$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 1 week ago
$66K - $101K *
Analyze and execute claim audits, leveraging clinical expertise and CMS knowledge. Collaborate with teams to ensure compliance with policy standards while delivering precise, timely results. Cultivate...
1 month ago
$110K - $140K *
Elevate your career by joining our dynamic claims team, where you'll manage complex cyber claims, collaborate with top-tier vendors, and support underwriting efforts, all while contributing to innovat...
Reposted 2 days ago
Medical Review Auditor (Fraud Waste and Abuse)
$70K - $91K *
Lead the charge in auditing medical records for accurate coding compliance and health plan policies. Prepare detailed reports, conduct relevant research, and maintain knowledge of healthcare guideline...
2 weeks 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 days ago
Content Analyst II - Drug and Biological Policy
$100K - $125K *
Join a dynamic clinical operations team, driving quality assurance and policy maintenance for Drug and Biological policies. Your expertise will enhance our coding processes and support client inquirie...
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...
3 days ago
$89K - $170K *
Shape the future of actuarial analysis by tackling complex projects and enhancing risk strategies. Collaborate with experts to drive innovation while mentoring junior talent. Join a dynamic team commi...
2 weeks ago
$70K - $116K *
Help us enhance our security posture by monitoring and investigating breaches, identifying vulnerabilities, and implementing best practices. This role is vital for safeguarding digital assets and supp...
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...
6 days ago
Auditor Clinical Validation Outpatient Specialty Clinical
$95K *
Unlock your potential by auditing outpatient claims. Leverage your clinical and coding expertise to enhance accuracy and improve treatment quality while contributing to innovative auditing solutions i...
2 weeks ago
Claims Manager- Commercial Auto Excess Casualty
$100K - $130K *
Lead a high-performing team of commercial auto claims specialists, ensuring technical excellence and operational efficiency in managing complex excess casualty claims while leveraging data-driven stra...
Reposted 3 weeks ago
$70K - $95K *
Support a team that evaluates and manages construction claims, ensuring effective strategies for investigation, negotiation, and resolution, while communicating findings with stakeholders and adapting...
4 days 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...
6 days ago
$97K - $134K *
Lead the resolution of high-complexity casualty claims while collaborating with cross-functional teams. Utilize your expertise in coverage analysis, litigation management, and team collaboration to dr...
1 month ago
$75K - $100K *
Join a dynamic team driving claims operations and reporting! Manage claim processes, enhance data quality, and implement continuous improvements to deliver reliable insights for leadership and carrier...
2 weeks 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...
1 week 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 1 week ago
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...
2 weeks ago
Senior Analyst, Rebate and Audit - SMC
$88K - $110K *
Champion financial rigor by executing advanced analyses for rebate contracts, driving process optimization, and collaborating with cross-functional teams to enhance client relations and contract manag...
2 weeks ago
$66K - $100K *
Join a team that's driving efficiency in claims operations by resolving complex system issues, improving workflows, and delivering user training. Collaborate with IT and help desk teams to enhance pro...
3 days ago
APH Claims Adjuster III | Remote
$96K - $144K *
Shape the future of asbestos claims management by leading complex cases, developing strategies, and driving litigation processes while ensuring compliance and oversight within a fast-paced environment...
Reposted 1 month ago
Insurance Product Analyst II, State Management - General Motors Insurance
$87K - $165K *
Accelerate progress at our team by leveraging analytical skills to drive auto insurance product performance, manage regulatory requirements, and support state launches in a dynamic and collaborative e...
Reposted 1 week 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...
5 days 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...
2 weeks ago