Medical Claims Analyst

Medical Claims Analyst (Contract, Fully Remote)Our health insurance client seeking a Medical Claims Analyst for a fully remote contract opportunity. This role will support a commercial health plan claims review initiative. The ideal candidate will have strong healthcare claims experience, an investigative mindset, and the ability to analyze claim data for accuracy, compliance, and regulatory requirements.ResponsibilitiesReview commercial health plan claims to ensure audit and regulatory compliance.Analyze claims for accuracy and identify discrepancies, errors, or areas requiring correction.Support claims investigations through detailed documentation review and claim validation.Research and resolve claim-related issues while maintaining audit readiness.Partner with internal stakeholders to ensure compliance with healthcare regulations and organizational standards.Assist with reporting, documentation, and audit support activities as needed.