Claims Specialist Jobs in Raleigh, NC

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...

Seeking a detail-oriented analyst to perform complex clinical and coding reviews of facility claims, ensuring adherence to medical guidelines and fostering optimal performance through expert analysis...

Manage ceded reinsurance processes, oversee claims accuracy, and facilitate team training while ensuring effective communication with leadership and IT to enhance reporting capabilities...

Lead the charge in coaching and directing a casualty resolution team, ensuring effective claims handling and staff development. Collaborate with stakeholders to drive operational efficiency and uphold...

Empower the management of complex Workers Compensation claims, utilizing established medical strategies and data analytics to track trends, collaborate with teams, and drive resolution for cases of hi...

Lead the charge in managing high-severity insurance claims related to healthcare professional liability, overseeing complex investigations and providing expert coverage analysis while collaborating wi...

Shape the future of claims management by leading a team to ensure compliance, quality service, and effective resolution in liability claims while fostering a supportive work environment and driving op...

Transform healthcare management by leading a team that ensures optimal utilization of services. Oversee review processes and improve care quality while fostering collaboration and adherence to complia...

Support the Clinical Chart Validation team by reviewing appeals and claims, applying coding guidelines, and providing expert feedback to ensure accurate recovery determinations and maintain compliance...

Drive excellence in claims management by leading teams and shaping strategies for personal line property and casualty claims to enhance operational efficiency and customer satisfaction...

Unlock potential by joining a dedicated team to manage complex claims for Directors & Officers Liability and Employment Practices. Handle investigations, settlements, and litigation with minimal super...

Manage complex Management Liability Claims across various lines, ensuring compliance and optimal resolution strategies. Collaborate with defense counsel while delivering top-tier service to stakeholde...

Lead the charge in managing catastrophe claims teams to ensure timely and effective responses, adherence to coverage guidelines, and compliance with procedures, all while fostering strong interdepartm...

Drive the evolution of medical payment policies as a subject matter expert, collaborating closely with clients to analyze data, present insights, and advocate for strategic policy adoption. Shape the...

Join a team that's shaping operational excellence in claims management. Oversee locations, ensure compliance with industry standards, manage staff training, and lead budget management while fostering...

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...

Join a team that's transforming claims processing by investigating liability and efficiently managing claims within our established frameworks while adhering to accuracy and compliance standards...

Join a team that's pivotal in ensuring accurate client payment policies. You'll manage medical policy integrity while conducting research and analysis, collaborating with internal teams, and providing...

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...

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...

Pioneer the investigation and resolution of auto claims, ensuring comprehensive analysis of coverage and liability. Leverage your expertise in policy interpretation to navigate customer needs and deli...

Manage and resolve complex General Liability claims, emphasizing strategic analysis, investigation, and efficient resolutions across diverse programs. Leverage expertise in coverage interpretation and...

Join a dynamic team as you lead TPA claims operations, develop top talent, and drive exceptional client service while ensuring compliance and operational excellence across various claims programs and...

Provide expert guidance in managing high-severity insurance claims, focusing on coverage analysis, strategic resolution, and compliance. Collaborate effectively with internal teams, carriers, and stak...