Top 16908 Operations Claim Jobs

Claims Operations Specialist
Coalition, Inc. —Remote
- $75,000 - $100,000 a year
- Remote
- Microsoft Excel
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Medical Billing Operations Analyst
Enlyte —Remote
- $20.60 - $25.60 an hour
- Full-time
- Remote
- Research
- Mid-level
- High school diploma or GED
- Health savings account
- AD&D insurance
Pharmacy Manager
GRX Holdings, LLC dba Medicap Pharmacy —Greenfield, IA
- Full-time
- Research
- Recruiting
- Senior level
Attending Physician
AlignMed —North Conway, NH
- $200,000 a year
- Part-time
- Medicine
- Skilled nursing facility
- Customer service
- Paid holidays
- Dental insurance
Director of Planning Operations – Voyage Financial Advisors
Thrivent —Stevens Point, WI
- $90,000 - $135,000 a year
- Full-time
- Hybrid work
- Background check
- Office
- 3 years
- Profit sharing
- Disability insurance
Quick Apply
Director of Plant Operations
Confidential —Cleveland, OH
- $65,000 - $70,000 a year
- Full-time
- Microsoft Word
- Background check
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Financial Advisor - North Central Florida Group - Tallahassee, FL
Thrivent —Tallahassee, FL
- Full-time
- Background check
- Private practice
- Bachelor's degree
- Paid training
- AD&D insurance
Quick Apply
General Manager — Santa Barbara County Equipment Yard & Mechanics Shop
Coastal Hay and Ag —Santa Ynez, CA
- $80,000 - $120,000 a year
- Overtime
- Spanish
- Clean driving record
- English
- Dental insurance
- 401(k)
Quick Apply
Dental Practice Manager
Confidential —Hudson, MA
- $25 - $32 an hour
- Full-time
- Dental office
- Medical office experience
- HIPAA
- Health savings account
- Health insurance
Quick Apply
Sales Operations Specialist
TargetPath, LLC —Wilsonville, OR
- Full-time
- Background check
- Inventory management
- 5 years
- Health savings account
- Paid holidays
Quick Apply
Revenue Cycle Client Manager, Network Operations-FQHC, 5+ Years of experience
Orchard Medical Management —Manchester, NH
- Full-time
- CPR Certification
- 5 years
- BLS Certification
- Health savings account
- Health insurance
Quick Apply
Fiscal Officer
Village of Bellville —Bellville, OH
- $45,000 - $65,000 a year
- Email
- Microsoft Word
- Background check
- Microsoft Excel
- Health savings account
- Health insurance
Quick Apply
Branch Manager
Midwest Restoration —Wausau, WI
- $70,000 - $80,000 a year
- Full-time
- Construction site
- Office
- Residential
- Health insurance
- Dental insurance
Quick Apply
2d
Dental Office Manager
Confidential —Weymouth, MA
- $25 - $30 an hour
- Full-time
- Dental office
- HIPAA
- Mid-level
- Continuing education credits
- 401(k)
Quick Apply
14d
HR Generalist (Fully on-site)
PharmaLink, LLC —Largo, FL
- Background check
- Pass drug screening
- Mid-level
Quick Apply
Electronic Security Project Manager
Netcom Technologies —Clarksburg, MD
- $90,000 - $140,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- PMP
- Health insurance
- Dental insurance
Quick Apply
Office Administrator
North Winds Mechanical —Nantucket, MA
- $25 - $35 an hour
- Full-time
- Bilingual
- Google Workspace
- Research
- Paid holidays
- Health insurance
Quick Apply
Workers' Compensation Attorney
Kogan & DiSalvo,P.A. —Boca Raton, FL
- From $80,000 a year
- Full-time
- Spanish
- Writing skills
- In-person
- Profit sharing
- Paid holidays
Quick Apply
10d
RV Service Manager
Summit RV —Ashland, KY
- 8 hour shift
- Management
- Dealership
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Inventory Control Supervisor
UniSea —Dutch Harbor, AK
- $73,144 - $92,000 a year
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Paid holidays
- Health insurance

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Claims Operations Specialist

Coalition, Inc.
Remote

Quick Apply

Job Details

$75,000 - $100,000 a year

Benefits

Work from home stipend
Health insurance
Dental insurance
Paid time off
Vision insurance
Opportunities for advancement

Qualifications

Quality control corrective actions
Data integrity assurance
Customer communication
Internal controls
Microsoft Excel
Defect resolution root cause analysis
Process audits
Operations management
Data validation techniques
Operational management
Regulatory compliance in claims processing
Compliance audits & assessments
Mid-level
3 years
Invoice payment processing
Salesforce Cloud
Continuous improvement
Data quality monitoring
Quality improvement
Compliance documentation
Quality compliance management
Internal compliance assessments
Management reporting
CRM system proficiency
Operational excellence initiatives
Payment reconciliation
Root cause analysis
Insurance claims auditing
Claims documentation management
Cross-functional collaboration

Full Job Description

About us

Coalition is the world's first Active Insurance provider designed to help prevent digital risk before it strikes. Founded in 2017, Coalition combines comprehensive insurance coverage and innovative cybersecurity tools to help businesses manage and mitigate potential cyberattacks.

Opportunities to make an impact with bold thinking are real—and happening daily at Coalition.

About the role

The Claims Operation Specialist plays a critical role in managing our claims reporting operations. This position is responsible for the overall claims reporting process to our carrier partners including producing accurate claims bordereaux, creating process improvements and performing thorough reconciliations. The ideal candidate will excel at detailed reporting and data reconciliation, and thrive in a fast-paced environment.

