Claims Specialist Jobs in Plano, TX

Tackle diverse challenges as you lead P&C insurance programs, ensuring profitability and compliance while managing key partnerships and driving strategic initiatives. Your expertise will shape innovat...

Join a team that's committed to delivering high-quality care during clinical trials by leveraging your clinical expertise and monitoring skills to ensure regulatory compliance and participant safety t...

Partner with us to enhance dealer relationships and optimize OnStar services. Leverage data and insights to drive growth and elevate customer experience across your territory while ensuring seamless e...

Transform healthcare RCM operations by leading the support team, ensuring application stability and quality control while fostering effective communication and collaboration with internal and external...

Advance partner growth by crafting strategic plans, enhancing engagement, and building strong relationships. Collaborate across teams to drive revenue and support optimal production for high-potential...

Advance healthcare innovation by optimizing platform operations, collaborating across analytics and technology teams to enhance rebate administration processes. Help us drive efficiency and improve de...

Lead a remote case management initiative that empowers members in managing complex health concerns while collaborating with multi-disciplinary teams to enhance their overall wellness and access crucia...

Support the development and enhancement of analytic forecasting models while collaborating with business partners to deliver key insights for negotiations. Automate processes to improve efficiency and...

Partner with us to shape the legal landscape of our Advanced Wound Management business by delivering strategic, business-focused legal support for commercial initiatives in a highly regulated healthca...

Partner with us to advance your career as a Senior Manager in Insurance Consulting. Drive business growth while leveraging your expertise in Life, Annuity & Retirement. Engage senior clients, lead tra...

Elevate your career by leading global regulatory labeling strategies and initiatives. Oversee labeling governance, ensure compliance, and collaborate with cross-functional teams to support effective p...

Support and drive portfolio management through accurate credit underwriting for energy loans, collaborating with Relationship Managers to assess risks and streamline the credit approval process in a f...

Empower our team by conducting quality control reviews of CTRs and alerts, ensuring compliance with BSA procedures while identifying trends to enhance processes and training in the ever-evolving field...

Join a dynamic team to enhance Revenue Cycle operations, leveraging your expertise in patient access and Epic systems. Lead transformations that improve financial performance and operational efficienc...

Join a dynamic team to optimize litigation docketing practices by accurately managing court document deadlines, collaborating on best practices, and supporting various federal and state court processe...

Unlock potential by guiding engineering teams to embed security from the ground up. Leverage your expertise in secure architecture and platform development to define best practices, foster collaborati...

Accelerate project success by managing client implementations of health insurance services for academic institutions. Collaborate with diverse teams to drive timely launches, adherence to guidelines...

Explore data-driven strategies to enhance risk management and decision-making. Leverage analytical skills to drive insights in loss control, underwriting, and portfolio management across diverse finan...

Lead the charge in developing advanced predictive models to enhance risk management, underwriting, and strategic decision-making processes that drive organizational growth and competitive advantage in...

Lead product strategy to revolutionize the Risk Adjustment landscape, defining how data, AI, and clinical workflows integrate to enhance member health assessments and drive compliance across multiple...

Join a dynamic team to ensure coding accuracy and integrity in inpatient medical records, conducting audits, resolving disputes, and driving efficiency for improved hospital reimbursement processes...

Lead the charge in crafting and executing commercial reimbursement strategies. Oversee payer negotiations, manage a high-performance team, and provide expert guidance on payer policies to enhance oper...

Lead the charge in expanding a top-performing BDR team focused on pipeline generation. Utilize your sales expertise and analytics to optimize processes and drive growth in a fast-paced SaaS security e...

Engage in complex inpatient medical coding audits to ensure accuracy in claims reimbursement. Utilize coding knowledge to analyze clinical data and provide support in a metrics-driven environment, imp...

Engage with our dynamic privacy team to lead compliance initiatives, enhance privacy programs, and manage risks across processes in a regulated environment. Your expertise will shape effective policie...