Claims Specialist Jobs in Brea, CA

Join a team that's dedicated to patient safety by ensuring the integrity and accuracy of clinical data. Support quality reporting efforts while collaborating across departments to enhance health outco...

Advance pediatric healthcare by ensuring comprehensive coding compliance and accuracy. Collaborate with clinical teams to identify and resolve discrepancies while educating staff on coding practices i...

Advance the compensation function through strategic AI application, enhancing processes and decision-making. Collaborate with stakeholders to modernize systems, ensuring operational excellence and com...

Shape the future of healthcare by advising on patient care risk issues, spearheading risk management strategies, and ensuring compliance with legal standards to minimize claims while enhancing clinica...

Transform enterprise-wide revenue cycle operations by leading acute access strategies, enhancing patient experience while driving operational efficiencies. Collaborate with stakeholders to innovate an...

Drive operational excellence by strengthening risk practices and enabling data-driven decisions. Collaborate with business teams and provide strategic oversight while enhancing controls for compliance...

Elevate coding standards by leading a team of professionals to ensure quality, compliance, and efficiency in medical coding services. Foster staff development and implement process improvements in a d...

Partner with us to manage the coding department's daily operations, ensuring quality, efficiency, and compliance while supporting staff development and enhancing workflow processes for accurate billin...

Join our dynamic Restructuring & Dispute Resolution team to engage in SPA financial analysis. Collaborate with experienced professionals while gaining expertise in M&A transactions, advising on financ...

Join a team that's shaping the financial mechanics of M&A transactions. As a Senior Associate, you will lead SPA financial analysis and collaborate with diverse professionals while delivering impactfu...

Unlock potential by driving oncology product sales through effective territory management, client relationship building, and strategic planning to maximize utilization in a competitive market while su...

Empower clients by managing and enhancing Workers' Compensation services, driving strategic initiatives, fostering partnerships, and delivering high-quality analytics to improve claim outcomes and cli...

Manage client relationships, optimize clinical programs, and drive healthcare strategy. Utilize expertise in Medicare Part D to ensure seamless service delivery and collaboration across departments, e...

Play a key role in enhancing our data protection strategy by managing and optimizing the Data Loss Prevention (DLP) program across complex network environments, ensuring sensitive data remains secure...

Unlock the potential of students with disabilities by coordinating essential services and accommodations, providing guidance and support for academic success, and ensuring compliance with federal and...

Build your expertise in a remote actuarial role where you enhance life insurance models, analyze results, and support strategic initiatives while collaborating across functions to drive innovation and...

Lead the charge in underwriting complex middle market risks while building broker relationships and managing a profitable book of business. Use your expertise in loss sensitive structures to deliver s...

Shape the future of compliance by leading the Special Investigations Unit, overseeing investigative strategies, and ensuring adherence to fraud, waste, and abuse regulations for enhanced operational i...

Drive comprehensive care coordination for members with chronic needs, optimizing health outcomes through effective nursing assessments, collaboration, and education while maintaining a strong focus on...

Accelerate patient care by supervising department operations, driving quality improvement, and fostering teamwork to enhance service delivery while ensuring compliance with all regulatory standards...

Shape the future of innovative insurance products! Collaborate with a dynamic team to analyze business trends, enhance product offerings, and drive growth in a fast-paced environment. Elevate your car...

Advance client relationships by leading project teams and fostering collaboration. Drive innovative solutions and mentor junior team members to enhance agency performance and deliver exceptional resul...

Champion effective oversight of multi-line claims operations while leading and developing a high-performing team. Collaborate cross-functionally to implement cost containment strategies and ensure sup...

Oversee and enhance outpatient case management programs, ensuring compliance and quality outcomes. Lead staff coaching and program operations, collaborating across teams to deliver effective care coor...

Drive impactful leave and disability management initiatives, overseeing compliance, strategic operations, and the development of a dedicated team to enhance employee experience and ensure regulatory a...