Claims Analyst Jobs in San Diego, CA

Unlock potential by adjudicating complex claims in a thriving environment. Collaborate with diverse clients and leverage resources for innovative solutions while enjoying the flexibility to shape your...

Drive your career with a pivotal role in optimizing Epic Willow Ambulatory applications, enhancing pharmacy operations through strategic collaboration, innovative solutions, and robust system manageme...

Optimize contract operations as a Legal Operations Analyst II, collaborating across multiple teams to drive efficiency through technology, improve workflows, and implement scalable tools that empower...

Lead the charge in managing Short-Term Disability appeals, utilizing expert resources, demonstrating superior customer service, and optimizing claim processes to enhance organizational performance in...

Unlock potential by applying your actuarial expertise to conduct complex analyses, support financial forecasting, and drive decision-making. Collaborate with teams to enhance methodologies, ensuring a...

Transform business systems by bridging user needs with IT solutions, driving project success, and ensuring software quality. Collaborate cross-functionally to document requirements and enhance applica...

Lead Configuration Management and Data Management activities for assigned products, ensuring integrity and accuracy throughout the product lifecycle. Collaborate cross-functionally while maintaining e...

Transform healthcare delivery by leveraging your actuarial expertise. Collaborate across functions to develop innovative strategies that enhance service to the senior population while positively impac...

Empower your career by diving into the dynamic world of cyber reinsurance. Collaborate with seasoned underwriters, analyze cedant data, and grow your expertise in treaty submissions, while building vi...

Tackle the challenge of driving sales growth through strategic acquisition of new business for Payment Integrity Services. Engage with senior executives, leverage market insights, and enhance customer...

Unlock the potential of Compliance Testing through data analysis, automation, and reporting. This role enhances methodologies, identifies compliance risks, and collaborates across departments to ensur...

Join a team that's dedicated to performing skilled nursing facility audits, ensuring accurate claim evaluations. Leverage your nursing expertise in a dynamic, collaborative, remote environment focused...

Lead the charge in enhancing quality assurance programs by steering a talented team. Drive AI integration and continuous improvement to ensure accuracy, reduce risks, and optimize client outcomes thro...

Lead complex commercial casualty claims resolution by analyzing, negotiating, and providing exceptional customer service while ensuring compliance with industry standards and guidelines to achieve opt...

Oversee quality auditing of inpatient medical records to validate DRG codes, ensuring accuracy through detailed reviews and mentoring. Drive improvements by identifying trends and recommending process...

Join us in shaping the future of healthcare operations by ensuring provider network accuracy and compliance. Leverage your expertise in claims analysis and enhance operational efficiency while collabo...

Support the development of informatics solutions for clinical research studies. Collaborate with multidisciplinary teams to enhance data collection, management, and reporting, ensuring research goals...

Deliver expert audit compliance support for DoD financial systems, ensuring integrity and adherence to regulations. Drive continuous improvement in audit practices and strengthen internal controls wit...

Champion the assessment of medical risks and cost projections for claims and underwriting. Utilize diverse data sources to ensure accurate evaluations and recommendations while staying current with me...

Join a team that's dedicated to promoting compliance while leading project initiatives. Collaborate across departments as a functional expert to establish policies and monitor compliance with regulato...

Take ownership of litigation claims management. Oversee investigations, evaluations, and negotiations of auto claims disputes while collaborating with internal teams to improve processes and reporting...

Optimize market presence by building and nurturing relationships with law firms. Drive consistent revenue growth through strategic account management and active field engagement. Embrace the potential...

Join a team that's dedicated to effective claims management and driving change on complex Surety matters. Collaborate with leaders to enhance processes, mentor staff, and create optimal resolutions wh...

Oversee daily operations of the Itemized Bill Review team, ensuring SLA compliance, communication with clients, and identifying process improvement opportunities to enhance efficiency and performance...

Elevate your career as a Senior Medical Auditor by leading coding audits, ensuring compliance, and educating teams. Collaborate with diverse professionals, analyze data for quality assurance, and tran...