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Remote Claims Recovery Analyst Jobs (NOW HIRING)

Imagenet

Claims Quality Auditor - Remote

Tampa, FL · Remote

Remote Reports to: Claims Supervisor Position Summary: TheClaims Quality Auditor plays a key role ... Analyze provider disputes for patterns or recurring issues. * Identify root causes and work with ...

ImageNetLLC

Claims Quality Auditor - Remote

Tampa, FL · Remote

Remote Reports to: Claims Supervisor Position Summary: TheClaims Quality Auditor plays a key role ... Analyze provider disputes for patterns or recurring issues. * Identify root causes and work with ...

Imagenet

Claims Quality Auditor - Remote

Tampa, FL · On-site +1

Claims Quality Auditor| Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor ... Analyze provider disputes for patterns or recurring issues. * Identify root causes and work with ...

Berkley

Claims Analyst

Trenton, NJ · Remote

$70K - $80K/yr

As a Stop Loss Claims Auditor (a.k.a. "Claims Analyst") , you'll perform quality review and ... This position can either be fully remote (if not within commutable distance to the office) or based ...

Berkley

Claims Analyst

Trenton, NJ · Remote

$70K - $80K/yr

Responsibilities As a Stop Loss Claims Auditor (a.k.a. "Claims Analyst") , you'll perform quality ... This position can either be fully remote (if not within commutable distance to the office) or based ...

Berkley

Claims Analyst

Indianapolis, IN · Remote

$70K - $90K/yr

Responsibilities As a Stop Loss Claims Analyst (aka Auditor), you'll perform quality review and ... This position can either be fully remote (if not within a commutable distance to the office) or ...

Weekday AI

Insurance Claims Management AI Expert

$100 - $120/hr

US, UK, Canada, France, Portugal (remote) We are seeking a highly motivated and detail-oriented ... For claims investigation, you will leverage machine learning and predictive analytics to identify ...

E-Solutions

FINEOS Claims

Longterm Contract Onsite or Remote both works here Role Overview The Senior Technical Lead - FINEOS ... Coordinate with Product Owners, Business Analysts, QA, and DevOps teams to ensure on-time, high ...

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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 22, 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.
More about Remote Claims Recovery Analyst jobs
What cities are hiring for Remote Claims Recovery Analyst jobs? Cities with the most Remote Claims Recovery Analyst job openings:
What are the most commonly searched types of Claims Recovery Analyst jobs? The most popular types of Claims Recovery Analyst jobs are:
What states have the most Remote Claims Recovery Analyst jobs? States with the most job openings for Remote Claims Recovery Analyst jobs include:
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 July 2026, with employment types broken down into 66% Full Time, 4% Part Time, and 30% Contract. Highlights an 61% Physical, 5% Hybrid, and 34% Remote job distribution, with an average salary of $56,974 per year, or $27.4 per hour.
Claims Quality Auditor - Remote

Claims Quality Auditor - Remote

Imagenet

Tampa, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

Job description

Claims Quality Auditor| Remote


Job Type: Full time

Work Setup: Remote

Reports to: Claims Supervisor

Position Summary:

TheClaims Quality Auditor plays a key role in ensuring the accuracy, compliance, and effectiveness of claims processing and provider dispute resolution. The ideal candidatehas hands on experience withEZCap,auditing claims, analyzing dispute claims and evaluating internal policies and regulatory requirements, with a particular focus on Medi-Cal and commercial health plans.This role is responsible to partners closely with cross-functional teams to drive continuous improvement and operational excellence.

Key Duties:

  • Perform detailed audits of denied, underpaid, and processed claims using EZCap to assess accuracy and compliance with provider contracts and regulatory guidelines.
  • Analyze provider disputes for patterns or recurring issues.
  • Identify root causes and work with relevant teams to implement corrective actions and process improvements.
  • Develop and track performance related to claims accuracy, turnaround time, and dispute resolution efficiency.
  • Conduct thorough root cause analyses on high-impact errors or escalations.
  • Support training initiatives by identifying knowledge gaps and assisting in the development of updated procedures and documentation based on audit results.
  • Ensure all reviewed processes align with applicable regulatory requirements. Participate in internal and external audits as needed.

Qualifications:

  • High school diploma or equivalent
  • At least 3-5 years of Quality Analyst in healthcare,TPA, or health plan settings/ healthcare claims or in a claims processing/adjudication environment
  • Hands-on experience with EZCap (strongly preferred)
  • Familiarity with Medi-Cal and Commercial insurance claim
  • Strong analytical and problem-solving skills
  • Excellent verbal and written communication
  • Attention to detail in documentation and compliance
  • Ability to manage multiple tasks and meet deadlines
  • Experience with other claim adjudication platforms and provider systems.
  • Familiarity with DHCS, DMHC, CMS dispute handling regulations.

What We Offer

  • Remote work offered
  • Equipment provided
  • Paid training to set you up for success
  • Comprehensive benefits: Medical, Dental, Vision, Life, HSA, 401(k)
  • Paid Time Off (PTO)
  • 7 paid holidays
  • A supportive team and a company that values internal growth


COMPANY OVERVIEW:

Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans' members and providers.

The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans' members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.

Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.

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