Workers Compensation Claims Team Lead | New York Jurisdiction
$90K - $100K *
Champion the management of Workers Compensation claims, oversee and guide multiple teams, and ensure excellence in adjudication by leveraging your expertise and collaborative skills. Drive innovative...
3 weeks ago
Claims Investigative Specialist
$50K - $117K *
Lead the charge in investigating complex automobile claims, ensuring accuracy and validity through expert analysis. Collaborate with teams to manage the claims process and deliver excellent customer e...
Yesterday
Claim Manager Clinician (Remote)
$79K - $90K *
Oversee the management of Long Term Care claims, ensuring eligibility, communicating with stakeholders, and facilitating resolutions in a remote, fast-paced environment while maintaining compliance wi...
3 weeks ago
Medical Review Auditor (Fraud Waste and Abuse)
$70K - $91K *
Lead the charge in auditing medical records for accurate coding compliance and health plan policies. Prepare detailed reports, conduct relevant research, and maintain knowledge of healthcare guideline...
2 weeks ago
Manager, Construction Defect Claims
$88K - $130K *
Unlock the potential of your leadership by guiding a team of specialists in managing non-complex construction defect claims. Drive quality service, ensure compliance, and enhance processes while foste...
Reposted 3 days ago
$115K - $188K *
Oversee complex cyber claims litigation, ensuring compliance and resolution strategies while collaborating with outside counsel and managing claim files in a dynamic, remote-friendly environment...
4 weeks ago
Claims Examiner, Commercial Trucking | Bodily Injury | Remote
$80K - $85K *
Join our team to analyze and process complex auto and commercial transportation claims, ensuring accurate investigations, liability determinations, and timely resolutions to support our clients and in...
1 week ago
Workers Compensation Claims Examiner | SIP Required
$80K - $100K *
Unlock potential by expertly managing complex workers' compensation claims, ensuring timely resolutions while collaborating with clients and vendors. Engage in a rewarding role focused on innovative s...
1 week ago
Liability Senior Claims Adjuster
$82K - $86K *
Join a team that's dedicated to resolving complex liability claims while ensuring adherence to best practices and regulatory standards. Leverage your expertise to conduct thorough investigations and n...
2 weeks ago
Senior Complex Claim Representative - General Liability
$90K - $110K *
Manage and resolve complex General Liability claims, emphasizing strategic analysis, investigation, and efficient resolutions across diverse programs. Leverage expertise in coverage interpretation and...
Yesterday
Claim Counsel - D&O/Professional Liability
$110K - $135K *
Provide expert guidance in managing high-severity insurance claims, focusing on coverage analysis, strategic resolution, and compliance. Collaborate effectively with internal teams, carriers, and stak...
Yesterday
Commercial Casualty Litigation Adjuster - Remote
$80K - $107K *
Drive the resolution of complex commercial casualty claims through litigation, managing injury cases from investigation to settlement or trial with minimal oversight, collaborating effectively with de...
6 days ago
$90K - $130K *
Grow your career with a dynamic team delivering exceptional claims advocacy. You'll guide clients through the claims process, ensuring compliance and effective communication while preserving their rig...
1 week ago
$66K - $100K *
Join a team that's driving efficiency in claims operations by resolving complex system issues, improving workflows, and delivering user training. Collaborate with IT and help desk teams to enhance pro...
3 days ago
Manager, General Liability Claims
$90K - $120K *
Lead and elevate a team handling Commercial General Liability claims, ensuring operational excellence and exceptional service. Drive performance, promote accountability, and foster continuous learning...
1 week ago
$70K - $116K *
Help us enhance our security posture by monitoring and investigating breaches, identifying vulnerabilities, and implementing best practices. This role is vital for safeguarding digital assets and supp...
1 week ago
Clinical Denials and Appeals RN
$68K - $113K *
Join us to conduct medical necessity reviews and appeals, enhancing care quality through collaboration and expert analysis of clinical documentation and payer regulations, ensuring compliance and impr...
3 weeks ago
Auditor Clinical Validation DRG
$95K *
Empower the auditing process by analyzing inpatient claims and ensuring coding accuracy. Leverage your clinical expertise and advanced coding knowledge to drive quality and productivity in chart valid...
2 days ago
Claims Team Lead - Trucking (APD)
$75K - $95K *
Pioneer a transformative approach in commercial transportation claims, balancing leadership and hands-on support. Leverage technology to enhance team performance and client satisfaction while driving...
1 week ago
Content Analyst II - Drug and Biological Policy
$100K - $125K *
Join a dynamic clinical operations team, driving quality assurance and policy maintenance for Drug and Biological policies. Your expertise will enhance our coding processes and support client inquirie...
2 weeks ago
$110K - $143K *
Transform compliance operations into audit-ready practices while managing evidence collection and control monitoring across multiple business units. Collaborate closely with security assessors to rein...
3 weeks ago
Auditor Clinical Validation Outpatient Specialty Clinical
$95K *
Unlock your potential by auditing outpatient claims. Leverage your clinical and coding expertise to enhance accuracy and improve treatment quality while contributing to innovative auditing solutions i...
2 weeks ago
Property Claims Supervisor (Remote)
$79K - $85K *
Lead a team of property claims adjusters to ensure efficient claims management, compliance, and high-quality outcomes. Provide mentorship, oversee operations, and strengthen client relationships to op...
Reposted 2 weeks ago
Team Lead - Appeals (Place of Service, Short Stay & Readmission)
$110K - $130K *
Drive audit excellence by leading a team of Clinical Validation Auditors. Optimize performance, ensure quality outcomes, and foster a collaborative environment to support high standards in place of se...
3 days ago
Director, Claims Quality Assurance - Liability Lines
$100K - $130K *
Lead the charge in enhancing claims quality assurance by overseeing audits, establishing standards, and driving continuous improvement across liability claims and TPA interactions, ensuring compliance...
3 weeks ago