Claims Specialist Jobs in Modesto, CA

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...

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

Lead the charge in enhancing claims quality assurance by overseeing audits, establishing standards, and driving continuous improvement across liability claims and TPA interactions, ensuring compliance...

Bring your expertise to analyze and optimize Epic PB claims, ensuring effective resolution and compliance. Collaborate with teams to enhance processes and deliver insightful solutions in a dynamic hea...

Join a team that inspires excellence in commercial insurance sales, providing expert guidance to clients while fostering strong relationships and ensuring their needs are meticulously met in a dynamic...

Accelerate the billing process by ensuring accurate invoices, managing client inquiries, and maintaining relationships with attorneys and clients while coordinating billing cycles to meet deadlines an...

Transform the management of high-severity claims by providing expert analysis and strategic resolution for EPL and Professional Liability cases while ensuring compliance with all regulations and guide...

Help us analyze and optimize medical policies while providing key insights across clinical operations. Collaborate with teams to ensure effective policy development and quality assurance, enhancing ou...

Drive efficient Commercial Property Claims management, ensuring compliance and quality service. Collaborate with stakeholders, negotiate settlements, and deliver optimized outcomes in a remote, full-t...

Drive operational excellence by leading a large Auto Claims team, ensuring effective claims handling, compliance, and superior customer service while fostering talent development and cross-functional...

Join us to lead strategic operations for a dynamic team, driving efficiency and process improvements. You will oversee budgeting, staff development, and policy changes, ensuring alignment with broader...

Join our team as a Sr. Field Adjuster, specializing in homeowner claims. You will investigate, evaluate, and settle high-complexity claims, overseeing both in-person and virtual assessments, while col...

Lead the charge in optimizing clinical appeals processes, ensuring compliance and high-quality outcomes. Manage a skilled team while collaborating with stakeholders to enhance operational effectivenes...

Drive product success by analyzing performance and developing innovative solutions. Collaborate with teams to implement strategies that enhance profitability and growth across assigned lines of busine...

Shape the future of claims management by providing strategic oversight and guidance for contingent claims. Ensure quality decision-making through monitoring and advisory support in small claims matter...

Lead multiple teams to enhance workers' compensation claims operations. Monitor workloads, provide technical direction, and improve processes while maintaining strong client relationships and ensuring...

Drive growth and retention strategies for customer accounts, ensuring high satisfaction levels while fostering strong relationships and facilitating multi-level engagement across client teams for opti...

Join our dynamic Casualty Underwriting team to cultivate profitable partnerships with wholesale brokers, leveraging your extensive E&S industry experience to deliver innovative solutions and enhance r...

Contribute to enhancing casualty claims quality and consistency through thorough audits, performance evaluation, and process improvements. Collaborate with teams to uncover insights, ensure compliance...

Lead the charge in optimizing underwriting operations and staff management, ensuring successful achievement of company objectives while developing strategies for risk acceptability and profitability a...

Support advanced placement strategies by advising on complex solutions, leading high-impact projects, and mentoring teams. Ensure optimal outcomes through expert market insight and innovative proposal...

Join a team that's dedicated to driving high-quality outcomes in specialty casualty claims, overseeing complex issues and litigated matters while enhancing team performance and ensuring compliance acr...