Claims Specialist Jobs in Orange, CA

Champion the development of innovative pricing strategies and methodologies within a dynamic environment, collaborating with key stakeholders to drive profitability and manage complex insurance portfo...

Empower individuals through effective medical case management by coordinating care, ensuring quality services, and facilitating their transition back to work. Collaborate with multiple stakeholders to...

Lead and optimize performance within the Out-of-State Medicaid function, driving operational excellence across teams to enhance client outcomes and achieve strategic revenue goals through effective le...

Own and operationalize a comprehensive compliance program, ensuring regulatory obligations are effectively met. Collaborate with cross-functional teams to maintain audit-ready documentation and vendor...

Shape our compliance program, ensuring regulatory compliance across HIPAA, HITRUST, and SOC 2. Drive policy creation, audit readiness, and vendor risk management while supporting M&A integration effor...

Optimize financial operations by managing revenue reporting, premium billing, and audits. Serve as a subject matter expert, mentor staff, and enhance processes to ensure compliance and improve perform...

Advance your career by fostering a robust Data Governance program. Lead initiatives to ensure data integrity, compliance, and culture transformation while collaborating across teams to drive strategic...

Partner with us to drive revenue integrity initiatives, leveraging your analytical skills and industry expertise to assess workflows, improve compliance, and develop financial models, all while foster...

Partner with us to manage complex P&C insurance products, optimizing performance through data analysis, market insights, and collaboration with underwriting leaders. Leverage analytics and operational...

Elevate finance operations by managing reinsurance accounting, enhancing reporting accuracy through technology, and collaborating with teams to streamline workflows while ensuring compliance and drivi...

Manage comprehensive pharmaceutical care by collaborating with healthcare teams, evaluating medications, and optimizing patient outcomes through expert clinical interventions and drug therapy plans. E...

Analyze and interpret regulations and legal documents to ensure compliance and risk mitigation. Collaborate with vendors and business stakeholders to enhance contract management and privacy controls...

Help us transform actuarial practices for life insurance and annuity clients. You will advise on modernization, analytics, and streamline business processes, driving innovation while collaborating wit...

Join a team that's dedicated to revolutionizing actuarial processes for life insurance and annuity clients. You will drive modernization efforts, enhance analytics, and deliver creative solutions with...

Drive innovative program development while ensuring stakeholder alignment and optimal performance outcomes. Lead cross-unit integration, adapt technology use, and enhance consumer experience through e...

Pioneer impactful legal strategies by advising on Medicare regulations and managing complex organizational risks. Collaborate with senior executives and provide mentorship, ensuring compliance and dri...

Unlock potential by managing complex property coverage litigation with a dynamic team. Engage throughout all litigation phases, collaborate on case strategies, and provide expert analysis to achieve f...

Analyze complex healthcare data to provide insights that enhance the Veterans Health Administration's Specialty Care Program. Collaborate across teams to drive operational improvements and deliver imp...

Champion regulatory excellence by ensuring hospital compliance with standards, conducting audits, and fostering collaboration with clinical leaders to uphold accreditation and quality care across all...

Join a dynamic team to strategize and optimize product commercialization for channels. Drive market insights and cross-functional collaboration to elevate product launches and ensure alignment with co...

Champion compliance and risk management within healthcare operations, ensuring adherence to coding standards and regulations. Collaborate cross-functionally to enhance quality, support audits, and dri...

Contribute to the future of insurance sales by owning and shaping market strategies. Leveraging your deep industry connections, drive revenue growth in a complex environment, navigating buying process...

Lead the charge in enhancing Revenue Integrity by addressing payer variances, optimizing operations, and fostering interdepartmental collaboration, ensuring maximum client cash recovery and operationa...

Join our dynamic team as you drive internal communications, supporting employee engagement, and fostering a connected corporate culture across multiple locations while collaborating with various stake...

Elevate your career by shaping and executing an enterprise data governance strategy, ensuring data quality and compliance while leading cross-functional teams to foster a data-driven culture as a stra...