Claims Specialist Remote Jobs

Empower legal operations by managing commercial contracts and supporting the General Counsel. Lead drafting, negotiation, and oversight of agreements while ensuring compliance and efficiency. Drive st...

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...

Join a team that's redefining Oncology sales by engaging key Hematology customers, driving product goals, and delivering growth through compliant and clinically focused strategies across diverse healt...

Lead, redefine the regulatory landscape by establishing governance, enhancing risk management, and ensuring proactive engagement across the organization. Drive strategic regulatory insights and influe...

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...

Engage as a subject matter expert in access & reimbursement, navigating barriers and collaborating with healthcare providers to ensure seamless patient onboarding and reimbursement processes in a dyna...

Optimize relationships between agents and corporate teams to drive profitable growth. Assess agent performance, ensure compliance with policies, and facilitate training, maintaining open communication...

Empower your career by performing comprehensive audits within a dynamic team, assessing financial records for Workers' Compensation and General Liability policies. Engage with diverse clientele and co...

Transform and lead the Casualty Specialized Claims team, overseeing complex portfolios while driving strategic direction and fostering team development. Manage relationships with stakeholders and enha...

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...

Optimize the actuarial function by leading reserving, forecasting, and pricing strategies. Develop financial risk management practices while effectively communicating with senior leadership to impleme...

Transform inpatient documentation accuracy and DRG assignment through focused reviews. Leverage analytics, AI tools, and electronic health records to mitigate documentation risks and enhance clinical...

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...

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...

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...

Transform sales growth in laboratory diagnostics by developing strong relationships with healthcare providers and leveraging strategic insights to drive success across Ohio and West Virginia's healthc...

Analyze and interpret regulations and legal documents to ensure compliance and risk mitigation. Collaborate with vendors and business stakeholders to enhance contract management and privacy controls...

Lead a dynamic team managing regulatory audits and examinations for Medicaid health plans across multiple markets, ensuring compliance and operational excellence while driving continuous improvement a...

Manage legal defense for insurance cases, including research, pleadings, and trials while collaborating with the Claims Department to ensure effective case outcomes and compliance with legal requireme...

Lead the charge in overseeing operations of Long-Term Disability claims, ensuring top-notch client experiences while coaching and developing your team towards strategic goals and performance improveme...

Advance enterprise data governance by implementing secure data deletion processes, partnering with cross-functional teams to maintain compliance and enhance data management practices across various pl...

Drive innovative program development while ensuring stakeholder alignment and optimal performance outcomes. Lead cross-unit integration, adapt technology use, and enhance consumer experience through e...

Empower the Miscellaneous Professional Liability division by providing expert underwriting, strengthening broker relationships, and delivering tailored solutions that meet diverse client needs. Drive...

Unlock potential by optimizing sales operations and driving efficiency in processes that enhance revenue growth, reporting, and client engagement. Collaborate with cross-functional teams to elevate pe...