Director, Claims Operations Jobs in Brea, CA

Lead Medicare Advantage claims operations, drive compliance, optimize performance, and develop high-performing teams to ensure accurate adjudication and enhance member satisfaction in a rapidly evolvi...

Drive excellence in claims management by leading teams and shaping strategies for personal line property and casualty claims to enhance operational efficiency and customer satisfaction...

Drive operational excellence in claims management, leading teams to achieve superior customer experiences and implement strategic initiatives for growth and improvement in property and liability claim...

Engage in transformative leadership in Utilization Management Operations, driving clinical excellence and scalable business processes. Oversee a dynamic team and vendor partnerships while leveraging t...

Lead a dynamic team in optimizing claims adjustments, ensuring compliance and operational efficiency while managing complex disputes and high-stakes reviews. Collaborate with executive management to d...

Lead the charge in managing catastrophe claims teams to ensure timely and effective responses, adherence to coverage guidelines, and compliance with procedures, all while fostering strong interdepartm...

Transform client service excellence as a leader guiding national teams, driving strategic growth, and fostering strong partnerships while optimizing customer experience and retention across enterprise...

Lead a high-performing national team, driving strategic direction and service excellence in Client Services. Enhance client retention and relationships, while fostering a client-centric culture and op...

Join a team that's dedicated to driving high-quality outcomes in specialty casualty claims, overseeing complex issues and litigated matters while enhancing team performance and ensuring compliance acr...

Lead the charge in managing complex claims for Management Liability, ensuring compliance, and enhancing customer satisfaction through strategic analysis and effective resolution...

Lead the charge in overseeing operational efficiency and staff development across multiple departments. Drive strategic objectives and ensure compliance with regulatory standards while fostering a cul...

Elevate our Workers’ Compensation product strategy through regulatory compliance, effective team management, and system alignment. Collaborate cross-functionally to implement state strategies and ensu...

Reimagine your career by leading strategic pricing initiatives within a dynamic team. Collaborate across departments to enhance models for Businessowners Policy and Commercial Package Policy, driving...

Drive strategic partnerships and revenue growth by leading large-scale ADML client engagements and delivering innovative absence management solutions. Mentor teams and enhance client relationships whi...

Lead the charge in managing complex commercial casualty claims, providing strategic oversight and fostering a high-performing team. Drive improvement in claims outcomes, enhance customer experiences...

Drive the evolution of medical payment policies as a subject matter expert, collaborating closely with clients to analyze data, present insights, and advocate for strategic policy adoption. Shape the...

Unlock the potential of your leadership by guiding a team of specialists in managing non-complex construction defect claims. Drive quality service, ensure compliance, and enhance processes while foste...

Transform complex claims resolutions by autonomously managing high-stakes litigation and training team members. Leverage your expertise to negotiate settlements and communicate effectively with stakeh...

Lead a team of claims professionals managing complex cyber and liability claims. Drive performance through mentoring and training, ensuring adherence to best practices. Oversee investigations and sett...

Join a dynamic team leading stop loss claims operations, driving service excellence, enhancing processes, and developing talent to foster a high-performing culture while ensuring compliance and operat...

Shape operational excellence by leading complex initiatives across multiple client accounts, driving measurable improvements in efficiency, cost, and quality. Collaborate with teams to optimize proces...

Lead product strategy to revolutionize the Risk Adjustment landscape, defining how data, AI, and clinical workflows integrate to enhance member health assessments and drive compliance across multiple...

Manage complex U.S. Healthcare claims and provide strategic insights. Collaborate cross-functionally to support underwriting, legal review, and reporting. Drive effectiveness in claim processes and co...

Lead the charge in coaching and directing a casualty resolution team, ensuring effective claims handling and staff development. Collaborate with stakeholders to drive operational efficiency and uphold...

Join a team that shapes the future of Workers' Compensation by leading claim investigations, ensuring quality service, and mentoring staff. Drive excellence in claims handling while maintaining compli...