Senior Claims Consultant, National Accounts
$92K - $154K *
Shape the future of claims management by leading strategy for large accounts, providing analytics and insights, and fostering strong relationships with clients and stakeholders for optimal claim resol...
3 weeks ago
$100K - $130K *
Champion proactive claims management by serving as a trusted advisor, partnering with clients and stakeholders to drive optimal outcomes in the insurance claims lifecycle across multiple coverage line...
2 weeks ago
Major Case Unit Claims Adjuster, Courier Delivery
$70K - $95K *
Drive the resolution of complex major case claims involving serious injuries. Take ownership of the entire claims lifecycle while collaborating with stakeholders to achieve timely outcomes through eff...
3 weeks ago
Risk Adjustment Systems Analyst Advisor
$75K - $95K *
Optimize risk adjustment systems in Medicaid strategy, ensuring connectivity between technical solutions and business needs while driving enhancements to improve performance and usability...
Reposted 6 days ago
Risk Adjustment Systems Analyst Advisor
$75K - $95K *
Empower strategic systems analysis in the Medicaid renal space. Collaborate cross-functionally to define requirements, enhance usability, and bridge technical gaps ensuring robust outcomes in health p...
Reposted 3 days ago
Business Consultant Sr- Data Mining Overpayment and Operations/Payment Integrity- WGS Claims
$90K - $120K *
Unlock business insights by leading a team to analyze complex needs and drive data-driven solutions. Collaborate across functions to enhance operational integrity and deliver strategic project outcome...
3 days ago
$88K - $133K *
Pioneer innovative actuarial solutions by conducting detailed analyses, managing risks, and developing pricing strategies. Collaborate with teams to deliver insightful reports that drive data-driven d...
2 days ago
Claims Examiner, Commercial Trucking | Bodily Injury | Remote
$80K - $85K *
Join our team to analyze and process complex auto and commercial transportation claims, ensuring accurate investigations, liability determinations, and timely resolutions to support our clients and in...
2 weeks ago
Technical Claim Director-GL Major Case Unit (hybrid)
$136K - $199K *
Join a team that's dedicated to managing complex claims across the U.S. You'll handle fact investigations, coverage analyses, and litigation management while developing case strategies and collaborati...
1 week ago
Quality Analyst - Outpatient, Healthcare
$85K - $92K *
Empower healthcare quality as a detail-oriented Outpatient Quality Analyst. Mentor coding teams, ensure compliance, and drive process improvements in a dynamic remote environment, making a meaningful...
3 weeks ago
Workers Compensation Claims Examiner | SIP Required
$80K - $100K *
Unlock potential by expertly managing complex workers' compensation claims, ensuring timely resolutions while collaborating with clients and vendors. Engage in a rewarding role focused on innovative s...
2 weeks ago
Team Lead - Appeals (Place of Service, Short Stay & Readmission)
$110K - $130K *
Drive audit excellence by leading a team of Clinical Validation Auditors. Optimize performance, ensure quality outcomes, and foster a collaborative environment to support high standards in place of se...
1 week ago
Senior Complex Commercial Property Claims Adjuster
$90K - $152K *
Manage complex commercial property claims with urgency and expertise, ensuring high-quality service and equitable resolutions. Collaborate with stakeholders to drive strategic outcomes while adhering...
Yesterday
$63K - $100K *
Manage property claims with autonomy, conducting investigations and negotiations while supporting the claims supervisor. Collaborate with clients and agents to resolve issues, documenting each case me...
2 weeks ago
$87K - $118K *
Investigate and adjust complex MPL and General Liability claims. Collaborate with insureds and stakeholders, develop negotiation strategies, and ensure timely documentation while maintaining strong co...
Reposted 4 weeks ago
Claims Advisor, Professional Liability | Medical Malpractice
$100K - $125K *
Take ownership of complex medical malpractice claims to ensure timely resolution, manage costs, and maintain high customer satisfaction while leading case management in compliance with standards and b...
5 days ago
$70K - $126K *
Take ownership of comprehensive reviews for MS-DRG and APR-DRG coding, utilizing advanced ICD-10 expertise. Collaborate with stakeholders to ensure accuracy in documentation and reimbursement complian...
1 week ago
Medicare Cost Report Auditor III
$57K - $110K *
Drive the future of auditing by conducting comprehensive financial, compliance, and operational audits, providing actionable insights, and enhancing internal controls to ensure organizational accounta...
Reposted 3 weeks ago
$76K - $100K *
Elevate your career by managing policy forms, drafting required changes, and collaborating across teams to enhance insurance products and maintain compliance while driving efficiency and accuracy in p...
Reposted 1 week ago
Claims Ceded Reinsurance Access Specialist
$72K - $109K *
Manage ceded reinsurance processes, oversee claims accuracy, and facilitate team training while ensuring effective communication with leadership and IT to enhance reporting capabilities...
3 days ago
$75K - $105K *
Join a team that's pivotal in ensuring accurate client payment policies. You'll manage medical policy integrity while conducting research and analysis, collaborating with internal teams, and providing...
1 week ago
$95K - $120K *
Optimize healthcare cost-processing solutions by driving high-quality software delivery and analysis. Collaborate with stakeholders to implement APIs and database solutions while ensuring performance...
2 days ago
$70K - $126K *
Engage in advanced financial analysis and risk assessment to drive Value-Based Care initiatives. Collaborate across teams, analyze healthcare data, and contribute to vendor partnerships while gaining...
6 days ago
$75K - $110K *
Optimize commercial property claims processes to enhance resolution speed and effectiveness. Collaborate across teams to drive strategic initiatives in a dynamic, remote environment while ensuring top...
Reposted today
$75K - $95K *
Join a dynamic team as you manage complex high-value property claims, driving negotiations and resolutions. Use your expertise to provide exceptional customer support while ensuring compliance with re...
1 week ago