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Remote Senior Claims Analyst - Hospital DRG & Stop-Loss

Remote / Online - Candidates ideally in
Chicago, Cook County, Illinois, 60290, USA
Listing for: smartlightanalytics
Full Time, Remote/Work from Home position
Listed on 2026-10-02
Job specializations:
  • Insurance
    Financial Analyst, Insurance Analyst
Salary/Wage Range or Industry Benchmark: 90000 - 120000 USD Yearly USD 90000.00 120000.00 YEAR
Job Description & How to Apply Below

smartlightanalytics seeks an experienced Senior Claims Analyst to specialize in hospital claims adjudication, DRG reimbursement, and stop loss reporting for ASO clients. The role is remote and requires strong analytical and negotiation skills to secure claim adjustments and recoveries.

The ideal candidate has 5+ years in hospital claims analysis, expertise in DRG methodology, and proficiency with Excel and claims analytics platforms. Experience with TPAs and CMS guidelines is highly valued.

This Full Time position is for the Remote Senior Claims Analyst
- Hospital DRG & Stop-Loss role at smartlightanalytics.

We are currently recruiting a Remote Senior Claims Analyst
- Hospital DRG & Stop-Loss for our team in United States.

This is a genuine position to take on the Remote Senior Claims Analyst
- Hospital DRG & Stop-Loss role at smartlightanalytics.

Position Requirements
10+ Years work experience
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