Claims Specialist Jobs in Miami, FL

Drive efficiency and excellence in billing operations, leading a dynamic team to enhance accuracy, accelerate cash flow, and ensure compliance. Collaborate with cross-functional teams to implement str...

Unlock operational excellence by driving data integrity and billing accuracy within legal practices. Collaborate with cross-functional teams to enhance efficiency and ensure compliance in managing leg...

Join our Reinsurance team and shape complex treaty accounts, ensure timely recoverables, and enhance financial processes in a remote role supporting growth and accuracy...

Manage and oversee the operational framework of rebate contract processes, ensuring efficient data flow, optimization, and compliance across various stakeholders while enhancing contract performance a...

Empower enterprise transformation by defining a multi-year strategy for claims, collaborating across functions to enhance efficiencies and drive technology improvements, ensuring alignment with busine...

Transform healthcare processes by leading Risk Adjustment and Quality/HEDIS initiatives. Manage and mentor teams, ensuring compliance and excellence in coding practices while implementing strategic im...

Lead proactive security initiatives to safeguard critical data and ensure compliance with healthcare regulations. Collaborate with IT teams to implement robust measures, enhance defenses against cyber...

Drive strategic resolution of high-end litigation cases involving complex injuries and coverage issues. Collaborate with legal teams and stakeholders to evaluate, negotiate, and settle claims while en...

Pioneer innovative Medicaid coverage strategies, driving multi-state initiatives in eligibility and documentation. Collaborate cross-functionally to enhance member support and outcomes in line with dy...

Elevate patient safety by investigating post-market complaints and collaborating with cross-functional teams to enhance product effectiveness. Utilize clinical knowledge and insights to ensure complia...

Drive financial performance by managing revenue cycle processes in infusion centers, collaborating with clinical teams to ensure accurate reimbursement, and continuously improving efficiency and effec...

Empower individuals by delivering financial education and guiding clients through personal finance topics. Collaborate with teams to create impactful programming while ensuring a top-notch customer ex...

Elevate security standards and compliance practices while leading risk assessments and audits. Engage with customer security needs and manage cross-functional initiatives, driving relentless improveme...

Accelerate operations by supporting a high-volume client base in insurance, while collaborating with experienced professionals. Gain valuable skills through comprehensive training and contribute to te...

Elevate healthcare access by managing complex prior authorization processes. Contribute to improving outcomes for vulnerable populations by streamlining workflows, training teams, and resolving issues...

Support growth and adoption as a Clinical Specialist, responsible for case coverage and strategic engagement with healthcare professionals to enhance procedural utilization and build strong account re...

Partner with us to elevate CMiC application support, ensuring user satisfaction through effective incident management and troubleshooting while collaborating across business functions for continuous i...

Shape healthcare delivery by leading the Utilization Management team, refining practices and policies to optimize resources and member outcomes while ensuring compliance and excellence in care...

Drive your career forward by ensuring regulatory compliance and enhancing operational efficiency in the financial services sector, focusing on suitability standards for life insurance and investment p...

Accelerate your career by leading insider threat investigations, driving cross-functional strategies, and ensuring compliance with legal standards while managing a multidisciplinary team for effective...

Transform pricing strategies and analytics by leading cross-functional teams to develop robust models, drive actionable insights, and influence strategic decisions while ensuring alignment with regula...

Manage the accounts payable function by overseeing a team, ensuring accurate processing of invoices, enforcing financial controls, and enhancing efficiency through process improvements for optimal fin...

Join a dynamic team as you leverage your actuarial expertise to develop innovative solutions in pricing, reserving, and financial modeling, while collaborating across departments to influence strategi...

Lead the charge in managing a dynamic caseload of property litigation cases for Florida, negotiating settlements and advocating at mediations and trials. Join a collaborative team focused on achieving...

Analyze, evaluate, and enhance internal controls within a dynamic insurance environment. Conduct complex audits to ensure compliance with regulatory and governance standards while promoting a culture...