Claims Specialist Jobs in Philadelphia, PA

Advance your career by overseeing compliance training programs that ensure adherence to regulatory standards. Collaborate with SMEs to create effective learning solutions in a dynamic environment, dri...

Transform PACE program operations by leading teams, improving compliance, and coordinating with federal and state agencies to enhance elder care services. Supervise staff and drive strategic initiativ...

Join a team that's tackling complex Revenue Integrity challenges by overseeing project engagements, conducting detailed analyses, and cultivating client relationships while driving business developmen...

Empower the underwriting process by evaluating life insurance applications to determine risk classification and eligibility, ensuring impactful decision-making while adhering to guidelines and product...

Manage and oversee all Revenue Integrity charge capture processes, ensuring accurate, timely procedures throughout the organization. Collaborate with stakeholders to enhance workflow, compliance, and...

Drive the strategic evolution and governance of equity compensation programs in a dynamic private equity context. Lead vendor management, execute precise equity agreements, and ensure compliance while...

Grow your career by managing complex workers' compensation claims over $100k. Lead investigations, collaborate with stakeholders, and ensure compliance with corporate policies while maintaining high c...

Lead the charge in risk underwriting across North America, driving strategic credit decisions and fostering high-performance teams. Collaborate with stakeholders to enhance governance and profitabilit...

Drive a high-performing claims team, optimizing strategies for complex commercial auto excess casualty claims. Leverage deep expertise to mentor specialists, embrace technology, and enhance operationa...

Empower your career by reviewing medical records to draft appeals for denied claims. Use your clinical expertise to suggest coding changes and ensure compliance by achieving persuasive outcomes in a d...

Join a team that's at the forefront of catastrophe risk analytics, leading a skilled group of modelers and data engineers. This role merges technical expertise with strategic guidance to shape underwr...

Join a dynamic team to drive renewable energy coverage solutions, managing profitable accounts while building strong partnerships with agents and brokers. Leverage your expertise to identify risks and...

Optimize legal strategies and counsel across complex employment, regulatory, and corporate matters while leading litigation efforts and guiding executive leadership to mitigate risks and enhance opera...

Analyze, forecast, and enhance financial performance for Medicare Advantage through data-driven insights. Collaborate with cross-functional teams to support strategic decision-making and identify tren...

Join a team that assesses loss control for commercial auto accounts across multiple states, delivering comprehensive audits and reports while managing complex schedules and communications to enhance s...

Shape the future of risk management by delivering expert analysis and tailored solutions to mitigate risks and support various industries. Engage in field activities while collaborating with multiple...

Shape the future of underwriting by analyzing complex SDI accounts and driving national strategies. Collaborate with diverse teams and leverage broker relationships to enhance business performance and...

Elevate performance by collaborating across teams to drive growth in commercial risk placements. Engage clients with effective strategies and proactive solutions to ensure exceptional service and stre...

Lead the North America Insurance Premium Accounting team, ensuring timely cash allocation and premium receivables. Collaborate with internal and external stakeholders to resolve discrepancies and main...

Lead the charge in medical coding oversight, training teams, and ensuring compliance. Utilize your expertise to communicate effectively with staff and clients while fostering quality and timely coding...

Explore opportunities to enhance health care quality by analyzing clinical documentation. Collaborate with providers to ensure accurate diagnoses and compliant reimbursement while maintaining high sta...

Join a team that empowers strategic decision-making with advanced actuarial analysis. Utilize your expertise to transform healthcare data into insights that enhance affordability and drive business pe...

Partner with us to drive impactful actuarial solutions for health insurance clients, leveraging your expertise in regulatory consulting and analysis to guide financial assessments and foster growth in...

Shape the future of procurement by driving strategic sourcing initiatives that optimize value and enhance supplier relationships. Oversee sourcing processes, negotiate contracts, and collaborate with...

Champion the risk function by leading and developing a high-performing team, while ensuring effective management of underwriting, fraud prevention, and compliance to support robust growth in the freig...