Claims Specialist Jobs in Montgomery, AL

Transform the healthcare payment integrity landscape by leading product strategy and analytics for fraud detection solutions, ensuring impactful delivery and cross-team collaboration within a fast-pac...

Transform fraud detection in healthcare by leading end-to-end investigations, coordinating legal support, and leveraging innovative technology to enhance operational integrity and compliance in our Me...

Manage onboarding projects to ensure a seamless client experience while collaborating with vendors and internal teams. This role requires problem-solving, effective communication, and the ability to m...

Contribute to the MLR process by coordinating reviews, ensuring compliance, and driving improvements across Marketing, Medical Affairs, and Corporate Communications while collaborating with internal t...

Join a team that's dedicated to managing a diverse book of commercial accounts, ensuring exceptional customer service, retention, and continuous improvement while leading a motivated account managemen...

Empower your legal career by overseeing claims, litigation, and compliance. Partner with leaders to navigate legal complexities and drive strategic risk mitigation across the organization while foster...

Take ownership of client relationships by managing onboarding, service delivery, and satisfaction. Collaborate with cross-functional teams to ensure seamless operations and continuous improvement whil...

Unlock potential by analyzing and forecasting data to guide strategic decisions, ensuring data integrity, and collaborating with stakeholders. Influence executive strategies with actionable insights t...

Elevate your career by underwriting innovative casualty reinsurance solutions, assessing risks, and managing portfolios to drive profitability and growth while collaborating with brokers and internal...

Join a team that's redefining legal service delivery by leading operations and strategy for outsourced offerings, ensuring high-quality outcomes, optimizing resources, and enhancing client relations w...

Transform your career by leading a high-performing sales team focused on innovative retail and commercial solutions. Drive growth through strategic market opportunities and executive relationships in...

Champion underwriting strategies within a multi-disciplinary team, managing a block of stop loss business. Engage in pricing, risk analysis, renewals, and supporting new business to meet financial tar...

Lead the creation of member enrollment content, focusing on welcomed kits, by collaborating with experts, managing projects, and ensuring effective communication across teams to enhance compliance and...

Lead the charge in driving insurance sales performance and premium growth within the automotive finance sector. Collaborate across teams to enhance product offerings and strategically influence embedd...

Join a team that's dedicated to transforming oncology care through strategic engagement with specialists and innovative collaboration to meet the challenges and needs of diverse healthcare stakeholder...

Unlock potential by providing expert medical review and claims analysis, ensuring compliance and payment determinations for Medicare services. Collaborate with teams to safeguard high-quality service...

Empower clinical documentation integrity by collaborating with teams to enhance compliance, optimize provider education, and ensure adherence to coding guidelines, ultimately improving risk adjustment...

Deliver compassionate, member-focused care through effective case management. Leverage clinical expertise to coordinate services and support members with high healthcare needs, ensuring safe transitio...

Shape the future of contract management by overseeing contract lifecycles, ensuring compliance, and driving improvements in data management and policy development while collaborating with internal and...

Transform client outcomes by leveraging analytics and market intelligence to develop strategic insights. Collaborate with cross-functional teams to enhance program performance in managed care, ensurin...

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...

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...