Workers Compensation Claims Team Lead | New York Jurisdiction
$90K - $100K *
Champion the management of Workers Compensation claims, oversee and guide multiple teams, and ensure excellence in adjudication by leveraging your expertise and collaborative skills. Drive innovative...
4 weeks ago
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...
3 weeks ago
$75K - $95K *
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...
Today
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 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...
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...
2 weeks ago
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...
3 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...
6 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...
6 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
Commercial Lines Renewal Marketing Specialist
$90K - $115K *
Empower clients by managing the marketing process for commercial renewals. Collaborate with sales and service teams to ensure comprehensive coverage solutions, negotiate terms, and deliver seamless ac...
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...
1 week 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...
4 days ago
Supervisor Clinical Appeals/UM
$77K - $129K *
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...
Today
Claims Advisor, Professional Liability | Medical Malpractice
$100K - $125K *
Take ownership of complex medical malpractice claims to ensure timely resolution, manage costs, and maintain high customer satisfaction while leading case management in compliance with standards and b...
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...
2 weeks 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...
4 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...
1 week 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...
2 weeks 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...
3 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...
4 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
Commercial Lines Senior Casualty Consultant
$135K - $200K *
Support clients by analyzing risks, designing solutions, and providing expert insurance recommendations. Lead a team to enhance client service, negotiate terms, and develop strategies, ensuring alignm...
2 days 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...
1 week ago