Claims Specialist Jobs in Durham, NC

Champion compliance excellence in Leave Management and Disability services. Collaborate cross-functionally to ensure Voya’s offerings remain compliant, guiding clients through regulations and deliveri...

Take ownership of client relationships by managing onboarding, service delivery, and satisfaction. Collaborate with cross-functional teams to ensure seamless operations and continuous improvement whil...

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...

Engage with healthcare professionals to provide clinical and technical support for EP products. Foster relationships, lead training, and enhance product utilization while ensuring effective processes...

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...

Lead the creation of member enrollment content, focusing on welcomed kits, by collaborating with experts, managing projects, and ensuring effective communication across teams to enhance compliance and...

Investigate and resolve potentially fraudulent claims. Collaborate with law enforcement and provide insights to claims staff. Stay updated on legislation and document investigations for legal proceedi...

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...

Champion compliance and inspection management, ensuring inspection readiness and continuous improvement in quality systems. Collaborate with site leadership to uphold regulatory standards and drive a...

Lead the charge in driving insurance sales performance and premium growth within the automotive finance sector. Collaborate across teams to enhance product offerings and strategically influence embedd...

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...

Unlock potential by providing expert medical review and claims analysis, ensuring compliance and payment determinations for Medicare services. Collaborate with teams to safeguard high-quality service...

Shape the future of clinical trials by monitoring compliance, managing site activities, and ensuring data integrity. Mentor junior CRAs while collaborating with teams to uphold regulatory standards in...

Empower clinical documentation integrity by collaborating with teams to enhance compliance, optimize provider education, and ensure adherence to coding guidelines, ultimately improving risk adjustment...

Engage with diverse teams to lead coding operations, ensuring compliance and efficiency while driving financial performance in a fast-paced healthcare environment with a focus on continuous improvemen...

Shape the future of contract management by overseeing contract lifecycles, ensuring compliance, and driving improvements in data management and policy development while collaborating with internal and...

Transform client outcomes by leveraging analytics and market intelligence to develop strategic insights. Collaborate with cross-functional teams to enhance program performance in managed care, ensurin...

Shape the future of healthcare consulting by utilizing your expertise in revenue cycle operations to enhance performance, drive financial improvement, and provide strategic guidance to healthcare orga...

Lead the charge in evaluating, pricing, and managing medical underwriting for a diverse book of business, serving as a subject matter expert and mentor while ensuring high standards of productivity an...

Join a dynamic team to design and build a comprehensive metrics store, enabling data-driven insights across business functions while shaping API layers to enhance analytics engineering practices for a...

Lead the charge in developing clinical reimbursement strategies and editing solutions. Collaborate with cross-functional teams to enhance payment integrity, optimize financial performance, and ensure...

Deliver innovative pricing solutions as an Actuarial Analyst, leveraging statistical analysis to enhance insurance models. Collaborate with teams to ensure compliance and execute complex projects that...

Transform regional marketing efforts by developing and executing impactful multi-channel campaigns that enhance brand awareness, drive lead generation, and optimize customer engagement in a fast-paced...

Lead and develop a high-performing investigative team, overseeing case management, investigative quality, and compliance with standards. Collaborate with various stakeholders to ensure alignment with...