Claims Specialist Jobs in Houston, TX

Play a key role in enhancing our Capitation Adjudication platform by leveraging your payer experience to guide product improvements and ensure alignment with client needs, collaborating across teams t...

Engage your expertise in evaluating complex liability claims, ensuring thorough investigation, negotiation, and resolution. Collaborate with internal teams and external clients, delivering exceptional...

Manage and lead a long-term care management team, enhancing healthcare outcomes through strategic oversight, policy compliance, and cross-functional collaboration. Drive quality care and cost-effectiv...

Unlock new opportunities by driving revenue growth through client acquisition and relationship expansion. Engage mid-market organizations using consultative selling techniques to create tailored solut...

Lead the charge in enhancing customer service and claims excellence for Short-Term Disability and Paid Leave claims. Foster team performance, build relationships, and drive improvements while ensuring...

Lead the charge in ensuring compliance with Medicare cost reporting, supervising audits and settlements. Develop teams and strategies to meet all CMS standards while enhancing efficiency and accuracy...

Join us to lead medical management and quality improvement initiatives, driving improvements in care and cost-effectiveness. Collaborate with clinical teams and participate in network development to e...

Help us refine risk management strategies by engaging with brokers, underwriting policies, and analyzing data to enhance growth and profitability in a dynamic environment. Join a passionate team dedic...

Shape the future of insurance litigation by independently managing complex cases, mentoring junior attorneys, and advocating for clients with confidence and expertise. Handle diverse litigation tasks...

Manage complex specialty vehicle damage claims while providing training and expert guidance. Ensure quality assurance and effective communication throughout the claims process, leveraging industry kno...

Lead and optimize prepayment claims auditing programs, ensuring accurate payments and compliance while overseeing a multidisciplinary team and collaborating with internal and external stakeholders...

Reimagine underwriting processes and enhance business profitability within the Staffing/Healthcare Vertical through expert risk assessment and team collaboration, ensuring compliance and high-quality...

Drive the transformation of billing processes by owning end-to-end revenue management, leading system implementation, and automating workflows to enhance efficiency and visibility for leadership...

Shape the future of healthcare by driving risk adjustment solutions that enhance interoperability, improve documentation accuracy, and ensure compliance across Medicare, Medicaid, and ACA programs thr...

Drive market leadership within assigned U.S. geography, delivering top-tier ADML services to mid-market clients. Help build and scale a unique offering, ensuring client success through strategic proje...

Innovate claim resolution strategies while managing lower complexity claims. Collaborate with stakeholders to ensure smooth processes and provide legal insights within a national scope, enhancing cust...

Join our dynamic team as you empower clients to achieve financial freedom while driving your own income potential in a fast-paced, remote environment. Your passion and experience will help transform l...

Ensure accuracy and efficiency in generating trade confirmations for energy contracts. Collaborate with multiple teams to enhance processes and mitigate risks while supporting the trade lifecycle from...

Take ownership of client relationships while driving account growth through strategic renewals, upsells, and cross-sells. Utilize your strong communication and negotiation skills to enhance D&B's sale...

Unlock the potential of responsible AI governance by overseeing enterprise-wide frameworks ensuring regulatory compliance, standard adherence, and ongoing monitoring across business units while foster...

Manage complex large loss property claims, overseeing investigation, negotiation, and resolution processes while collaborating with stakeholders to ensure timely settlements and customer satisfaction...

Unlock the power of data analytics by developing insights to enhance business strategies and optimize contract performance across diverse customer segments while collaborating with teams to drive oper...

Champion actuarial excellence by analyzing complex data to forecast risks, enhancing profitability through pricing models, and training junior analysts, all while adhering to professional standards an...

Analyze and drive impact as a Senior Compensation Consultant, leading complex compensation programs and strategies. Collaborate with HR and business leaders to implement data-driven solutions and enha...

Unlock potential by leading actuarial modernization initiatives for life insurance and annuity clients. Collaborate with cross-functional teams to drive business transformation through innovative anal...