Claims Specialist Jobs in Pleasanton, CA

Reimagine client interactions by managing collections, resolving payment issues, and ensuring accurate record-keeping while collaborating with attorneys and internal teams to drive timely payments and...

Accelerate progress at managing client accounts, resolving payment issues, and ensuring timely collections. Collaborate with internal teams to maintain precise records while monitoring outstanding bal...

Manage onboarding projects to ensure a seamless client experience while collaborating with vendors and internal teams. This role requires problem-solving, effective communication, and the ability to m...

Manage and enhance client relationships in private capital, delivering tailored insurance solutions while driving business growth and risk management strategies to ensure comprehensive protection and...

Join a team that's dedicated to managing a diverse book of commercial accounts, ensuring exceptional customer service, retention, and continuous improvement while leading a motivated account managemen...

Join a team that's at the forefront of healthcare technology, bridging customer needs with innovative solutions. Bring your expertise in risk adjustment and product engagement to drive real impacts in...

Optimize provider contracts management for various healthcare services. Drive collaboration across departments to enhance operational efficiency and foster effective provider relationships while ensur...

Elevate your career by underwriting innovative casualty reinsurance solutions, assessing risks, and managing portfolios to drive profitability and growth while collaborating with brokers and internal...

Transform your career by leading a high-performing sales team focused on innovative retail and commercial solutions. Drive growth through strategic market opportunities and executive relationships in...

Lead a dynamic team of claims handlers to adjudicate complex construction defect claims, ensuring top-notch resolutions while providing mentorship and strategic direction to optimize performance and c...

Champion underwriting strategies within a multi-disciplinary team, managing a block of stop loss business. Engage in pricing, risk analysis, renewals, and supporting new business to meet financial tar...

Analyze legal bill audits and improve billing processes across multiple practice areas. Leverage legal expertise to communicate billing issues effectively with panel firms and enhance cost containment...

Drive the development and implementation of innovative insurance products in life sciences, collaborating across teams to meet market needs. Lead the drafting of coverage language while analyzing comp...

Drive optimal claim resolution by investigating and negotiating high-severity property claims. Oversee the full claim lifecycle while ensuring compliance with quality standards and state regulations...

Join a team focused on investigating healthcare fraud, ensuring compliance, and recovering lost funds. Leverage your expertise in complex cases, collaborate with law enforcement, and contribute to sha...

Champion compliance excellence by supporting insurance operations, enhancing training, and resolving regulatory issues. Collaborate with leaders to ensure process integrity and maintain compliance acr...

Analyze and validate Medicare Advantage member medical records to ensure accurate risk adjustment submissions to CMS. Collaborate with healthcare providers and improve coding quality for optimal reimb...

Help us ensure safety and compliance by inspecting machinery and conducting risk assessments across a multi-state territory, effectively communicating with clients to identify risks and recommend stra...

Contribute to the efficiency of the legal department by managing contracts, supporting compliance, and assisting with litigation. Collaborate cross-departmentally while ensuring accurate documentation...

Join a team that's dedicated to enhancing legal operations and supporting process improvements. Collaborate across departments to effectively manage contracts, compliance, and legal documentation whil...

Elevate risk management by partnering across teams to create tools mitigating fraud. You'll gather requirements, drive collaboration, and influence operational processes, ensuring successful project d...

Innovate legal operations through project management and continuous improvement. Take ownership of key initiatives, facilitate cross-functional collaboration, and enhance processes in a remote work en...

Shape the future of healthcare consulting by utilizing your expertise in revenue cycle operations to enhance performance, drive financial improvement, and provide strategic guidance to healthcare orga...

Lead the development and management of clinical appeals teams, driving operational excellence, quality assurance, and strategic initiatives to improve service delivery and client engagement in a fast...

Lead the charge in evaluating, pricing, and managing medical underwriting for a diverse book of business, serving as a subject matter expert and mentor while ensuring high standards of productivity an...