$72K - $96K *
Champion excellence in casualty claims by investigating, evaluating, and negotiating liability claims, ensuring timely resolution while delivering outstanding customer service and maintaining complian...
Reposted 4 weeks ago
$75K - $130K *
Unlock your potential in claims management! Manage primary casualty claims from start to finish while collaborating with various stakeholders. Drive solutions and enhance processes for exceptional ser...
Reposted 1 week ago
$90K - $100K *
Help us investigate and adjust high exposure claims, collaborating with defense counsel and vendors to ensure compliance. Leverage your expertise in casualty claims management while optimizing custome...
2 days ago
$95K - $115K *
Empower your career by joining a dynamic team handling complex cyber claims. Collaborate with industry experts to assess risk, manage vendor relationships, and provide exceptional service while drivin...
1 week ago
$66K - $114K *
Join a team that's dedicated to analyzing and validating actuarial data to develop impactful Medicaid rates. Contribute to forecasts and pricing models while working collaboratively in a dynamic hybri...
4 days ago
$66K - $114K *
Deliver impactful actuarial analysis by applying statistical tools and developing models. Collaborate in a dynamic environment, driving accurate rate determination and data validation under limited su...
1 week ago
$50K - $111K *
Join a team that's transforming claims processing by investigating liability and efficiently managing claims within our established frameworks while adhering to accuracy and compliance standards...
5 days ago
Complex Clinical Claims Analyst
$100K - $110K *
Seeking a detail-oriented analyst to perform complex clinical and coding reviews of facility claims, ensuring adherence to medical guidelines and fostering optimal performance through expert analysis...
1 week ago
Systems Analyst Advisor - Commercial Risk Adjustment
$101K - $151K *
Take ownership of data analysis for Commercial Risk Adjustment CMS submissions, ensuring compliance while supporting audits and migrations to cloud technologies. Drive innovation and automation within...
2 days ago
Systems Analyst Advisor - Commercial Reinsurance
$101K - $151K *
Transform the Reinsurance process by leading data analysis and CMS submissions, optimizing workflows, and implementing innovative solutions. Collaborate cross-functionally to enhance operational perfo...
2 days ago
Clinical Provider Auditor II - Payment Integrity SIU
$58K - $107K *
Engage in auditing healthcare claims to identify fraud and compliance risks. Collaborate with teams to improve processes and support training for new hires. Maintain knowledge of coding regulations to...
5 days ago
$80K - $95K *
Join the cyber claims team to empower exceptional service by evaluating and resolving cyber incidents, building relationships, and improving underwriting practices through collaboration and data-drive...
1 week ago
$66K - $95K *
Partner with us to analyze and validate actuarial data while refining pricing and forecasting models, contributing to critical decision-making and product development within our dynamic and flexible w...
3 days ago
Claims Adjuster - Commercial Auto Excess Casualty
$75K - $95K *
Optimize the handling of complex commercial auto liability claims, leveraging advanced technology and analytics to achieve high-impact outcomes. Collaborate with multiple stakeholders to ensure effici...
6 days ago
Auditor Clinical Validation DRG
$95K *
Empower the auditing process by analyzing inpatient claims and ensuring coding accuracy. Leverage your clinical expertise and advanced coding knowledge to drive quality and productivity in chart valid...
2 weeks ago
$95K - $115K *
Help us analyze and optimize medical policies while providing key insights across clinical operations. Collaborate with teams to ensure effective policy development and quality assurance, enhancing ou...
2 weeks ago
$75K - $95K *
Lead the management of complex commercial general liability claims, overseeing investigations, evaluations, and litigation, while mentoring junior analysts and ensuring optimal claims outcomes in alig...
1 week ago
Executive Claims Examiner, Programs
$97K - $134K *
Lead the charge in managing complex casualty claims as a technical expert. Utilize decision-making skills and collaborate with internal teams to resolve high-exposure claims effectively while adhering...
1 week ago
Clinical Provider Auditor Senior - Payment Integrity SIU
$75K - $95K *
Analyze and mitigate risks associated with fraud and abuse in healthcare claims. Collaborate across teams to enhance claims processing integrity, ensuring compliance with industry standards while trai...
2 days ago
Clinical Provider Auditor Senior - Payment Integrity SIU
$75K - $95K *
Join a team that's dedicated to enhancing payment integrity through detailed audits. Utilize your expertise in medical coding and fraud prevention to drive improvements, support investigations, and tr...
2 days ago
Claims Module Senior Business Analyst
$85K - $111K *
Shape the future of healthcare with your expertise in claims processing and business analysis. Drive innovation and provide domain knowledge while leading projects, collaborating with teams, and enhan...
1 week ago
$80K - $110K *
Join a team that's committed to excellence as you adjudicate complex claims, streamline processes, and drive performance. Use your expertise to support operations and mentor others, ensuring fair reso...
1 week ago
$80K - $110K *
The Senior Claims Specialist is responsible for managing and overseeing various commercial and financial lines claims, including D&O, E&O, and EPL claims. This role involves direct interaction with cu...
Reposted 1 week ago
$70K - $95K *
Innovate credit risk strategies by leveraging data analytics to enhance portfolio health and optimize underwriting processes, ensuring balanced risk and growth in a dynamic financial landscape...
6 days ago
Audit & Reimbursement III and Senior
$63K - $125K *
Elevate your career by supporting critical Medicare audits and reimbursement processes. This role fosters independent work and encourages skill development through involvement in complex financial ana...
3 weeks ago