Claims Specialist Jobs in Modesto, CA

Drive optimal claim resolution by investigating and negotiating high-severity property claims. Oversee the full claim lifecycle while ensuring compliance with quality standards and state regulations...

Join a team focused on investigating healthcare fraud, ensuring compliance, and recovering lost funds. Leverage your expertise in complex cases, collaborate with law enforcement, and contribute to sha...

Champion compliance excellence by supporting insurance operations, enhancing training, and resolving regulatory issues. Collaborate with leaders to ensure process integrity and maintain compliance acr...

Analyze and validate Medicare Advantage member medical records to ensure accurate risk adjustment submissions to CMS. Collaborate with healthcare providers and improve coding quality for optimal reimb...

Contribute to the efficiency of the legal department by managing contracts, supporting compliance, and assisting with litigation. Collaborate cross-departmentally while ensuring accurate documentation...

Join a team that's dedicated to enhancing legal operations and supporting process improvements. Collaborate across departments to effectively manage contracts, compliance, and legal documentation whil...

Elevate risk management by partnering across teams to create tools mitigating fraud. You'll gather requirements, drive collaboration, and influence operational processes, ensuring successful project d...

Innovate legal operations through project management and continuous improvement. Take ownership of key initiatives, facilitate cross-functional collaboration, and enhance processes in a remote work en...

Shape the future of healthcare consulting by utilizing your expertise in revenue cycle operations to enhance performance, drive financial improvement, and provide strategic guidance to healthcare orga...

Lead the development and management of clinical appeals teams, driving operational excellence, quality assurance, and strategic initiatives to improve service delivery and client engagement in a fast...

Lead the charge in evaluating, pricing, and managing medical underwriting for a diverse book of business, serving as a subject matter expert and mentor while ensuring high standards of productivity an...

Join a dynamic team to design and build a comprehensive metrics store, enabling data-driven insights across business functions while shaping API layers to enhance analytics engineering practices for a...

Deliver innovative pricing solutions as an Actuarial Analyst, leveraging statistical analysis to enhance insurance models. Collaborate with teams to ensure compliance and execute complex projects that...

Empower our claims team by overseeing Management and Professional Liability claims, ensuring compliance and efficacy in settlement processing. Play a vital role in strategic initiatives while managing...

Lead diverse client service programs managing relationships and ensuring customer satisfaction while driving operational excellence and retention across multiple accounts in a dynamic, global environm...

Lead the charge in optimizing full-cycle accounts payable operations in a high-growth environment. Own vendor management and ensure timely processing of invoices while supporting finance initiatives t...

Empower your legal expertise in ERISA by providing compliance services and consulting on employee benefit plans while collaborating with a dedicated team to enhance organizational processes and client...

Provide legal support and guidance to enhance subrogation operations, collaborating closely with internal teams to address legal matters and ensuring compliance with regulations while contributing to...

Unlock potential by becoming a vital contributor in a flexible remote role, where you’ll connect with clients, understand their needs, and provide tailored insurance solutions while enjoying comprehen...

Drive sustainable performance improvement by managing Revenue Cycle projects, enhancing charge capture processes, and optimizing client strategies in a dynamic healthcare environment, while fostering...

Shape the future of Commercial Auto pricing through innovative analyses and strategies. As a Lead Pricing Analyst, you will drive business performance by dissecting data, delivering actionable insight...

Drive strategic decisions by analyzing complex insurance metrics and business processes, collaborating across departments to deliver impactful solutions, and leveraging your analytical expertise to in...

Elevate your career as an Auto Damage Adjuster, leveraging your expertise to handle complex claims in a dynamic environment while delivering exceptional customer service and ensuring accurate settleme...

Create impactful loss control solutions by assessing risks and delivering effective consulting services to improve client safety. Collaborate closely with diverse clients while working remotely and tr...

Bring your expertise to managing complex Workers' Compensation claims, ensuring thorough investigations and compliance with California regulations to drive resolution and support clients efficiently...