Claims Operations Jobs

Guidehealth seeks a detail-oriented Provider Relations and Contracting Specialist to support provider contracting, network operations, and client-facing activity for its remote, Chicago-area team.

Oscar Health is hiring a Senior Analyst, Configuration to drive accurate in-network contract configuration and streamline claims-related processes across configuration platforms.

Travelers seeks a detail-oriented Claim Operations Specialist to support claim professionals with payments, documentation, and customer engagement at its Rancho Cordova office.

Oscar Health is hiring a Senior Analyst on the Payment Integrity Disputes team to lead dispute investigations, identify systemic claims issues, and drive process and policy improvements across the claims platform.

Commure seeks a technical, execution-focused Operations Manager to build and scale denial and rejection automations that reduce manual effort across claims and billing workflows.

At Lilly in Indianapolis, this role leads insourced marketing tactics end-to-end—managing timelines, compliance, and cross-functional reviewers to deliver accurate, compliant promotional materials on schedule.

Technical Operations Manager to build and operate automation across denial and rejection workflows, using SQL, APIs, scripts, and AI-based tooling to reduce manual work and improve claims outcomes at Commure.