Responsibilities

Own the overall operational process for the production and transmission of accurate, complete, and timely claims bordereaux for carrier partners.
Elevate claims data into a reliable, decision-driving asset for Finance, Actuarial, and leadership by improving data standards, completeness, and consistency.
Serve as the operational point of contact for carrier partner BDX inquiries—coordinating responses, root-cause analysis, corrections, and preventive process improvements.
Drive continuous improvement in data quality and reporting consistency that strengthens trust with carrier partners.
Oversee claims payment enablement, including invoice processing, reconciliations, and related controls to ensure accuracy, timeliness, and compliance with carrier and regulatory requirements.
Partner with technology teams to explore and implement Gen-AI and advanced analytics use cases that improve productivity, insight generation, and customer experience.
Build and maintain operational controls and monitoring to support internal claims audits, carrier partner reviews, and compliance assessments.
Maintain audit-ready processes, documentation, and evidence to support internal and external reviews.
Collaborate closely with Claims, Actuarial, Data, Product, and Engineering on strategic initiatives and operational roadmaps.

Skills and Qualifications

3+ years of experience in insurance claims operations
Excellent data analysis and systems savvy
Understanding of insurance concepts
Customer service, creative problem solving mindset
Salesforce experience a plus
Advanced Excel and data management skills, with experience handling large datasets
Experience as a heavy contributor or leader of a cross functional product/process
Superior written and verbal communication skills

Compensation

Our compensation reflects the cost of labor across several US geographic markets. The US base salary for this position ranges from $75,000/year in our lowest geographic market up to $100,000/year in our highest geographic market. Consistent with applicable laws, an employee's pay within this range is based on a number of factors, which include but are not limited to relevant education, skills, job-related knowledge, qualifications, work experience, credentials, and/or geographic location. Your recruiter can share more on target salary for your location during the interview process. Coalition, Inc. reserves the right to modify this range as needed.

Perks

100% medical, dental and vision coverage
Flexible PTO policy
Annual home office stipend and WeWork access
Mental & physical health wellness programs (One Medical, Headspace, Wellhub, and more)!
Competitive compensation and opportunity for advancement

Why Coalition?

Work at Coalition is centered on the joint mission to Protect the Unprotected. We have built a remote-first, highly inclusive culture that welcomes people from diverse backgrounds. We trust each other to take responsibility, share ownership of outcomes, and put in the work together to protect businesses from digital risk. Coalition's exceptional growth stems from its ability to address real-world problems for organizations of all sizes while remaining true to our founding values of character, humility, responsibility, purpose, authenticity, and inclusion.

We're always looking for collaborative, inquisitive individuals to join #OurCoalition.

Visit our Newsroom >

Privacy Notice

Coalition is committed to protecting your privacy and handling your personal information responsibly. We collect, use, and store personal information as necessary for the recruitment process and in compliance with applicable privacy laws and regulations in all regions where we operate. We want you to understand what personal information we collect, how we use it, and your rights regarding access, correction, and deletion of your data where applicable. Information submitted, collected, and processed as part of your application is subject to Coalition's Privacy Policy. For further details, please review our full Privacy Policy or contact us with any questions regarding how your information is handled.

Our Privacy Policy >

Safe Hiring Notice

All legitimate communication from Coalition comes from @coalitioninc.com emails, and open roles are listed only on our Careers page. We never ask for payment, banking details, or personal identification before an offer is accepted through our secure systems. If you believe you've been a victim of fraudulent recruiting, follow guidance from the Federal Trade Commission (FTC).

Anti-Discrimination Notice

Coalition is proud to be an Equal Opportunity employer. Our policy is to provide equal employment opportunities to all individuals, without discrimination or harassment on the basis of any characteristic protected by applicable laws in each country where we operate. This commitment includes, but is not limited to, ensuring equal treatment in recruitment, selection, training, promotion, transfer, compensation, and all other aspects of employment. Coalition does not tolerate discrimination or harassment of any kind, and we are dedicated to fostering an inclusive and supportive workplace.

Accommodations

Coalition is committed to providing reasonable accommodations to qualified individuals with disabilities, including applicants and employees, in accordance with applicable laws and regulations in each country where we operate. Our policy is to support equal opportunity in the hiring process by considering qualified applicants regardless of disability or other protected characteristics, unless providing accommodation would impose an undue hardship or disproportionate burden. If you require accommodation to complete an application, interview, pre-employment testing, or participate in the selection process, please contact us at [email protected]. We also consider all qualified applicants, including those with criminal histories, in line with applicable laws and regulations in each jurisdiction.

To all recruitment agencies: Coalition does not accept unsolicited agency resumes. Do not forward resumes to our email alias, employees, or other physical or virtual organization locations. Coalition is not responsible for any fees related to unsolicited resumes.

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Refine Your Search

Operations Claim jobs

Claims Operations Specialist

Medical Billing Operations Analyst

Pharmacy Manager

Attending Physician

Director of Planning Operations – Voyage Financial Advisors

Director of Plant Operations

Financial Advisor - North Central Florida Group - Tallahassee, FL

General Manager — Santa Barbara County Equipment Yard & Mechanics Shop

Dental Practice Manager

Sales Operations Specialist

Revenue Cycle Client Manager, Network Operations-FQHC, 5+ Years of experience

Fiscal Officer

Branch Manager

Dental Office Manager

HR Generalist (Fully on-site)

Electronic Security Project Manager

Office Administrator

Workers' Compensation Attorney

RV Service Manager

Inventory Control Supervisor