Claims Manager Jobs in Mcallen, TX

Support the Clinical Chart Validation team by reviewing appeals and claims, applying coding guidelines, and providing expert feedback to ensure accurate recovery determinations and maintain compliance...

Lead, transform, and innovate in our claims operations, optimizing workflows, driving excellence, and fostering a high-performing team to enhance our medical stop loss claims management and stakeholde...

Champion a high-impact benefits administration role, managing health and retirement programs for 2,300 employees across the Americas while ensuring compliance, empathy, and operational excellence...

Drive client satisfaction by overseeing workers compensation and general liability programs, ensuring compliance and quality in service delivery. Collaborate with operations to resolve issues and enha...

Empower your sales excellence by leading a dynamic team to drive growth in the insurance market, utilizing strategic insights and coaching to enhance performance and expand agency relationships across...

Lead and mentor a dynamic team, driving patient access strategies through expert virtual education of healthcare providers and optimizing reimbursement processes across a national landscape...

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...

Lead the evolution of a comprehensive FWA Prevention Program, enhancing compliance, reducing risk, and empowering compliance culture within a dynamic healthcare organization while collaborating across...

Bring your expertise to lead our Insurance Program, overseeing operations, managing teams, and driving process improvements. Collaborate cross-functionally to enhance client experiences and ensure com...

Transform client outcomes by leveraging analytics and market intelligence to develop strategic insights. Collaborate with cross-functional teams to enhance program performance in managed care, ensurin...

Join a team that's dedicated to maximizing reimbursements through oversight of clinical denials and appeal processes. Lead a team in enhancing operational efficiency and navigating payer regulations w...

Champion your underwriting skills by managing and growing a profitable Management Liability insurance book, fostering key broker relationships, and ensuring high standards and discipline in a dynamic...

Lead post-sales healthcare implementations, ensuring efficient project delivery while managing multiple cross-functional teams within a fast-paced environment, aligning outcomes with strategic goals t...

Elevate compliance standards by implementing a robust financial framework, partnering with cross-functional teams, and driving a culture of control excellence for a scaling healthcare technology compa...

Champion exceptional service by leading the Private Client Group team, managing operations, ensuring client satisfaction, and fostering employee development in a remote setting. Drive efficiency, coac...

The Field Case Manager at Sedgwick works directly with injured workers and medical providers to facilitate effective medical treatment and timely return-to-work. This role requires face-to-face intera...

Transform regulatory reporting for a growing bank, ensuring accurate, compliant submissions while building a scalable framework. Collaborate cross-functionally, leveraging technology to optimize proce...

Manage and oversee the operational framework of rebate contract processes, ensuring efficient data flow, optimization, and compliance across various stakeholders while enhancing contract performance a...

Engage in comprehensive investigations to detect and deter insurance fraud across various commercial lines, ensuring compliance with legal standards and enhancing anti-fraud initiatives within a dynam...

Shape the future of revenue accounting by leading a team and managing SaaS billing and revenue recognition under ASC 606, ensuring compliance, automating processes, and collaborating with auditors to...

Create a robust compliance operating system for a dynamic financial platform. You'll lead SEC registration, design compliance policies, and ensure multi-fund governance, shaping our growth as a truste...

Join a team that's redefining compliance for a cutting-edge financial platform. As a key architect, you'll develop regulatory frameworks and operational systems, enabling diverse partners to thrive in...

Lead the charge in building a robust regulatory infrastructure that empowers multiple GPs to thrive in the complex US financial landscape, ensuring compliance and operational excellence across our inn...

Empower the claims process as you manage complex third-party Professional Liability claims, ensuring fair resolutions through expert analysis, strategic negotiations, and effective communication with...