Claims Specialist Jobs in Irvine, CA

Transform complex claims resolutions by autonomously managing high-stakes litigation and training team members. Leverage your expertise to negotiate settlements and communicate effectively with stakeh...

Lead and elevate a team handling Commercial General Liability claims, ensuring operational excellence and exceptional service. Drive performance, promote accountability, and foster continuous learning...

Partner with us to enhance our information security efforts by supporting risk management, compliance, and audit activities, ensuring a secure environment for company data and customer assurance while...

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...

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...

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...

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...

Lead the charge in analyzing and processing workers' compensation claims, ensuring timely resolutions while upholding best practices. Collaborate across teams to deliver exceptional service and innova...

Manage and resolve complex commercial claims efficiently, ensuring compliance and optimal customer service while collaborating with internal and external stakeholders to strategize effective solutions...

Manage complex U.S. Healthcare claims and provide strategic insights. Collaborate cross-functionally to support underwriting, legal review, and reporting. Drive effectiveness in claim processes and co...

Transform client service excellence as a leader guiding national teams, driving strategic growth, and fostering strong partnerships while optimizing customer experience and retention across enterprise...

Lead a high-performing national team, driving strategic direction and service excellence in Client Services. Enhance client retention and relationships, while fostering a client-centric culture and op...

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...

Analyze and enhance clinical documentation integrity while ensuring accurate coding in Medicare Advantage. Collaborate with medical staff, conduct audits, and provide targeted educational materials to...

Champion growth by driving sales excellence, managing client relationships, and utilizing innovative marketing tools to achieve targets while ensuring renewal success and compliance with best practice...

Join a dynamic team to drive sales growth, manage client relationships, and leverage expertise. Utilize innovative marketing tools and strategies to meet goals and ensure high renewal rates within a f...

Pioneer a dynamic claims management team, ensuring optimized processes and top-tier customer satisfaction through effective leadership and guidance for personal auto claims handling...

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...

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...

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...

Shape the future of complex liability consulting by leveraging your expertise to maximize client recoveries through strategic negotiation and advanced analysis of insurance coverage for high-value cla...

Join a team that's empowering clients through strategic insurance solutions for complex liabilities. You'll leverage technical expertise to enhance recoveries and navigate intricate claim scenarios, m...

Champion legal support by aiding in complex litigation processes, conducting research, and collaborating with attorneys to ensure timely and accurate case management. Bring your skills to a dynamic te...

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