Claims Analyst Jobs in Plano, TX

Engineer and adjust complex bodily injury and property damage claims, guiding external counsel and vendors through claims processes while ensuring compliance with legal regulations and delivering exce...

Tackle payment integrity challenges through comprehensive audits and analysis, ensuring adherence to client policies and CMS guidelines while utilizing clinical judgment and analytical skills for opti...

Help us redefine claims management by leading investigations and negotiations in Cyber, Technology Errors & Omissions, and Miscellaneous Professional Lines claims. Join us to drive client-centric inci...

Tackle complex commercial auto claims, ensuring thorough investigations, documentation, and communication to promote timely resolutions while leveraging a global network of experts for optimal client...

Contribute to the development of clinical coding by analyzing medical policies, ensuring high quality and relevance while mentoring team members in a dynamic environment. Collaborate with various team...

Engage in a dynamic role as you evaluate and adjust complex auto claims nationwide while delivering exemplary service and mentoring team members. Your expertise will drive strategic discussions and en...

Optimize complex auto and commercial transportation claims through investigation, liability assessment, and damage evaluation, while collaborating with vendors to expedite resolutions and ensure compl...

Deliver exceptional service in handling complex, high-exposure claims while leading investigations, determining liability, and collaborating with legal teams to ensure fair outcomes. Influence outcome...

Shape the future of data analytics by providing critical forecasts and insights. Collaborate with stakeholders to ensure data integrity and develop strategies that enhance organizational decision-maki...

Join us to manage complex claims, ensuring timely resolutions and effective communication with stakeholders while guiding junior team members and participating in business impact projects...

Lead a dynamic team of claims adjusters to efficiently manage property damage claims, ensuring compliance with regulations, enhancing customer relationships, and implementing innovative solutions to i...

Discover opportunities to enhance clinical operations through data analysis, policy review, and collaboration within a fast-paced team. Contribute to the development of comprehensive medical policies...

Transform data into actionable insights by developing reports using SAS or similar languages. Lead pricing model initiatives and present findings to stakeholders, ensuring accuracy in reimbursement me...

Make your mark at a leading healthcare consulting firm, leveraging your coding expertise to drive results in audits, investigations, and compliance. Collaborate with cross-functional teams and deliver...

Manage complex commercial auto claims with a focus on resolution strategies, ensuring high-quality outcomes and customer satisfaction through effective communication and negotiation. Collaborate with...

Join a team that's committed to resolving high complexity claims. In this autonomous role, leverage your expertise to make critical decisions, guide investigations, and mentor specialists while ensuri...

Lead the charge in managing complex claims, ensuring optimal resolution and compliance. Utilize advanced technical expertise to support stakeholders, investigate claims thoroughly, and mentor team mem...

Empower success by providing technical oversight on complex Workers’ Compensation claims, ensuring alignment with protocols and regulations while driving accountability through effective collaboration...

Pioneer the management of high complexity Financial Lines claims, ensuring compliance with protocols, negotiating settlements, and maintaining relationships with insureds and partners for effective re...

Elevate your career by mastering data mining analyses to drive strategic report applications and mentor junior staff. Play a crucial role in shaping data warehouse solutions while collaborating in a d...

Grow your career with the Medicare Pricing Team, applying actuarial skills to support vital health programs and gain valuable experience across finance, marketing, and underwriting...

Lead inpatient auditing efforts focusing on clinical chart validation and coding accuracy, using advanced ICD-10 knowledge to independently analyze claims, ensure compliance, and enhance auditing proc...

Analyze complex D&O claims for Private and NFP organizations. Collaborate with insureds and legal teams to determine liability, negotiate settlements, and ensure compliance with guidelines while deliv...

Design audit concepts and processes, mentor teams, and ensure quality control while developing innovative solutions in the healthcare auditing domain to generate recoverable claims for clients...

Accelerate your career by managing and analyzing general liability claims, ensuring effective resolutions while collaborating within a flexible work environment. Champion innovative initiatives and en...