Top 1753 Remote claims analyst Jobs

Claims Operations Analyst
Special Districts Association of Oregon —Tigard, OR
- $97,796 - $114,408 a year
- Email
- Hybrid work
- Mid-level
- Analysis skills
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
11h
Senior IT Security Analyst
Wis Phys Svc Ins Corp —Madison, WI
- $90,000 - $115,000 a year
- Hybrid work
- Azure
- Computer Science
- 5 years
- Health insurance
- Dental insurance
9d
Provider Contract Claims Analyst
Innovative Healthware Services, Inc. DBA ClaimsBridge —Arnold, MD
- $75,000 - $90,000 a year
- Full-time
- Microsoft Excel
- 5 years
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Hospital Reimbursement Analyst
Medical Mutual of Ohio —Cleveland, OH
- Hybrid work
- Microsoft Excel
- Mid-level
- Office
- Health savings account
- Disability insurance
Senior Construction Scheduling Consultant / Delay Analyst
Viewpoint Consulting —Remote
- $75,000 - $125,000 a year
- Full-time
- Remote
- 5 years
- No background check
- Analysis skills
Quick Apply
16h
Claims Analyst
Global Information Technology —Southfield, MI
- Contract
- Remote
- Mid-level
- SQL
- Analysis skills
Quick Apply
Data Systems Analyst
Wellbe Senior Medical —Remote
- $90,000 - $120,000 a year
- Full-time
- Background check
- Computer science
- Computer Science
Data Quality Analyst
Stellar IT Solutions LLC —St. Louis, MO
- $50 - $54 an hour
- Remote
- Computer Science
- 5 years
- SQL
Quick Apply
Claims Analyst
Empyreal Logistics —Englewood, CO
- From $75,000 a year
- Full-time
- Remote
- Mid-level
- Finance
- Analysis skills
- Disability insurance
- Health insurance
Quick Apply
4d
Reimbursement Analyst (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $53,928 - $107,107 a year
- Full-time
- Remote
- Microsoft Word
- Microsoft Access
- Mid-level
Quick Apply
Banking Back Office Operations Analyst (Traveling)
Jack Henry & Associates —Springfield, MO
- Extended hours
- Hybrid work
- Up to 50% travel
- Mid-level
- Finance
GIS Analyst
Rangefront Mining Services —Spokane, WA
- Contract
- Research
- Mid-level
- Analysis skills
- Travel reimbursement
- Health insurance
Quick Apply
Install Programmer Analyst (Traveling)
Jack Henry & Associates —Springfield, MO
- Extended hours
- Hybrid work
- Up to 50% travel
- Mid-level
- Travel
14d
Automotive Mechanical Claims Analyst
TEKsystems —Earth City, MO
- $25 - $35 an hour
- Contract
- Hybrid work
- Background check
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Healthcare Claims Data Analyst
General Dynamics Information Technology —Remote
- $76,500 - $103,500 a year
- Remote
- Writing skills
- Mid-level
- SQL
- Flexible schedule
6d
Claims Analyst
Captrue Benefits LLC —Blaine, MN
- $52,000 - $62,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Dental insurance
12h
Technical Implementation Analyst II
Knowtion Health —Remote
- Full-time
- Remote
- Mid-level
- 2 years
- Paid holidays
- Disability insurance
Quick Apply
Entry Level Claims Analyst - Workman's Compensation
Aspirion —Columbus, GA
- $17.45 - $19.00 an hour
- Full-time
- Remote
- Computer literacy
- Medical office experience
- HIPAA
Quick Apply
Insights Analyst
Quantum Health —Remote
- Computer Science
- HIPAA
- Mid-level
Quick Apply
Business Analyst - Claims
Continental General —Remote
- $74,250 - $111,375 a year
- Full-time
- Hybrid work
- Research
- Mid-level
- Office
- Health savings account
- Paid holidays

I want to receive the latest job alert for remote claims analyst

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

remote claims analyst jobs near

Claims Operations Analyst

Special Districts Association of Oregon
Tigard, OR

Quick Apply

Job Details

Full-time
$97,796 - $114,408 a year
11 hours ago

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
Life insurance
Prescription drug insurance

Qualifications

Driver's License
Associate's degree

Full Job Description

TO APPLY: All applicants must provide a resume, application and responses to supplemental questions to [email protected], by 12 noon Friday August 28, 2026. To see full job description, supplemental questions and get a copy of an application go to https://www.sdao.com/special-districts-association-of-oregon-claims-operations-analystor contact [email protected].

