Claims Specialist Jobs in Orange, CA

Lead the strategic direction of medical record audits, ensuring compliance and accuracy while overseeing a team of auditors. Drive operational excellence in audit processes to identify costs and enhan...

Lead and enhance medical record audit operations within a compliance framework, ensuring audit accuracy and defensibility. Oversee a team, implement methodologies, and generate impactful financial out...

Architect comprehensive strategies in claims management to enhance operational efficiency, drive continuous improvement, and ensure compliance with healthcare regulations while leading and developing...

Elevate your career by partnering with us to provide expert risk engineering support, delivering tailored loss control solutions while fostering professional relationships with clients and enhancing o...

Transform your career by effectively managing complex bodily injury claims, ensuring meticulous investigation, negotiation, and adherence to coverage guidelines across the Northeastern states in a dyn...

Lead the charge in actuarial excellence by building high-performing teams, developing innovative pricing strategies, and managing complex insurance portfolios to drive profitability and enhance market...

Execute comprehensive defense strategies for personal injury lawsuits, managing cases from inception to posttrial motions. Collaborate with teams, conduct depositions, and prepare for trials while ens...

Join a team that shapes healthcare compliance through claims auditing. Take ownership of comprehensive audits while mentoring peers and ensuring regulatory adherence in Medi-Cal and Medicare processes...

Champion the assessment and management of disability claims to ensure compliance and accuracy. Utilize clinical expertise to evaluate medical documentation, communicate effectively with stakeholders...

Optimize contracting strategies by managing a diverse portfolio of contracts, conducting analyses, and enhancing procurement processes across departments. Collaborate effectively with stakeholders to...

Transform construction claims management by analyzing data, reviewing contracts, and supporting negotiations. Collaborate with teams to ensure timely and accurate documentation, while developing strat...

Transform your expertise into impactful solutions as you analyze and develop medical policies for genetic testing. Collaborate across teams while delivering high-quality insights in a fast-paced envir...

Champion a high-performing team to drive strategic Workers Comp claim initiatives, enhancing quality and outcomes while providing expert guidance and fostering collaboration in a dynamic environment...

Optimize financial performance by conducting in-depth analysis and modeling, while collaborating with cross-functional teams to drive strategic decisions and enhance processes. Your insights will help...

Make your mark at a dynamic agency where you'll manage high-volume contracts, support procurement processes, and enhance operational efficiency. Collaborate with diverse stakeholders to ensure complia...

Champion the analysis and adjudication of complex workers' compensation claims, ensuring timely resolution and innovative solutions for diverse clients. Play a key role in a growing global company, fo...

Shape the future of clinical documentation improvement by overseeing vital processes that ensure accuracy and completeness in inpatient medical records, collaborating closely with healthcare teams to...

Unlock potential by evaluating legal operations, modernizing vendor data workflows, and implementing AI-driven automation strategies to enhance efficiency and insight across corporate legal processes...

Unlock potential by leading the development and oversight of innovative commercial insurance programs within the mobility sector. Collaborate cross-functionally to ensure effective delivery and compli...

Unlock potential by guiding compliance for retirement plans. Collaborate with teams to ensure regulatory standards are met, improve processes, and support clients with expert knowledge of ERISA regula...

Engage in high-impact compliance for ERISA qualified retirement plans, ensuring accuracy and quality control. Collaborate with teams to provide expertise in plan operations while enhancing client supp...

Join our team to manage complex disability claim appeals while leveraging analytical skills and industry expertise to enhance organizational performance and customer satisfaction within the insurance...

Shape the future of property claims handling by delivering exceptional service and expertise in evaluating and settling claims while navigating complex regulations and ensuring customer satisfaction a...

Drive impactful outcomes by managing complex environmental claims, collaborating with experts, and navigating litigation. Leverage your expertise in coverage analysis and strategic resolution to shape...

Join our team as a vital point of contact for clients, nurturing relationships and ensuring seamless communication between customers and internal teams. Lead account management and problem resolution...