Claims Specialist Jobs in Plano, TX

Take ownership of providing specialized legal advice regarding risk transfer issues, collaborating with claims teams, and managing disputes. Engage in analysis, drafting, and litigation efforts to sup...

Optimize collections operations by leading strategy execution, overseeing performance metrics, and ensuring compliance. Collaborate with finance leadership and attorneys to enhance client services and...

Analyze product performance and support new initiatives by developing rating models and frameworks that enhance profitability insights. Collaborate to automate pricing management processes and enhance...

Lead transformative pricing initiatives through data-driven analysis, driving innovation and system integration while influencing strategic decisions across multiple complex projects and cross-functio...

Shape the future of compliance by coordinating between Clinical Operations and legal teams. Drive operational excellence through regulatory guidance, audit readiness, and process improvement to ensure...

Join a dynamic team where you'll assess auto damages, negotiate settlements, and enhance customer satisfaction by delivering prompt and effective solutions across a designated territory...

Partner with us to resolve complex denied claims efficiently, ensuring compliance with regulations. Leverage your expertise in healthcare revenue cycles and denial management to mentor colleagues and...

Unlock potential by driving sales initiatives and enhancing partnerships to boost F&I product adoption in your district, ensuring optimal dealer support and training to exceed annual revenue targets a...

Lead the charge in developing and scaling an innovative AI solution for denials management. Drive insights from user feedback while collaborating across teams to enhance product performance and busine...

Unlock your potential by driving growth in the Hematology and Oncology sector, engaging key customers and delivering impactful solutions within a defined territory to support the launch of innovative...

Advance our process efficiencies by documenting and enhancing Finance, Accounting, and Operations workflows. Collaborate with stakeholders to align procedures with compliance requirements and leverage...

Unlock potential by advising clients on innovative reimbursement strategies and financial sustainability within Medicaid and rural health markets, while leading teams to deliver impactful consulting e...

Transform healthcare reimbursement strategies by leveraging deep expertise, managing teams, and consulting with senior clients. Design sustainable financial solutions for Medicaid and rural health sec...

Empower clients by advising on reimbursement strategies and payment reforms across diverse healthcare markets. Drive engagements, build team capabilities, and deliver actionable insights to enhance fi...

Unlock potential by managing the execution of actuarial models and systems, delivering impactful presentations, and overseeing projects across various departments, leveraging your expertise in pricing...

Drive operational excellence by enhancing execution velocity of the Talent Solutions team. Oversee daily operations, resource planning, and process improvements. Collaborate with leadership to enable...

Drive operational excellence in Contract Administration for the Pharma sector, overseeing $82B in sales. Lead teams, ensure pricing accuracy, and implement process improvements while fostering relatio...

Inspire excellence by managing operational activities to uphold top-tier service. Take charge of client relations and strategic initiatives to enhance growth, while leading a team to ensure compliance...

Shape the future of underwriting by leading complex evaluations and fostering relationships to ensure profitable business within the National Accounts ancillary market for large group clients...

Lead and develop a recruitment team focused on community outreach, ensuring participant alignment with project needs through strategic pipeline management and performance enhancement...

Pioneer clinical excellence by supporting multiple studies, ensuring compliance with regulations, timelines, and SOPs. Collaborate cross-functionally to generate high-quality clinical evidence while m...

Elevate your career by managing and resolving complex liability claims, collaborating with stakeholders, and overseeing legal strategies to ensure effective risk management and compliance while handli...

Shape your career by supporting regulatory compliance for clinical investigations and product distribution worldwide. Contribute to approvals and quality standards in a collaborative environment while...

Engage with executive leadership to drive enterprise risk management, compliance, and strategic guidance. Oversee contract risk, insurance, and cross-functional initiatives, fostering a proactive cult...

Transform the fight against fraud as you analyze data trends and implement innovative strategies. Collaborate with teams to safeguard our insurance ecosystem and drive advancements using AI tools and...