Claims Specialist Jobs in Irvine, CA

Unlock your potential by optimizing clinical review processes to ensure quality medical care. Collaborate with teams to support effective member services and compliance while enhancing outcomes throug...

Tackle clinical member services reviews, ensuring medical necessity aligns with guidelines and regulations. Collaborate with teams to promote effective care delivery while maintaining compliance and c...

Join a team that's dedicated to ensuring smooth customs operations, overseeing compliance, and leading a skilled team. Empower your leadership skills while enhancing client relations and maintaining r...

Lead and optimize investment accounting strategies, ensuring governance and compliance while enhancing reporting and team performance. Drive innovations in processes and technology to support business...

Engineer robust data loss prevention strategies to safeguard sensitive information across cloud, endpoints, and networks. Collaborate with teams to enhance cybersecurity defenses while ensuring compli...

Contribute to enhancing member care by assessing services for medical necessity, compliance, and cost-effectiveness. Collaborate with multidisciplinary teams to optimize outcomes and adhere to clinica...

Grow your career with a pivotal role overseeing remote clinical operations, coaching your team to excellence while collaborating with care providers. Manage performance and ensure quality client care...

Transform the future of employment law by driving impactful litigation cases. Leverage your expertise in federal and state wage disputes and workplace investigations while collaborating with diverse t...

Unlock effective care management as you lead interdisciplinary teams to engage high-risk populations, coordinate resources, and ensure holistic health solutions for individuals and families with compl...

Drive impactful decision-making by developing robust analytical tools and frameworks. Collaborate with senior leaders to address business needs through innovative solutions, while enhancing your exper...

Lead and manage complex commercial insurance programs, ensuring profitability and strategic alignment. Oversee underwriting, client relationships, and operational performance while driving growth and...

Lead the management of complex litigation cases while supervising outside counsel, ensuring adherence to corporate guidelines and professional responsibility codes. Collaborate with a dynamic legal te...

Join a dynamic team as you oversee daily lab operations, manage staff, ensure compliance with regulations, and uphold quality standards in a diverse environment. Your leadership will drive efficiency...

Tackle Medicare/Medicaid Program Integrity challenges by developing educational materials, ensuring compliance, and guiding stakeholders on fraud, waste, and abuse strategies to enhance the integrity...

Shape the future of healthcare by providing vital case management support and coordination for members in need, ensuring quality care and effective resource utilization across various health services...

Unlock potential by optimizing scheduling workflows and enhancing patient access, collaborating with teams to analyze data and implement improvements, ensuring service excellence in healthcare operati...

Champion innovation and strategy in utilization management, leading product vision and development. Drive transformative solutions to enhance healthcare efficiency while collaborating with cross-funct...

Drive innovation and strategy in Life New Business and Underwriting solutions, leading cross-functional teams to develop and commercialize products that enhance growth and market influence in the Life...

Drive sales success by establishing strong customer relationships and securing contracts through effective direct and indirect methods. Utilize your expertise to forecast sales volumes and collaborate...

Unlock potential by leading corporate accounting and financial reporting initiatives. Collaborate with executive leadership to drive efficiency, ensure compliance, and implement technical accounting s...

Drive performance improvement in healthcare systems as a Senior Consultant, collaborating with team members to lead data analysis, client engagements, and solution development. Manage workstreams, pre...

Drive portfolio risk management by ensuring accuracy in credit actions, guiding credit decisions, and collaborating with teams for a streamlined underwriting process across diverse commercial real est...

Drive your career forward by managing portfolio risk and ensuring accurate credit actions. Collaborate with cross-functional teams to underwrite diverse commercial real estate assets while participati...

Accelerate enterprise-wide risk management and patient safety strategies, driving initiatives across all care settings. Collaborate with leaders to foster a culture of safety, compliance, and continuo...

Drive revenue growth by expanding client acquisition and enhancing existing relationships. Collaborate effectively with internal teams while strategically navigating challenges to meet ambitious sales...