$72K - $96K *
Make your mark at a dynamic firm by leading complex liability claims investigations, evaluations, and negotiations, ensuring compliance and delivering exceptional customer service while managing a div...
Reposted 2 weeks ago
Claims Analyst IV - General Liability
$73K - $93K *
Resolve complex liability claims through thorough investigation and negotiation, ensuring customer satisfaction and compliance with regulations while maintaining best practices in claims handling for...
Reposted 2 weeks 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...
4 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...
5 days ago
$75K - $95K *
Join a team that's redefining commercial claims handling by managing complex cases, mentoring analysts, and optimizing litigation strategies to ensure effective resolutions in alignment with strategic...
2 weeks ago
$75K - $95K *
Manage commercial claims for Contractors General Liability, ensuring investigation, coverage evaluation, and litigation oversight. Mentor analysts and maintain relationships, driving risk assessment a...
1 week ago
$80K - $110K *
Optimize claims processing by adjudicating complex claims with authority and refining operational efficiency. Collaborate with the claims team to ensure compliance, drive best practices, and provide e...
1 week ago
Audit & Reimbursement III and Senior
$63K - $125K *
Contribute to critical Medicare auditing processes, analyzing data to support reimbursement accuracy. Engage in special projects, mentor junior staff, and work independently to enhance auditing standa...
1 week ago
Audit & Reimbursement III and Senior
$63K - $125K *
Join our team to analyze complex Medicare cost reports and reimbursement processes. You will work independently under minimal supervision, gaining advanced experience in auditing while contributing to...
1 week 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
Senior Claims Examiner- Architects and Engineers
$99K - $124K *
Join a team that's redefining claims handling by adjudicating professional liability claims, ensuring fair and prompt resolutions while collaborating with clients and defense counsel to manage and ana...
3 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...
6 days ago
$80K - $110K *
Join a team that's dedicated to resolving complex claims effectively, providing operational support, and enhancing customer experience. Your expertise will empower our efforts in claims analysis and l...
1 week ago
$90K - $120K *
Unlock potential by managing complex legal claims from inception to resolution, ensuring thorough investigations and effective negotiations, while fostering strong partnerships with internal teams and...
3 weeks 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...
3 weeks ago
$80K - $110K *
Join a team that champions effective claims resolution. In this pivotal role, you'll manage moderate to complex claims, drive best practices, and support your colleagues while ensuring compliance with...
1 week ago
$80K - $110K *
Join a team that's dedicated to providing superior claims resolution while managing complex issues. As a Senior Claims Examiner, you'll play a pivotal role in adjudicating claims and driving best prac...
1 week 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
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
Complex Claims Specialist - A&E
$125K - $155K *
Transform claims management by analyzing submissions, setting reserves, and ensuring early resolutions in a dynamic team focused on Architects and Engineers professional liability lines across multipl...
Yesterday
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...
3 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...
5 days ago