Claims Analyst Jobs in Costa Mesa, CA

Shape the future of healthcare reimbursement by leveraging clinical knowledge and coding expertise to resolve DRG-related payer denials, ensuring compliance and enhancing revenue integrity through pro...

Join a dynamic team committed to efficiently managing and resolving insurance claims with expertise, integrity, and analytical skills. Drive successful outcomes through investigation, negotiation, and...

Analyze and oversee grievance and appeals management, ensuring regulatory compliance and quality outcomes. Lead initiatives to streamline processes and enhance member experience while managing team pe...

Unlock potential by analyzing market trends and designing innovative products, ensuring compliance with industry standards while enhancing existing offerings to drive growth and profitability...

Manage and resolve complex commercial claims efficiently, ensuring compliance and optimal customer service while collaborating with internal and external stakeholders to strategize effective solutions...

Lead the charge in overseeing claims resolution operations, ensuring compliance and efficiency in handling complex claims adjustments and provider disputes. Supervise staff and monitor performance to...

Unlock potential by leading claims resolution operations, enhancing process efficiency, and supervising a dedicated team to ensure compliance with healthcare standards while managing complex claim adj...

Analyze and validate Medicare Advantage member medical records to ensure accurate risk adjustment submissions to CMS. Collaborate with healthcare providers and improve coding quality for optimal reimb...

Accelerate your career as a Property Claims Examiner, utilizing technology to investigate, evaluate, and settle moderate homeowner claims. Collaborate with vendors and customers to deliver exceptional...

Join a team that's dedicated to expertly analyzing Workers Compensation claims, ensuring timely resolutions while enhancing client experiences through collaboration and insights. Embrace opportunities...

Pioneer a transformative approach in commercial transportation claims, balancing leadership and hands-on support. Leverage technology to enhance team performance and client satisfaction while driving...

Drive the transformation of complex Auto Casualty claims operations by leading innovative strategies, optimizing processes, and ensuring regulatory compliance, all while championing a culture of teamw...

Lead the charge in optimizing clinical appeals processes, ensuring compliance and high-quality outcomes. Manage a skilled team while collaborating with stakeholders to enhance operational effectivenes...

Join a dynamic team as you leverage your actuarial expertise to develop innovative solutions in pricing, reserving, and financial modeling, while collaborating across departments to influence strategi...

Lead the evolution of reinsurance pricing strategies and actuarial models, driving innovation and technical excellence. Engage with senior leadership to communicate analytical insights clearly and sha...

Make your mark by analyzing and adjudicating complex workers' compensation claims, managing high exposure cases, negotiating settlements, and ensuring timely resolutions to deliver exceptional service...

Oversee compensation data integrity and quality management while addressing inconsistencies. Collaborate with cross-functional teams to enhance data pipelines and ensure reliable insights, building cu...

Explore impactful integration solutions! Leverage your technical expertise to manage EDI implementations, fostering relationships with partners while ensuring accuracy and efficiency in healthcare tra...

Manage a portfolio of complex commercial auto claims, ensuring compliance, accuracy, and efficiency in investigations, negotiations, and resolutions while collaborating with various stakeholders in th...

Unlock potential by leading client analytics setups to create impactful reporting for health systems, enhancing revenue cycle efficiency through data processes, and driving implementation improvements...

Analyze and manage complex General Liability claims while collaborating with internal teams and TPAs. Use your expertise to drive excellence and innovation in claims management, ensuring timely resolu...

Empower organizations by delivering insightful actuarial consulting for health benefits. Manage complex projects, optimize plan designs, and enhance client strategies while mentoring junior analysts a...

Lead impactful health benefit projects, leveraging strong analytical skills to optimize employer strategies. Collaborate with clients, guide junior analysts, and present solutions as a key financial c...

Drive impactful decision-making by developing robust analytical tools and frameworks. Collaborate with senior leaders to address business needs through innovative solutions, while enhancing your exper...

Shape your career by optimizing internal controls while implementing AI solutions across financial reporting engagements. Collaborate with business partners to enhance risk management frameworks and d...