Claims Specialist Jobs in Pleasanton, CA

Empower your career as a claims adjuster specialist, managing attorney-represented bodily injury claims. Collaborate with a supportive team while independently negotiating settlements and assessing li...

Drive the resolution of complex major case claims involving serious injuries. Take ownership of the entire claims lifecycle while collaborating with stakeholders to achieve timely outcomes through eff...

Champion proactive claims management by serving as a trusted advisor, partnering with clients and stakeholders to drive optimal outcomes in the insurance claims lifecycle across multiple coverage line...

Join a team that's driving change and enhancing claims operations. This role focuses on streamlining workflows, refining processes, and ensuring clear communication to implement strategies effectively...

Shape the future of asbestos claims management by leading complex cases, developing strategies, and driving litigation processes while ensuring compliance and oversight within a fast-paced environment...

Engage as a hands-on Team Lead, driving efficiency and performance in claims while mentoring a dynamic team. Your leadership will balance strategic oversight with direct involvement in claims manageme...

Champion the management of Workers Compensation claims, oversee and guide multiple teams, and ensure excellence in adjudication by leveraging your expertise and collaborative skills. Drive innovative...

Solve complex claims with autonomy, leveraging your 10+ years of expertise to ensure timely and fair resolutions. Manage high-stakes cases while collaborating with adjusters and legal teams to uphold...

Join a team that's driving excellence in claims management. In this senior role, you'll oversee complex claims, ensure compliance with policies, and leverage your extensive experience to resolve dispu...

Oversee the management of Long Term Care claims, ensuring eligibility, communicating with stakeholders, and facilitating resolutions in a remote, fast-paced environment while maintaining compliance wi...

Lead the charge in auditing medical records for accurate coding compliance and health plan policies. Prepare detailed reports, conduct relevant research, and maintain knowledge of healthcare guideline...

Analyze operational service issues, validate claims, and drive improvements through collaboration across departments. Own the dispute process, uncover root causes, and enhance service resolution effic...

Unlock the potential of your leadership by guiding a team of specialists in managing non-complex construction defect claims. Drive quality service, ensure compliance, and enhance processes while foste...

Oversee complex cyber claims litigation, ensuring compliance and resolution strategies while collaborating with outside counsel and managing claim files in a dynamic, remote-friendly environment...

Join our team to analyze and process complex auto and commercial transportation claims, ensuring accurate investigations, liability determinations, and timely resolutions to support our clients and in...

Unlock potential by expertly managing complex workers' compensation claims, ensuring timely resolutions while collaborating with clients and vendors. Engage in a rewarding role focused on innovative s...

Contribute to improving clinical documentation integrity through developing standard processes, educating staff, and conducting thorough reviews to enhance compliance and support value-based care init...

Join a team that's dedicated to resolving complex liability claims while ensuring adherence to best practices and regulatory standards. Leverage your expertise to conduct thorough investigations and n...

Drive the resolution of complex commercial casualty claims through litigation, managing injury cases from investigation to settlement or trial with minimal oversight, collaborating effectively with de...

Grow your career with a dynamic team delivering exceptional claims advocacy. You'll guide clients through the claims process, ensuring compliance and effective communication while preserving their rig...

Join a team that's driving efficiency in claims operations by resolving complex system issues, improving workflows, and delivering user training. Collaborate with IT and help desk teams to enhance pro...

Analyze and resolve complex claims challenges across departments, providing support and training to ensure compliance and enhance provider relations. Drive efficiencies and develop educational materia...

Engage with members to enhance compliance resources and understanding of California surplus line insurance. Collaborate across teams to interpret regulatory requirements and support educational initia...

Join a team that's dedicated to supporting contractor readiness for utility projects. As an ISN Compliance Specialist, you'll ensure compliance with ISNetworld standards, develop processes, and collab...

Lead and elevate a team handling Commercial General Liability claims, ensuring operational excellence and exceptional service. Drive performance, promote accountability, and foster continuous learning...