal training and advancement opportunities
  • Culture: A supportive, team-based work environment

 

How We Measure Success 

 At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:  

  • Quality claim handling - thorough investigations, strong documentation, well-supported decisions
  • Compliance & audit performance - adherence to jurisdictional and client standards
  • Timeliness & accuracy - purposeful file movement and dependable execution
  • Client partnership - proactive communication and strong follow-through
  • Professional judgment - owning outcomes and solving problems with integrity
  • Cultural alignment - believing every claim represents a real person and acting accordingly

This is where we shine, and we hire adjusters who want to shine with us.

Compensation & Compliance

The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance.

Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

Our Core Values

At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who:

  • Lead with transparency We build trust by being open and listening intently in every interaction.
  • Perform with integrity We choose the right path, even when it is hard.
  • Chase excellence We set the bar high and measure our success. What gets measured gets done.
  • Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
  • Win together Our greatest victories come when our clients succeed. 

We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you.

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