Claims Specialist Jobs in Philadelphia, PA

Explore global compensation strategies while administering and enhancing competitive pay programs. Collaborate with leaders to ensure equity and alignment with business objectives while leveraging dat...

Advance your career with a remote role leading a claims team. Oversee investigations, manage workloads, and drive success while ensuring compliance with company standards and fostering team developmen...

Join a team that's dedicated to analyzing data and supporting regulatory rate approvals across multiple insurance lines. Collaborate with actuaries and underwriters to influence pricing and ensure com...

Lead the charge in providing strategic legal guidance for absence management solutions, partnering with cross-functional teams to navigate complex regulations and enhance product offerings in a dynami...

Oversee the operations of Eligibility & Financial Assistance Services, ensuring efficient service delivery, team performance, and regulatory compliance while fostering strong client relationships and...

Optimize pricing strategies and enhance underwriting capabilities by leveraging actuarial expertise to ensure profitable growth within US Programs while collaborating with various business partners an...

Lead actuarial projects to enhance pricing strategies and profitability for US Programs. Collaborate with underwriting, MGA partners, and product teams to develop and execute data-driven analyses, del...

Champion the evolution of medical imaging support by troubleshooting complex hardware-software interactions, optimizing customer experiences, and enhancing internal operations to elevate product quali...

Join a team that's shaping the future of actuarial science! In this impactful role, you'll lead reserving processes, enhance efficiency, and collaborate with senior management to drive best practices...

Transform your career by managing reimbursement strategies in the ophthalmic field. Collaborate with stakeholders to resolve coverage issues, educate providers, and support patients throughout their r...

Join a team that's dedicated to ensuring data integrity and reliability. You'll design validation processes, investigate discrepancies, and collaborate closely with engineering and BI teams to uphold...

Help us coordinate and deliver quality care for specialty populations through comprehensive assessments and collaboration with healthcare teams, ensuring efficient resource utilization and positive me...

Manage a caseload of complex general liability claims, ensuring timely resolutions and communication with stakeholders. Leverage your experience in litigation and risk analysis to deliver high-quality...

Unlock potential by managing a profitable book of business, specializing in healthcare and liability underwriting. Collaborate with teams to analyze risks and secure policy terms, driving growth throu...

Innovate in underwriting supervision by leading a dedicated team, ensuring adherence to best practices, and optimizing risk assessments for enhanced business performance. Elevate service quality while...

Unlock opportunities by recruiting healthcare providers to enhance our network. Lead contract negotiations, ensure compliance, and foster relationships with physicians and hospitals to create a robust...

Grow your career with a robust role in executing paid search campaigns while driving performance in a multi-brand environment. Join a dynamic team committed to optimizing revenue through strategic ad...

Drive efficiency and control in procurement operations by optimizing Coupa workflows, supporting P2P processes, and enhancing user adoption across the procurement lifecycle while maintaining complianc...

Drive positive outcomes for injured workers by partnering with healthcare providers and families. In this role, you'll manage caseloads through both telephonic and in-person communication, ensuring ef...

Empower operational excellence by liaising between teams to analyze and resolve complex technical issues, enhancing data platform performance and driving process improvements for business stakeholders...

Manage and lead a team of Actuarial Analysts, driving innovation and delivering critical reserve analyses for commercial lines. Build strong relationships across internal and external stakeholders, en...

Drive excellence in pricing strategy for the Excess and Surplus Property portfolio, leading team efforts in analytics, portfolio management, and stakeholder engagement to optimize profitability and gu...

Join a team that's key in investigating and resolving complex property claims. You will engage with customers and professionals in the field, making independent decisions while mentoring less experien...

Lead clinical documentation initiatives, ensuring regulatory compliance and enhancing quality outcomes through effective team management and strategic client engagement in healthcare settings...

Contribute to compliance training programs by designing effective learning solutions that meet QMS requirements, regulatory standards, and business needs. Collaborate with stakeholders to assess gaps...