Claims Specialist Jobs in Fresno, CA

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...

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...

Support clients by analyzing risks, designing solutions, and providing expert insurance recommendations. Lead a team to enhance client service, negotiate terms, and develop strategies, ensuring alignm...

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...

Advance your career by guiding a team in processing medical claims. Ensure compliance with laws and standards while identifying process improvements to enhance performance and quality in medical neces...

Unlock potential by ensuring accurate clinical documentation through secondary chart reviews and effective collaboration across healthcare teams, fostering compliance and quality patient care in a dyn...

Lead compliance and ethics investigations across diverse business units, ensuring adherence to regulations and internal policies. Collaborate cross-functionally, prepare reports, and recommend actions...

Deliver impactful leadership by overseeing claims operations and clerical teams. Manage utilization reviews, enhance workflow, and ensure compliance with performance standards while fostering a motiva...

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...

Bring your expertise to analyze and optimize Epic PB claims, ensuring effective resolution and compliance. Collaborate with teams to enhance processes and deliver insightful solutions in a dynamic hea...

Accelerate the billing process by ensuring accurate invoices, managing client inquiries, and maintaining relationships with attorneys and clients while coordinating billing cycles to meet deadlines an...

Optimize casualty claims outcomes by collaborating with teams, driving strategy, and improving processes. Your expertise will shape high-impact decision-making, directly influencing results and enhanc...

Transform the management of high-severity claims by providing expert analysis and strategic resolution for EPL and Professional Liability cases while ensuring compliance with all regulations and guide...

Help us analyze and optimize medical policies while providing key insights across clinical operations. Collaborate with teams to ensure effective policy development and quality assurance, enhancing ou...

Drive operational excellence in claims management, leading teams to achieve superior customer experiences and implement strategic initiatives for growth and improvement in property and liability claim...

Drive efficient Commercial Property Claims management, ensuring compliance and quality service. Collaborate with stakeholders, negotiate settlements, and deliver optimized outcomes in a remote, full-t...

Shape success by driving sales, managing client relationships, and mastering your insurance expertise. Deliver results through proactive outreach and collaboration for sustainable business growth and...

Drive operational excellence by leading a large Auto Claims team, ensuring effective claims handling, compliance, and superior customer service while fostering talent development and cross-functional...

Join us to lead strategic operations for a dynamic team, driving efficiency and process improvements. You will oversee budgeting, staff development, and policy changes, ensuring alignment with broader...

Join our team as a Sr. Field Adjuster, specializing in homeowner claims. You will investigate, evaluate, and settle high-complexity claims, overseeing both in-person and virtual assessments, while col...

Lead the charge in optimizing clinical appeals processes, ensuring compliance and high-quality outcomes. Manage a skilled team while collaborating with stakeholders to enhance operational effectivenes...

Shape the future of claims management by providing strategic oversight and guidance for contingent claims. Ensure quality decision-making through monitoring and advisory support in small claims matter...

Join our dynamic Casualty Underwriting team to cultivate profitable partnerships with wholesale brokers, leveraging your extensive E&S industry experience to deliver innovative solutions and enhance r...

Lead billing operations while ensuring accuracy, compliance, and team efficiency. Optimize workflows, enhance customer service, and manage the integration of systems in a collaborative environment foc...

Contribute to enhancing casualty claims quality and consistency through thorough audits, performance evaluation, and process improvements. Collaborate with teams to uncover insights, ensure compliance...