Medical Review Auditor (Fraud Waste and Abuse)
$70K - $91K *
Lead the charge in auditing medical records for accurate coding compliance and health plan policies. Prepare detailed reports, conduct relevant research, and maintain knowledge of healthcare guideline...
2 weeks ago
Manager, Construction Defect Claims
$88K - $130K *
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...
Reposted 4 days ago
Claims Examiner, Commercial Trucking | Bodily Injury | Remote
$80K - $85K *
Join our team to analyze and process complex auto and commercial transportation claims, ensuring accurate investigations, liability determinations, and timely resolutions to support our clients and in...
1 week ago
$75K - $105K *
Join a team that's pivotal in ensuring accurate client payment policies. You'll manage medical policy integrity while conducting research and analysis, collaborating with internal teams, and providing...
Today
Workers Compensation Claims Examiner | SIP Required
$80K - $100K *
Unlock potential by expertly managing complex workers' compensation claims, ensuring timely resolutions while collaborating with clients and vendors. Engage in a rewarding role focused on innovative s...
1 week ago
Liability Senior Claims Adjuster
$82K - $86K *
Join a team that's dedicated to resolving complex liability claims while ensuring adherence to best practices and regulatory standards. Leverage your expertise to conduct thorough investigations and n...
2 weeks ago
Senior Complex Claim Representative - General Liability
$90K - $110K *
Manage and resolve complex General Liability claims, emphasizing strategic analysis, investigation, and efficient resolutions across diverse programs. Leverage expertise in coverage interpretation and...
2 days ago
Claim Counsel - D&O/Professional Liability
$110K - $135K *
Provide expert guidance in managing high-severity insurance claims, focusing on coverage analysis, strategic resolution, and compliance. Collaborate effectively with internal teams, carriers, and stak...
2 days ago
Commercial Casualty Litigation Adjuster - Remote
$80K - $107K *
Drive the resolution of complex commercial casualty claims through litigation, managing injury cases from investigation to settlement or trial with minimal oversight, collaborating effectively with de...
1 week ago
$90K - $130K *
Grow your career with a dynamic team delivering exceptional claims advocacy. You'll guide clients through the claims process, ensuring compliance and effective communication while preserving their rig...
1 week ago
$66K - $100K *
Join a team that's driving efficiency in claims operations by resolving complex system issues, improving workflows, and delivering user training. Collaborate with IT and help desk teams to enhance pro...
5 days ago
Senior Environmental Claims Adjuster
$121K - $144K *
Unlock potential by leading the adjudication of complex environmental claims, leveraging your expertise to deliver exceptional results and guiding clients through critical decision-making processes in...
Today
Manager, General Liability Claims
$90K - $120K *
Lead and elevate a team handling Commercial General Liability claims, ensuring operational excellence and exceptional service. Drive performance, promote accountability, and foster continuous learning...
1 week ago
Clinical Denials and Appeals RN
$68K - $113K *
Join us to conduct medical necessity reviews and appeals, enhancing care quality through collaboration and expert analysis of clinical documentation and payer regulations, ensuring compliance and impr...
3 weeks ago
Auditor Clinical Validation DRG
$95K *
Empower the auditing process by analyzing inpatient claims and ensuring coding accuracy. Leverage your clinical expertise and advanced coding knowledge to drive quality and productivity in chart valid...
3 days ago
Claims Team Lead - Trucking (APD)
$75K - $95K *
Pioneer a transformative approach in commercial transportation claims, balancing leadership and hands-on support. Leverage technology to enhance team performance and client satisfaction while driving...
1 week ago
Content Analyst II - Drug and Biological Policy
$100K - $125K *
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...
2 weeks ago
$110K - $143K *
Transform compliance operations into audit-ready practices while managing evidence collection and control monitoring across multiple business units. Collaborate closely with security assessors to rein...
3 weeks ago
Auditor Clinical Validation Outpatient Specialty Clinical
$95K *
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...
2 weeks ago
Team Lead - Appeals (Place of Service, Short Stay & Readmission)
$110K - $130K *
Drive audit excellence by leading a team of Clinical Validation Auditors. Optimize performance, ensure quality outcomes, and foster a collaborative environment to support high standards in place of se...
4 days ago
(USA) Manager, Claims Management
$80K - $155K *
Unlock potential by managing claims operations, supervising dispute resolutions, and enhancing compliance. Lead quality assurance initiatives and foster collaboration within teams to drive continuous...
1 week ago
Director, Claims Quality Assurance - Liability Lines
$100K - $130K *
Lead the charge in enhancing claims quality assurance by overseeing audits, establishing standards, and driving continuous improvement across liability claims and TPA interactions, ensuring compliance...
3 weeks ago
$80K - $110K *
Bring your expertise to analyze and optimize Epic PB claims, ensuring effective resolution and compliance. Collaborate with teams to enhance processes and deliver insightful solutions in a dynamic hea...
4 days ago
$51K - $114K *
Accelerate the billing process by ensuring accurate invoices, managing client inquiries, and maintaining relationships with attorneys and clients while coordinating billing cycles to meet deadlines an...
Reposted 1 week ago
$112K - $177K *
Optimize casualty claims outcomes by collaborating with teams, driving strategy, and improving processes. Your expertise will shape high-impact decision-making, directly influencing results and enhanc...
Today