Claims Specialist Jobs in Durham, NC

Transform the Workers' Compensation landscape by leveraging your expertise and established client relationships. This senior role demands strategic thinking and effective writing to deliver impactful...

Drive the success of our Workers' Compensation group by leveraging your expertise and book of business, while collaborating with a skilled team to provide excellent legal representation and strategic...

Empower enterprise transformation by defining a multi-year strategy for claims, collaborating across functions to enhance efficiencies and drive technology improvements, ensuring alignment with busine...

Transform healthcare processes by leading Risk Adjustment and Quality/HEDIS initiatives. Manage and mentor teams, ensuring compliance and excellence in coding practices while implementing strategic im...

Drive strategic resolution of high-end litigation cases involving complex injuries and coverage issues. Collaborate with legal teams and stakeholders to evaluate, negotiate, and settle claims while en...

Join a vital interdisciplinary team to enhance healthcare for at-risk populations through expert management and care coordination. Focus on improving patient outcomes while reducing costs across diver...

Pioneer innovative Medicaid coverage strategies, driving multi-state initiatives in eligibility and documentation. Collaborate cross-functionally to enhance member support and outcomes in line with dy...

Elevate patient safety by investigating post-market complaints and collaborating with cross-functional teams to enhance product effectiveness. Utilize clinical knowledge and insights to ensure complia...

Drive financial performance by managing revenue cycle processes in infusion centers, collaborating with clinical teams to ensure accurate reimbursement, and continuously improving efficiency and effec...

Bring your expertise to lead our Insurance Program, overseeing operations, managing teams, and driving process improvements. Collaborate cross-functionally to enhance client experiences and ensure com...

Empower individuals by delivering financial education and guiding clients through personal finance topics. Collaborate with teams to create impactful programming while ensuring a top-notch customer ex...

Unlock potential by leading complex investigations and regulatory inspections in biologics manufacturing. Collaborate across teams to ensure compliance, improve processes, and prepare for audits while...

Elevate security standards and compliance practices while leading risk assessments and audits. Engage with customer security needs and manage cross-functional initiatives, driving relentless improveme...

Elevate healthcare access by managing complex prior authorization processes. Contribute to improving outcomes for vulnerable populations by streamlining workflows, training teams, and resolving issues...

Support growth and adoption as a Clinical Specialist, responsible for case coverage and strategic engagement with healthcare professionals to enhance procedural utilization and build strong account re...

Partner with us to elevate CMiC application support, ensuring user satisfaction through effective incident management and troubleshooting while collaborating across business functions for continuous i...

Elevate underwriting excellence by leading a team, analyzing complex data, and enhancing profitability through innovative strategies while mentoring staff to achieve targeted outcomes...

Drive your career forward by ensuring regulatory compliance and enhancing operational efficiency in the financial services sector, focusing on suitability standards for life insurance and investment p...

Elevate your career by leading a dynamic team in optimizing Revenue Cycle Management. Drive operational excellence, enhance customer experience, and implement strategic initiatives in a hybrid work mo...

Join a dynamic team as you leverage your actuarial expertise to develop innovative solutions in pricing, reserving, and financial modeling, while collaborating across departments to influence strategi...

Empower policyholders by delivering expert risk management consultations, identifying hazards, and enhancing safety protocols. Collaborate across teams to drive growth while fostering strong client re...

Analyze, evaluate, and enhance internal controls within a dynamic insurance environment. Conduct complex audits to ensure compliance with regulatory and governance standards while promoting a culture...

Collaborate with key Oncology customers to deliver impactful, clinically-focused messaging and drive revenue growth for Multiple Myeloma products, while strategically managing accounts and ensuring co...

Champion global regulatory strategies by leading diverse teams in navigating complex approval processes for medical devices. Drive compliance and ensure optimal product launch pathways while addressin...

Optimize business development by cultivating relationships with TPAs/Brokers, driving sales and marketing initiatives within your designated territory to expand our client base and manage ongoing acco...