Claims Specialist Jobs in Alpharetta, GA

Empower your career by analyzing and settling insurance claims while ensuring compliance with policy provisions and laws. Collaborate with diverse stakeholders and leverage your expertise to drive eff...

Lead the charge in overseeing claims compliance activities, enhancing operational quality, and ensuring audit readiness. Collaborate cross-functionally to identify gaps, monitor KPIs, and drive improv...

Champion operational excellence by leading business analysis initiatives, driving process improvements, and aligning solutions with strategic goals to enhance efficiency and effectiveness across the o...

Reimagine claims management by leading a dynamic team to drive superior outcomes through effective resource allocation, strategic partnerships, and innovative technology. Foster a culture of accountab...

Transform your career by leading a dynamic team in managing complex Commercial Casualty claims. Drive superior outcomes through effective workforce management, collaboration, and innovative technology...

Champion property claims excellence in a remote role focused on investigative work and settlement within the OH territory, managing losses mainly between $25,000 and $100,000 while supporting catastro...

Drive the success of multiple claims teams by supervising operations, providing technical guidance, and ensuring quality standards. Collaborate with management to enhance processes and maintain strong...

Elevate compensation strategies by transforming complex data into actionable insights. Collaborate with stakeholders to manage compensation programs, analyze trends, and recommend solutions that ensur...

Lead the charge in transforming claims management by leveraging your expertise to drive data-informed decisions, enhance processes, and foster collaboration across teams, ensuring exceptional service...

Optimize patient access by educating healthcare providers on reimbursement processes. As a Field Reimbursement Specialist, you'll navigate complex insurance challenges, ensuring patients receive speci...

Lead the charge in enhancing patient access to specialty medications by educating healthcare providers on reimbursement processes and resolving access barriers. Your expertise will bridge the gap betw...

Optimize compliance processes by leveraging your expertise in Medicare regulations. Collaborate with leadership to ensure adherence to CMS requirements, conduct risk assessments, and support audit rea...

Help us manage complex commercial general liability claims, including high-exposure litigated matters. You'll analyze coverage, develop resolution strategies, and collaborate with defense counsel to e...

Drive accurate, evidence-based clinical claims while collaborating with Marketing, Legal, and Clinical teams. Build and manage the claims framework and evidence library to support bold, compliant mark...

Innovate data solutions by developing complex reports and analyses to support senior management and client needs. Collaborate with teams to enhance data literacy and provide technical guidance across...

Drive compliance excellence by executing the Medicare Compliance Advisory program, ensuring adherence to CMS regulations. Collaborate with leadership to provide regulatory guidance, conduct audits, an...

Drive automation and AI initiatives in claims operations, enhancing efficiency and accuracy. Lead a team to optimize workflows, manage vendor performance, and ensure compliance while delivering measur...

Empower client success by managing key multinational accounts, driving growth through tailored claims solutions, and fostering strategic relationships. Collaborate across teams to enhance client exper...

Lead your career with a pivotal role in technical claim-handling, overseeing investigations and negotiations for complex property claims. Mentor team members and support audits while ensuring complian...

Advance your career by auditing outpatient and specialty claims, ensuring coding accuracy and compliance. Leverage your clinical and coding expertise to enhance audit processes and contribute to quali...

Join a team that's shaping compliance strategies in insurance operations. Lead complex investigations, manage regulatory relationships, and drive systemic improvements while mentoring a dedicated team...

Lead the charge in supervising complex commercial casualty claims, ensuring effective management of 1st and 3rd party claims across multiple states. Drive operational excellence and foster team develo...

Advance your career by leading the Claims Domain for MMIS health care projects. Drive analysis, documentation, and quality processes while collaborating with clients and development teams to meet cust...

Drive impactful data mining initiatives by analyzing complex claims across Medicare, Medicaid, and Commercial sectors. Leverage your expertise to identify anomalies and enhance recovery opportunities...

Engage healthcare providers and drive commercial performance in a defined territory. Collaborate with cross-functional teams to support product launches and ensure patient access to innovative therapi...