Claims Specialist Jobs in Costa Mesa, CA

Lead the delivery of mid-market ADML solutions, driving client success and market strategies. Utilize expertise in claims and program management to enhance offerings, mentor teams, and contribute to i...

Optimize your legal and investment expertise as you analyze and support litigation finance portfolios. Collaborate with cross-functional teams to track and evaluate investments, offering insights in a...

Lead advanced financial clearance for complex cases, ensuring compliance with payer requirements while supporting revenue cycle goals through proactive engagement and resource management. Mentor team...

Evaluate and enhance clinical documentation quality. Ensure compliance with regulations while collaborating with medical staff. This role influences patient care and documentation standards in a dynam...

Optimize financial analysis and risk assessment processes to enhance value-based care strategies. Lead a team to drive data-driven decisions in health plan operations while collaborating with cross-fu...

Pioneer profitable property underwriting nationwide by evaluating risks, influencing partnerships, and optimizing premium performance while collaborating with brokers to deliver tailored solutions tha...

Transform our sales team by coaching and developing talent, driving pre-need sales growth, and building community relationships. Utilize your leadership skills to foster a high-performance culture foc...

Analyze and manage underwriting operations for General Construction, driving profitable growth while engaging with brokers, assessing risk, and ensuring compliance with guidelines to support strategic...

Transform healthcare delivery by ensuring appropriate clinical validation and cost-effective care through thorough assessments of medical necessity and collaboration with clinical teams in a virtual s...

Join a team that's redefining Oncology sales by engaging key Hematology customers, driving product goals, and delivering growth through compliant and clinically focused strategies across diverse healt...

Empower families by providing compassionate service for cemetery arrangements. Drive revenue by building relationships and sharing pre-planning benefits, while collaborating with diverse teams to ensu...

Drive the development of insurance product content by managing multi-faceted projects from inception to completion, coordinating resources, timelines, and communications to produce high-quality member...

Shape the future of risk analysis by leading in-depth investigative research and guiding internal teams on regulatory topics. Act as a trusted expert in risk policy, supporting stakeholders and client...

Unlock efficiencies by leading process design and improvements across manufacturing operations. Collaborate with cross-functional teams to enhance quality, stability, and safety through innovative eng...

Lead the charge in compliance operations by analyzing regulations and ensuring adherence to Medicare Pharmacy and Part D standards. Support key initiatives and relationships while conducting audits to...

Join a team that's driving operational excellence by optimizing legal workflows and technology. Be the strategic partner who enhances efficiency, supports corporate governance, and empowers cross-func...

Unlock potential by providing expert risk control consulting services to clients, assessing operational risks, and recommending safety solutions. Collaborate with team members to enhance client relati...

Transform the Commercial Lines department by mentoring leadership, resolving client issues, and driving team performance. Oversee operations, implement training, and adopt innovative technologies for...

Elevate your career by developing and managing project budgets and cost controls for multi-year projects. Collaborate with stakeholders, perform detailed analysis, and drive effective cost management...

Champion growth in the Oncology sector by engaging Hematologists and driving product success through strategic partnerships and expert account management, while adhering to compliance and enhancing he...

Join a team that's dedicated to enhancing patient care by coordinating comprehensive clinical strategies, managing complex case needs, and ensuring high-quality outcomes through collaborative communic...

Strategize innovative protection solutions for the retail sector, collaborating with leading brands to enhance customer experiences. Drive product strategy and lifecycle management while fostering cro...

Shape the future of legal representation by defending insurance claims and ensuring policyholder interests are protected through all stages of litigation – working remotely with occasional court appea...

Grow your career with a dynamic actuarial consulting team, managing health benefits projects for diverse clients. Develop financial strategies, analyze data, and lead junior analysts while enhancing c...

Join a team that's dedicated to enhancing employer health benefits through strategic consulting, managing projects, and delivering data-driven insights for financial and plan optimization. Your analyt...