Remote Medical Claims Analyst (US)

Gainwell Technologies LLC

2d•$35,000 - $50,000•Remote

About The Position

As a Remote Medical Claims Analyst (US) at Gainwell, you will support Workers’ Compensation operations by reviewing, organizing, and maintaining medical and case-related information to ensure accurate processing and compliance. This role plays a key part in analyzing documentation, supporting case workflows, and contributing to timely and accurate outcomes for our clients. You will work in a structured, detail-oriented environment where efficiency and quality are critical to success.

Requirements

High School Diploma or GED required
Basic knowledge of medical terminology, including procedure and diagnosis codes
Proficiency in Microsoft Excel (filtering, sorting, and basic data handling)
Strong verbal and written communication skills, including professional email communication
Strong organizational skills with the ability to manage multiple priorities and meet deadlines
High attention to detail and accuracy when working with medical and claims data

Responsibilities

Review and organize medical documentation, including procedure and diagnosis codes, to support case management activities
Utilize Excel (filtering, sorting, and basic data analysis) to manage and track case information efficiently
Maintain accurate and timely documentation across systems and workflows
Support case processing by identifying missing or incomplete information and ensuring follow-up actions are completed
Collaborate with internal teams to ensure alignment on case status and processing requirements
Apply attention to detail to ensure data accuracy and compliance with established guidelines
Manage workload effectively to meet productivity and quality expectations