Claims Specialist Jobs in Dallas, TX

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...

Join the charge in managing complex litigated claims, guiding strategy, and negotiating settlements. Leverage your expertise to achieve timely resolutions while balancing costs and exposure in a dynam...

Unlock potential by leading comprehensive audits, ensuring accurate billing, and mentoring a team of Coding Auditors. You will evaluate documentation, validate coding, manage appeals, and maintain hig...

Drive the claims module for health care projects, providing domain expertise and analysis. Collaborate with teams to ensure quality processes, meet customer expectations, and assist in implementation...

Drive impactful projects by collaborating across teams to enhance operational efficiency and deliver innovative solutions. Leverage your expertise to influence strategic decisions and contribute to a...

Champion innovative risk adjustment solutions by leveraging deep expertise to enhance payer and provider strategies. Collaborate with cross-functional teams to deliver impactful presentations and driv...

Lead the resolution of high-severity casualty claims, managing complex investigations and settlements while collaborating with stakeholders to ensure effective communication and compliance with legal...

Lead the charge in case management by overseeing complex pharmacy reimbursement processes, ensuring timely completion of cases, and advocating for patients while collaborating with healthcare provider...

Transform the underwriting landscape by leading complex submissions and shaping product guidelines. Leverage your expertise to refine strategies, collaborate with cross-functional teams, and drive imp...

Unlock potential by providing expert risk assessments for affluent homes. Combine technical knowledge with a consultative approach to educate clients on risks, develop tailored prevention strategies...

Lead the charge in managing complex construction claims, focusing on high-exposure commercial liability issues. Utilize expertise in CGL and liability strategies to drive timely resolutions while guid...

Transform enterprise learning by leading a team to design impactful solutions. Drive employee development, align training with business goals, and optimize learning technologies for enhanced performan...

Elevate your career by analyzing complex litigation claims, ensuring timely resolutions, and delivering exceptional client service in a dynamic, supportive environment. Join a global leader committed...

Shape the future of healthcare reimbursement by developing and implementing payment policies that enhance accuracy, compliance, and provider experience in a dynamic payer environment. Collaborate with...

Lead complex construction claims, managing high-exposure cases end-to-end. Drive strategy, coordinate investigations, and collaborate with legal teams to achieve timely resolutions. Enjoy autonomy and...

Elevate your career as a senior claims specialist, resolving complex injury claims through investigation and collaboration. Engage with diverse stakeholders to determine coverage and liability while b...

Transform complex claims management by leading investigations, negotiations, and resolutions for high-stakes Public D&O and Financial Institutions E&O claims, ensuring exceptional service and complian...

Join a dynamic team as a Medical Claims Auditor, ensuring compliance and integrity in healthcare payments. Collaborate with cross-functional teams to identify fraud, waste, and abuse while leveraging...

Drive the substantiation of health claims for dietary supplements by reviewing scientific evidence and collaborating with cross-functional teams to ensure compliance with regulatory standards and enha...

Transform client payment policies by ensuring accuracy and compliance. Engage with internal and external teams to manage medical policy updates, conduct analyses, and enhance client relationships whil...

Transform the payments landscape by ensuring compliance and mitigating risk. As a key player, you'll review merchant applications, analyze transactions, and enhance fraud detection systems, all while...

Unlock your potential as a key investigator, analyzing complex fraud cases and leveraging data to protect assets. Collaborate with teams and external partners to dismantle fraudulent networks while en...

Lead the charge in executing the Medicare Compliance Advisory program, ensuring adherence to CMS regulations. Collaborate with stakeholders to provide regulatory guidance, assess compliance risks, and...

Help us drive impactful reserving strategies by leveraging actuarial expertise and analytical skills. Collaborate with management and partners to execute projects that enhance business goals through e...

Join a team that's dedicated to optimizing workers' compensation claims and return-to-work initiatives. Lead strategic oversight, enhance program performance, and support injured employees in their re...