Claims Specialist Jobs in Pleasanton, CA

Tackle the complexities of commercial property assessments, providing detailed inspections and reports that guide underwriting strategies and improve safety practices for various industries...

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...

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

Help us enhance our security posture by monitoring and investigating breaches, identifying vulnerabilities, and implementing best practices. This role is vital for safeguarding digital assets and supp...

Join us to conduct medical necessity reviews and appeals, enhancing care quality through collaboration and expert analysis of clinical documentation and payer regulations, ensuring compliance and impr...

Empower the auditing process by analyzing inpatient claims and ensuring coding accuracy. Leverage your clinical expertise and advanced coding knowledge to drive quality and productivity in chart valid...

Pioneer a transformative approach in commercial transportation claims, balancing leadership and hands-on support. Leverage technology to enhance team performance and client satisfaction while driving...

Join a dynamic clinical operations team, driving quality assurance and policy maintenance for Drug and Biological policies. Your expertise will enhance our coding processes and support client inquirie...

Develop strategies to achieve sales goals and boost client retention. Utilize sales tools for outreach and presentations while managing a diverse portfolio to ensure high renewal rates and long-term s...

Transform compliance operations into audit-ready practices while managing evidence collection and control monitoring across multiple business units. Collaborate closely with security assessors to rein...

Unlock your potential by auditing outpatient claims. Leverage your clinical and coding expertise to enhance accuracy and improve treatment quality while contributing to innovative auditing solutions i...

Lead a team of property claims adjusters to ensure efficient claims management, compliance, and high-quality outcomes. Provide mentorship, oversee operations, and strengthen client relationships to op...

Drive audit excellence by leading a team of Clinical Validation Auditors. Optimize performance, ensure quality outcomes, and foster a collaborative environment to support high standards in place of se...

Champion innovative insurance strategies by leveraging deep expertise in complex liability claims, ensuring superior client outcomes in high-stakes situations. Lead negotiations and strategic planning...

Drive impactful change by leveraging your expertise in complex insurance claims. Partner with a dynamic team to analyze coverage, negotiate solutions, and support clients in navigating multifaceted li...

Lead compliance and ethics investigations across diverse business units, ensuring adherence to regulations and internal policies. Collaborate cross-functionally, prepare reports, and recommend actions...

Lead the charge in enhancing claims quality assurance by overseeing audits, establishing standards, and driving continuous improvement across liability claims and TPA interactions, ensuring compliance...

Bring your expertise to analyze and optimize Epic PB claims, ensuring effective resolution and compliance. Collaborate with teams to enhance processes and deliver insightful solutions in a dynamic hea...

Transform the landscape of commercial auto insurance claims by investigating and settling complex claims efficiently while ensuring compliance with policies and maintaining strong communication with a...

Join a team that inspires excellence in commercial insurance sales, providing expert guidance to clients while fostering strong relationships and ensuring their needs are meticulously met in a dynamic...

Drive strategic risk mitigation efforts by analyzing offline threats, enhancing safety protocols, and collaborating with cross-functional teams to protect users from organized crime and other offline...

Accelerate the billing process by ensuring accurate invoices, managing client inquiries, and maintaining relationships with attorneys and clients while coordinating billing cycles to meet deadlines an...

Transform the billing process by ensuring accurate invoicing, managing client communications, and resolving discrepancies. Partner with attorneys and clients to maintain financial accuracy and meet cr...

Drive profitable Surety & Fidelity business by managing underwriting, cultivating relationships with agents, and analyzing financial data in a collaborative, customer-focused environment. Shape your c...