$72K - $96K *
Deliver timely, high-quality evaluations and resolutions for liability claims while ensuring compliance and exceptional customer service in a fast-paced, collaborative environment that facilitates com...
Reposted 4 weeks 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...
Yesterday
$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
$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 Reinsurance
$101K - $151K *
Unlock potential by leading the Commercial Reinsurance data process, enhancing efficiency through automation. Drive improvements in reporting workflows and data accuracy while migrating legacy systems...
Yesterday
Clinical Provider Auditor II - Payment Integrity SIU
$58K - $107K *
Lead critical audits in healthcare payment integrity by assessing claims, preventing fraud, and collaborating with teams to enhance compliance. Drive risk management initiatives and contribute to bett...
5 days ago
Expert Claims Review Business Analyst
$71K - $90K *
Drive impactful business outcomes by enhancing analytics solutions in an Agile context. Collaborate with cross-functional teams to deliver user-centered results and optimize processes, ensuring the su...
1 week ago
Payment Integrity Analyst III - QA Analyst
$73K - $113K *
Lead a dynamic team to ensure compliance and quality in payment audits, utilizing clinical judgment and analytical skills. Drive policy adherence and best practices while enhancing team training and s...
1 week 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 *
Inspire the future of claims resolution by becoming a trusted expert in managing complex casualty claims. Take charge of investigations, negotiations, and coverage analyses, while collaborating with d...
1 week 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
Audit & Reimbursement III and Senior
$63K - $125K *
Champion efficient auditing processes in Medicare reimbursement, navigating complex cost reports and enhancing financial oversight while providing mentorship and guidance in a flexible virtual environ...
3 weeks ago
Clinical Provider Auditor Senior - Payment IntegritySIU
$75K - $95K *
Join a team that's tackling fraud and abuse in healthcare by conducting audits and ensuring compliance in claims processing, while developing strategies for loss control and efficiently training new a...
Yesterday
Auditor Clinical Validation Outpatient Specialty Clinical
$95K *
Unlock potential by auditing outpatient and specialty claims, ensuring coding accuracy, clinical necessity, and compliance with industry standards. Leverage advanced coding expertise to identify billi...
4 days ago
$101K *
Support the Clinical Chart Validation team by reviewing appeals and claims, applying coding guidelines, and providing expert feedback to ensure accurate recovery determinations and maintain compliance...
1 week ago
$78K - $107K *
Elevate claims resolution by managing complex cases, evaluating liability, and ensuring effective communication with stakeholders while mentoring team members for optimal performance...
3 weeks ago
$100K *
Lead the charge in managing reinsurance claims, ensuring precision in reporting and compliance while optimizing recoveries and collaborating cross-functionally for the best outcomes in a complex, dyna...
Reposted 1 week ago
$70K - $95K *
Join a team that evaluates and manages insurance claims, ensuring compliance and minimizing risk. You will analyze coverage, conduct investigations, communicate with stakeholders, and negotiate settle...
6 days ago
Complex Denials Consultant (Complex Claims)
$90K - $112K *
Unlock potential by guiding healthcare providers through complex claims disputes. Represent clients in WC, MVA, TPL, and VA claims while ensuring compliance with state laws. Collaborate with teams to...
3 weeks ago
$73K - $97K *
Manage and adjust aerospace claims, focusing on light and general aviation. Leverage strong technical expertise to identify trends and provide strategic feedback, while fostering effective relationshi...
Reposted 4 weeks ago
$83K - $104K *
Advance your career by expertly managing complex construction defect claims, fostering collaboration with clients and internal teams, resolving coverage questions, and ensuring compliance with legal r...
1 week ago
Sr Claims Business Analyst - General Motors Insurance
$96K - $177K *
Transform business operations by analyzing needs, defining objectives, and collaborating with stakeholders to enhance claims processes within a rapidly evolving insurance environment...
4 days ago