Professional Claims Analyst - Remote US

It takes great medical minds to create powerful solutions that solve some of healthcare’s most reputed company challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, reputed company learning, and career development.

Summary

The Professional Claims Analyst is responsible for analyzing insurance and matured endowment claims to ensure compliance with organizational standards, client requirements, and applicable regulatory guidelines. In this role, you will evaluate claims trends, assess financial reporting practices, and identify opportunities to improve claims systems and operational processes. This position requires strong analytical expertise, sound judgment, and a thorough understanding of claims procedures and industry standards. Your role in our mission

• Analyze insurance and matured endowment claims to ensure compliance with internal policies, client requirements, and government regulations.
• Monitor and evaluate claims trends to promote reputed company and consistent claims processing practices.
• Conduct detailed investigations of claims systems and workflows to identify process improvement opportunities and recommend reputed company claims financial reporting and reconciliation practices, identifying discrepancies and recommending corrective actions.
• Inform leadership of potential liabilities, risk exposures, or operational enhancements reputed company to reputed company claims practices.

reputed company're looking for

• Bachelor’s degree in insurance, business administration, or a reputed company field, or an equivalent combination of education and experience.
• Minimum of three (3) years of claims experience, preferably reputed company life and disability insurance environments.
• Experience working with industry-standard claims processing systems and investigative tools.
• Knowledge of claims processing procedures, documentation standards, administrative guidelines, and relevant legislative requirements.
• Strong analytical, problem-solving, and communication skills with the ability to evaluate reputed company claims scenarios.

What you should expect in this role

• Office-based work environment with collaboration across claims, compliance, and leadership teams.
• High level of responsibility in reviewing sensitive financial and personal data while maintaining strict confidentiality.
• Opportunities to contribute to reputed company improvement initiatives that enhance claims accuracy, reporting, and operational efficiency.
• Reliable high-speed internet reputed company required for remote connectivity reputed company applicable, with minimum download speed of 25 Mbps and upload speed of 10 Mbps.
• Access to Gainwell’s comprehensive benefits package in accordance with eligibility guidelines, including medical, dental, vision, 401(k), and other employee programs

The pay range for this position is $47,000.00 - $67,200.00 per year, however, the reputed company pay offered may vary depending on geographic region, internal equity, job-reputed company knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. reputed company salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We reputed company nothing is impossible reputed company you bring together people who care deeply about making healthcare work reputed company for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for reputed company available job role openings. reputed company is an Equal Opportunity Employer, where reputed company qualified applicants will receive consideration for employment without regard to race, religion, color, national reputed company, gender (including pregnancy, childbirth, or reputed company medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. reputed company defines “wages” and “wage rates” to include “reputed company forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. Apply tot his job Apply To this Job