Claims Manager Jobs in San Jose, CA

Lead and support a clinical team in optimizing patient care through effective utilization management, ensuring compliance with regulatory standards while fostering high-quality outcomes and team perfo...

Lead the charge in underwriting and managing new and renewal business. Drive team performance, ensure compliance, and foster strong relationships with agents and clients while maintaining high-quality...

Analyze, evaluate, and enhance internal controls within a dynamic insurance environment. Conduct complex audits to ensure compliance with regulatory and governance standards while promoting a culture...

Champion operational excellence by leading a dynamic team focused on quality governance, process improvement, and stakeholder engagement, ensuring KPIs are not just met but exceeded through discipline...

Shape enterprise-wide strategic programs through effective leadership and collaboration to align initiatives with corporate goals, ensuring timely delivery and success across multiple complex projects...

Transform client support management by leading a global team, ensuring high-quality service, effective issue resolution, and continuous improvement across operations while fostering a culture of accou...

Unlock potential by leading the assessment lifecycle, ensuring quality and timely delivery. Collaborate cross-functionally to optimize processes and achieve client-ready outcomes in a fast-paced healt...

Lead the charge in developing and scaling an innovative AI solution for denials management. Drive insights from user feedback while collaborating across teams to enhance product performance and busine...

Unlock career potential as you lead an engineering team that shapes real-time insurance solutions. Drive technical direction, enhance operational health, and collaborate across functions in a mission...

Shape the future of data operations by leveraging AI to unify and analyze operational data, drive problem management practices, and enhance decision-making across technical teams, ultimately ensuring...

Accelerate progress at scaling customer implementations in a high-growth SaaS environment. Lead a team focused on enhancing onboarding efficiency and driving software adoption in the construction sect...

Empower the reimbursement operations to enhance market access strategies. Engage with providers and payers while managing logistics and developing educational tools. Drive collaboration across teams t...

Lead the charge in establishing and scaling a transformative ADML practice for mid-market clients, focusing on innovative solutions and delivering exceptional service through effective team management...

Manage complex investigations of suspected fraud across various claims, overseeing data analysis, collaboration with law enforcement, and case development to protect company assets and mitigate risks...

Explore a pivotal role in customer success, driving post-sale outcomes and executive partnerships. Lead cross-functional teams to achieve measurable value, ensuring strategic alignment and operational...

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...

Join our team as a Sr. Field Adjuster, specializing in homeowner claims. You will investigate, evaluate, and settle high-complexity claims, overseeing both in-person and virtual assessments, while col...

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...

Drive profitable growth by assessing and managing cargo and ocean marine risks. Engage with brokers, optimize underwriting strategies, and adapt to global trade trends while ensuring compliance and ac...

Transform reimbursement challenges into solutions by engaging with physicians and hospitals, providing field support, and driving collaboration across teams to enhance commercial success and patient a...

Transform the future of Inland Marine underwriting by building a profitable portfolio from scratch. Leverage your expertise in Builders Risk and Contractors Equipment while creatively cultivating new...

Lead compliance and ethics investigations across diverse business units, ensuring adherence to regulations and internal policies. Collaborate cross-functionally, prepare reports, and recommend actions...

Join us to lead a remote team in enrollment fulfillment operations, focusing on process optimization and employee development. Drive operational excellence and enhance customer experience while collab...

Champion compliance excellence in Leave Management and Disability services. Collaborate cross-functionally to ensure Voya’s offerings remain compliant, guiding clients through regulations and deliveri...

Develop and maintain strong relationships with brokers to drive growth and maximize revenue through effective strategy implementation and technology utilization, all within a collaborative remote envi...