Claims Specialist Jobs in Brea, CA

Oversee the management and quality control of clinical trial documentation within the electronic Trial Master File, ensuring compliance and readiness across cross-functional teams to facilitate effect...

Engage with a dynamic team to optimize claims management and ensure adherence to best practices, overseeing a unit of specialists. Drive trend analysis and foster collaboration for effective claims pr...

Champion a team of Claim Specialists, guiding complex claims processes, monitoring trends, and implementing strategies to optimize claims management in alignment with departmental objectives and regul...

Drive efficient collections processes by managing client accounts and resolving payment issues while collaborating closely with internal teams to maintain accurate records and foster strong client rel...

Manage onboarding projects to ensure a seamless client experience while collaborating with vendors and internal teams. This role requires problem-solving, effective communication, and the ability to m...

Manage and enhance client relationships in private capital, delivering tailored insurance solutions while driving business growth and risk management strategies to ensure comprehensive protection and...

Join a team that's dedicated to managing a diverse book of commercial accounts, ensuring exceptional customer service, retention, and continuous improvement while leading a motivated account managemen...

Join a team that's at the forefront of healthcare technology, bridging customer needs with innovative solutions. Bring your expertise in risk adjustment and product engagement to drive real impacts in...

Optimize provider contracts management for various healthcare services. Drive collaboration across departments to enhance operational efficiency and foster effective provider relationships while ensur...

Elevate your career by underwriting innovative casualty reinsurance solutions, assessing risks, and managing portfolios to drive profitability and growth while collaborating with brokers and internal...

Transform your career by leading a high-performing sales team focused on innovative retail and commercial solutions. Drive growth through strategic market opportunities and executive relationships in...

Empower a team of claims adjusters in adjudicating complex construction defect claims. Leverage your expertise to lead strategic initiatives, mentor staff, and enhance client outcomes in a dynamic, re...

Lead a dynamic team of claims handlers to adjudicate complex construction defect claims, ensuring top-notch resolutions while providing mentorship and strategic direction to optimize performance and c...

Champion underwriting strategies within a multi-disciplinary team, managing a block of stop loss business. Engage in pricing, risk analysis, renewals, and supporting new business to meet financial tar...

Analyze legal bill audits and improve billing processes across multiple practice areas. Leverage legal expertise to communicate billing issues effectively with panel firms and enhance cost containment...

Drive the development and implementation of innovative insurance products in life sciences, collaborating across teams to meet market needs. Lead the drafting of coverage language while analyzing comp...

Deliver exceptional customer service by enhancing relationships and servicing key accounts. Drive growth through effective sales techniques and collaboration, while providing targeted solutions to mee...

Contribute to operational excellence in a leading health organization. Leverage your revenue cycle expertise to analyze complex data, optimize workflows, and ensure compliance with regulations. Strive...

Drive optimal claim resolution by investigating and negotiating high-severity property claims. Oversee the full claim lifecycle while ensuring compliance with quality standards and state regulations...

Join a team focused on investigating healthcare fraud, ensuring compliance, and recovering lost funds. Leverage your expertise in complex cases, collaborate with law enforcement, and contribute to sha...

Drive strategic marketing initiatives across diverse business lines, managing multi-channel campaigns and fostering collaboration among stakeholders. Enhance digital marketing efforts while ensuring b...

Collaborate with cross-functional teams to monitor and execute programs, providing strategic insights and detailed reporting to ensure alignment with project goals and successful outcomes...

Shape the future of claims management by overseeing professional and general liability claims operations, driving teamwork, compliance, and effective communication across regions to enhance patient sa...

Champion compliance excellence by supporting insurance operations, enhancing training, and resolving regulatory issues. Collaborate with leaders to ensure process integrity and maintain compliance acr...

Analyze and validate Medicare Advantage member medical records to ensure accurate risk adjustment submissions to CMS. Collaborate with healthcare providers and improve coding quality for optimal reimb...