Claims Specialist Jobs in Los Angeles, CA

Shape the future of patient care by leading a dynamic team in prior authorization management, ensuring compliance and quality in healthcare delivery while driving program development and operational e...

Join a dynamic team to analyze and resolve conflicts of interest, ensuring compliance and ethical standards in new business and lateral hires. Collaborate with attorneys to deliver precise conflict ch...

Shape the future of marketing strategies by analyzing trends, collaborating with sales, and executing campaigns that foster brand engagement and growth, while measuring performance to adapt for optima...

Drive quality data management by leading a skilled team to optimize operations, ensuring compliance and accuracy in delivering HEDIS and Survey data to stakeholders while fostering performance improve...

Manage complex workers' compensation cases, providing litigation services and strategic legal advice. Lead case handling from investigation to trial, ensuring optimal outcomes while mentoring support...

Join a team that's dedicated to delivering exceptional insurance solutions. Leverage your expertise in client relations and insurance markets to manage complex accounts and ensure high-quality service...

Analyze provider network data to ensure accuracy and compliance. Collaborate with teams to maintain critical information, generate reports, and support quality improvement initiatives in provider admi...

Join a team that's redefining account management by driving growth and retention for complex health systems. Build strategic relationships with C-suite executives and lead cross-functional teams to de...

Champion life underwriting transformation initiatives by analyzing requirements, facilitating project lifecycles, and collaborating with cross-functional teams to enhance operational excellence and im...

Empower a team of Actuarial Analysts and Consultants, leading pricing projects and analyses. Foster relationships with clients and stakeholders while ensuring high-quality deliverables and timely proj...

Champion exceptional patient experiences by leading the Financial Clearance Unit, overseeing insurance verification, authorization management, and collections, ensuring adherence to quality standards...

Drive the future of finance data analysis by ensuring accuracy and usability of financial data. Collaborate with finance and data teams to enhance reporting processes and validate data integrity for i...

Innovate alongside executives by providing strategic support to drive organizational success, manage high-stakes priorities, and enhance workflow efficiency. You'll serve as a vital liaison and truste...

Redefine commercial pricing strategies by leveraging advanced actuarial analysis, supporting portfolio-level assessments, and mentoring junior colleagues within a dynamic, remote team of professionals...

Empower individuals by leading clinical services, ensuring effective mental health treatment, and fostering client independence. Collaborate with staff to enhance program delivery and maintain complia...

Engage healthcare providers and drive commercial performance in a defined territory. Collaborate with cross-functional teams to support product launches and ensure patient access to innovative therapi...

Engage in impactful clinical documentation audits to enhance quality, compliance, and education. Drive improvements in CDI processes and patient care while collaborating with healthcare teams to ensur...

Advance trade compliance by managing U.S. export/import regulations, ensuring operational efficiency while minimizing risk. Collaborate across departments to support international logistics and mainta...

Lead underwriting strategy and execution for national partners, ensuring profitability and growth. Manage teams, foster relationships, and align practices with corporate objectives while driving perfo...

Unlock potential by leading actuarial strategies that drive innovation and performance. Oversee a team, develop statistical models, and engage with regulators to ensure compliance and support business...

Transform data protection practices by mitigating risks and monitoring incidents. Leverage analytical skills to ensure compliance and drive secure business operations while collaborating with cross-fu...

Analyze and support value-based care initiatives, developing innovative forecasting solutions and methodologies. Collaborate across teams to translate complex data into actionable insights that guide...

Unlock your potential by managing agency relationships and underwriting workers' compensation. Lead business plan development, maintain pricing discipline, and coach staff while becoming a trusted exp...

Transform the underwriting landscape by managing agency relationships and pricing strategies. Leverage your expertise in workers' compensation to guide teams, develop business plans, and drive success...

Transform contract management by leading risk mitigation strategies and ensuring compliance across government and commercial projects. Drive operational excellence and enhance proposal quality while m...