Claims Specialist Jobs in Red Bank, NJ

Shape the future of healthcare by driving risk adjustment solutions that enhance interoperability, improve documentation accuracy, and ensure compliance across Medicare, Medicaid, and ACA programs thr...

Unlock your potential by leading transformative finance initiatives. Collaborate with cross-functional teams to enhance processes, drive efficiencies, and implement innovative technology solutions tha...

Transform Finance operations by identifying improvement opportunities in processes and technology. Collaborate with stakeholders to implement efficient, scalable solutions that strengthen the Finance...

Shape Finance transformation by identifying process improvements and translating needs into scalable solutions. Collaborate with Finance, IT, and stakeholders to enhance efficiency, quality, and effec...

Shape the future of reinsurance by leading a dynamic Casualty Fac US team to optimize portfolio performance, enhance underwriting practices, and foster client relationships, ensuring long-term growth...

Unlock potential by leveraging your litigation expertise to defend arbitrations and lawsuits. Engage with the Claims Department and contribute to comprehensive legal strategies in a collaborative envi...

Empower your career by leading a comprehensive underwriting audit program. Design methodologies, integrate risk frameworks, and drive continuous improvement while supervising audits and fostering cros...

Transform the audit function by designing a comprehensive PUA-QA program that enhances risk management, drives compliance, and strengthens governance within delegated underwriting processes. Engage wi...

Empower your career by leading enterprise risk adjustment programs, ensuring compliance and financial performance across provider networks while enhancing coding and documentation practices...

Transform compliance strategies by assessing regulations, conducting risk analyses, and guiding organizational ethics practices. Collaborate with diverse teams to ensure adherence to legal and contrac...

Unlock the potential of responsible AI governance by overseeing enterprise-wide frameworks ensuring regulatory compliance, standard adherence, and ongoing monitoring across business units while foster...

Drive end-to-end operational excellence for stop-loss and funding processes. Oversee program administration, manage relationships with vendors, and enhance operational efficiency while leading high-pe...

Empower your career by leading a dynamic team in achieving impactful actuarial goals, enhancing pricing and forecasting strategies while ensuring compliance and personal development in a collaborative...

Drive successful outcomes by leveraging over 10 years of insurance coverage expertise, addressing litigation and providing strategic coverage opinions within a leading Global Insurance Services practi...

Partner with us to lead complex insurance litigation and coverage matters, leveraging over a decade of legal expertise. Join a premier practice group recognized nationally for its contributions to the...

Engage clients through expert risk assessments and tailored safety solutions. Collaborate with diverse stakeholders to implement effective safety programs, ensuring compliance and risk mitigation in c...

Engage with clients to enhance safety and health standards in construction, providing expert consultation, training, and risk assessments across various projects. Collaborate with stakeholders to ensu...

Lead and optimize performance within the Out-of-State Medicaid function, driving operational excellence across teams to enhance client outcomes and achieve strategic revenue goals through effective le...

Lead the charge in tax insurance solutions by evaluating and structuring policies for clients. Collaborate with experts to navigate complex transactions and enhance client advisory services across Nor...

Shape our compliance program, ensuring regulatory compliance across HIPAA, HITRUST, and SOC 2. Drive policy creation, audit readiness, and vendor risk management while supporting M&A integration effor...

Drive impactful legal representation for individuals with mental health diagnoses. Engage in litigation, investigate abuse, and monitor compliance while fostering self-advocacy and coalition-building...

Advance your career by fostering a robust Data Governance program. Lead initiatives to ensure data integrity, compliance, and culture transformation while collaborating across teams to drive strategic...

Manage program strategies and execution to enhance financial performance by coordinating cross-functional teams and external partners, ensuring alignment and delivering exceptional results in the prop...

Partner with us to manage complex P&C insurance products, optimizing performance through data analysis, market insights, and collaboration with underwriting leaders. Leverage analytics and operational...

Unlock the power of data analytics by developing insights to enhance business strategies and optimize contract performance across diverse customer segments while collaborating with teams to drive oper...