Claims Specialist Jobs in Pleasanton, CA

Lead the charge in fraud detection and prevention by developing advanced analytics models using SQL, Python, and machine learning, while collaborating with cross-functional teams to enhance operationa...

Transform life underwriting by analyzing applications, making independent decisions, and enhancing customer experiences. Utilize medical knowledge and risk assessment skills to ensure effective outcom...

Shape the future of commercial insurance by defining standards, serving as the technical authority, and collaborating across functions to build scalable insurance solutions in a pioneering role within...

Join a team that's transforming vendor legal transactions by leading negotiations and improving processes. Collaborate across functions to efficiently handle high volumes of agreements while fostering...

Join a team that fosters relationships with hematologists and oncology customers, driving revenue growth through clinically focused selling of our innovative Multiple Myeloma treatment. Exhibit strong...

Transform proposal development by collaborating with cross-functional teams to create tailored responses, ensuring timely delivery and adherence to client needs. Contribute your expertise to drive suc...

Shape the future of revenue cycle operations by leading dynamic teams and optimizing workflows for strategic financial success. Partner with various stakeholders to enhance performance across billing...

Engage with clients by driving strategic benefit design and retention efforts while ensuring exceptional service delivery and profitability. Leverage your consulting expertise to communicate value and...

Drive program management excellence while fostering relationships with clients and stakeholders. Leverage expertise in copay assistance and market access operations to enhance client solutions and del...

Manage complex investigations of suspected fraud across various claims, overseeing data analysis, collaboration with law enforcement, and case development to protect company assets and mitigate risks...

Champion your underwriting skills by managing and growing a profitable Management Liability insurance book, fostering key broker relationships, and ensuring high standards and discipline in a dynamic...

Shape the future of claims management by leading complex general liability investigations from inception to resolution, ensuring superior customer service and high-quality outcomes throughout the liti...

Drive your career with a key role in overseeing reinsurance accounting, managing complex transactions, and enhancing financial reporting. Collaborate cross-functionally to improve processes and lead a...

Make your mark at the forefront of global benefits administration. Drive day-to-day operations, strategic optimization, and compliance of employee benefits programs in diverse international markets, e...

Develop and maintain strong relationships with brokers to drive growth and maximize revenue through effective strategy implementation and technology utilization, all within a collaborative remote envi...

Transform complex data into actionable insights as you lead analytical initiatives within our dynamic insurance brokering team, optimizing workflows and ensuring data quality while driving strategic d...

Contribute to impactful actuarial projects, collaborating with analytics teams to apply statistical methods in reserving insurance business, ensuring quality data and effective communication to drive...

Unlock potential by engaging key oncology customers, driving sales, and fostering collaborations to enhance product visibility for Hematology treatments, while maintaining compliance and navigating co...

Analyze and redefine business processes within the revenue cycle to enhance efficiency and operational excellence. Collaborate with teams to implement innovative solutions, support change management...

Unlock your potential by ensuring the effectiveness and consistency of morbidity underwriting decisions for Long Term Care and Individual Disability Insurance while driving analytical insights and qua...

Engage in collaborative regulatory filings, ensuring compliance with insurance standards. Contribute expertise in policy language and state regulations while managing relationships with internal teams...

Join us to lead the analysis and improvement of denial prevention strategies within healthcare, employing data analytics and process improvement to enhance revenue cycle management and client relation...

Lead the charge in delivering high-quality charitable gift planning services, enhancing client relationships, and driving engagement through expert advice and collaboration with internal teams and non...

Advance credentialing excellence by ensuring compliance and regulatory standards for healthcare providers through efficient verification processes and collaboration with medical staff and stakeholders...

Transform healthcare auditing by ensuring compliance, educating staff, and maintaining data integrity. Contribute to a mission-driven team dedicated to enhancing patient care through meticulous oversi...