This position is based in Tigard, Oregon and is not eligible for remote work from another state.

_____________________________________________________________________________________________

The Claims Operations Analyst serves a dual role within the Property & Casualty Claims Department. This position combines advanced claims operations analysis with direct management of complex property and casualty claims.

As the analyst, the position supports claims administration by analyzing data, evaluating processes, ensuring regulatory compliance, and implementing system and workflow improvements.

As a consultant the position independently investigates, evaluates, manages, and resolves complex property and casualty claims.

Essential Functions/Major Assignments:

Claims Quality, Compliance, and Risk Management

Conduct operational and file audits to evaluate compliance with claims handling standards, regulatory requirements, reinsurance reporting obligations, internal procedures, and industry best practices.
Monitor claims files to ensure timely excess/reinsurance carrier notification and compliance with required coverage documentation.
Ensure reservation of rights letters are issued and documented when appropriate.
Review claims for accuracy, completeness, reserve adequacy, coding integrity, and compliance with established standards.
Monitor and validate data reported through MMSEA and other regulatory reporting systems.
Analyze reserve trends and provide recommendations regarding reserve adequacy, loss projections, and financial exposure.

Business Analysis and Operational Improvement

Analyze claims data to identify trends, emerging risks, loss patterns, and opportunities for operational improvement.
Develop and maintain operational reports, dashboards, performance metrics, and analytical tools to support management decision-making.
Evaluate workflows, systems, and business processes and recommend improvements to increase efficiency, consistency, and data integrity.
Identify and support automation opportunities that improve claims operations.
Document business requirements, workflows, system configurations, and process changes.
Coordinate testing, validation, and implementation of system enhancements and process improvements.

Claims Investigation and Management

Independently investigate, evaluate, manage, and resolve complex property and casualty claims from inception through closure.
Conduct factual and legal investigations to determine coverage, liability, damages, and appropriate claim resolution strategies.
Establish, monitor, and adjust claim reserves based on ongoing evaluation of exposure.
Estimate litigation costs and evaluate the financial impact of claims.
Develop and execute claim strategies that support effective and timely claim resolution.
Ensure all claim files are properly documented and administered in accordance with departmental standards and applicable regulations.

Litigation and Settlement Management

Participate in litigation strategy meetings and collaborate with defense counsel regarding claim direction and resolution.
Negotiate settlements within delegated authority.
Independently negotiate and authorize settlements up to $100,000.
Consult with the Claims Manager on settlement authority exceeding delegated limits.
Coordinate issuance of releases, payments, settlement agreements, and other claim-related documentation.

Loss Coding and Coverage Analysis

Evaluate and apply appropriate loss coding to accurately reflect claim experience.
Assist with complex coverage analysis and documentation.
Ensure claims data accurately supports underwriting, actuarial, and financial reporting needs.

Education, Experience, and Certification/Licensure:

Required

Associates degree in a related field
Minimum of ten years of experience in handling the full cycle of insurance claims or ten years of progressively responsible experience in insurance claims, risk management, business analysis or a related field
Must have current and valid driver’s license to be able to drive and visit various member locations.
OR
An equivalent combination of education, training, and experience sufficient to successfully perform the essential duties of the job.

Desired

Bachelor’s Degree in a related field preferred
Experience working with claims management systems and reporting tools

Pay: $97,796.00 - $114,408.00 per year

Benefits:

401(k)
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Life insurance
Paid time off
Prescription drug insurance
Vision insurance

Application Question(s):

Did you read the application instructions and know you need to submit your resume, an application and answers to supplemental question to [email protected]?

Work Location: Hybrid remote in Tigard, OR 97281

Quick Apply

Refine Your Search

remote claims analyst jobs

Claims Operations Analyst

Senior IT Security Analyst

Provider Contract Claims Analyst

Hospital Reimbursement Analyst

Senior Construction Scheduling Consultant / Delay Analyst

Claims Analyst

Data Systems Analyst

Data Quality Analyst

Claims Analyst

Reimbursement Analyst (Remote)

Banking Back Office Operations Analyst (Traveling)

GIS Analyst

Install Programmer Analyst (Traveling)

Automotive Mechanical Claims Analyst

Healthcare Claims Data Analyst

Claims Analyst

Technical Implementation Analyst II

Entry Level Claims Analyst - Workman's Compensation

Insights Analyst

Business Analyst - Claims

I want to receive the latest job alert for remote claims analyst

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected