Claims Specialist Jobs in Raleigh, NC

Lead complex claims investigations in Allied Health, leveraging strong analytical skills and expertise to resolve high-exposure cases effectively. Collaborate with internal and external teams to ensur...

Champion the resolution of complex General Liability and Auto BI claims, ensuring effective communication and negotiation while delivering exceptional service to clients across various industries in a...

Unlock potential by leading the adjudication of complex environmental claims, leveraging your expertise to deliver exceptional results and guiding clients through critical decision-making processes in...

Engineer comprehensive claims strategies and lead a high-performing team in effectively managing General Liability claims. Drive excellence in claims handling while collaborating cross-functionally to...

Manage client relationships and operational activities to drive success, retention, and growth of healthcare products. Collaborate across teams, optimize performance, and ensure client needs are met w...

Take ownership of complex medical malpractice claims to ensure timely resolution, manage costs, and maintain high customer satisfaction while leading case management in compliance with standards and b...

Analyze complex third-party Professional Liability claims from inception to resolution, managing litigation and developing strategies to optimize outcomes. Collaborate with business partners and contr...

Drive resolution of complex auto claims, including litigation, by developing strategies and negotiating settlements while collaborating with legal teams and mentoring junior adjusters. Ensure complian...

Drive a team managing complex global cyber claims while fostering collaboration, analyzing trends, and enhancing client relationships. Elevate claims handling through support, training, and engagement...

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...

Manage property and inland marine claims, providing exceptional service and evaluating damages between $25,000 and $100,000. Act as a key responder for catastrophe claims and ensure compliance with le...

Unlock potential by auditing outpatient and specialty claims, ensuring coding accuracy, clinical necessity, and compliance with industry standards. Leverage advanced coding expertise to identify billi...

Support clients by analyzing risks, designing solutions, and providing expert insurance recommendations. Lead a team to enhance client service, negotiate terms, and develop strategies, ensuring alignm...

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...

Join our dedicated team to improve clinical documentation accuracy, ensuring it meets regulatory standards. Collaborate with healthcare providers to enhance patient care outcomes through timely and co...

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

Transform specialty claims management by leading high-severity cases and ensuring best practices. Collaborate with clients and stakeholders to optimize recovery and enhance relationships in the comple...

Shape the future of healthcare with your expertise in claims processing and business analysis. Drive innovation and provide domain knowledge while leading projects, collaborating with teams, and enhan...

Unlock potential by managing high-exposure bodily injury claims and providing expert recommendations on complex cases across multiple jurisdictions to ensure effective settlement authority and collabo...

Optimize complex auto and homeowner injury claims by investigating, evaluating, and resolving cases. Ensure compliance with regulations while delivering exceptional member service and setting expectat...

Transform the automotive claims landscape by leading a dynamic team focused on total loss settlements, leveraging analytics and technology to optimize processes, and enhancing customer engagement to d...

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...

Optimize casualty claims outcomes by collaborating with teams, driving strategy, and improving processes. Your expertise will shape high-impact decision-making, directly influencing results and enhanc...

Transform the management of high-severity claims by providing expert analysis and strategic resolution for EPL and Professional Liability cases while ensuring compliance with all regulations and guide...