Remote Medical Claims Analyst (US)

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

Summary

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.

Your role in our mission

• 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

What we’re looking for

• 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

What you should expect in this role

• Fully remote position within the United States
• Standard work schedule: Monday–Friday, 8:00 AM – 4:30 PM (with some flexibility)
• Work closely with a major client in New York supporting Workers’ Compensation processes
• Video interviews are required (camera on), including during the first week of orientation

The deadline to submit applications for this posting is April 14, 2026.

#LI-REMOTE #LI-JA1 #LI-CM1

The pay range for this position is $35,000.00 - $50,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related 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. All 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 believe nothing is impossible when you bring together people who care deeply about making healthcare work better 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 all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all 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.