Claims Specialist Remote Jobs

Lead the charge in underwriting complex pharmacy benefit deals, optimizing pricing strategies with cross-functional teams. Leverage automation and insights to enhance underwriting capabilities while m...

Elevate clinical outcomes by serving as the key pharmacist liaison among partners, translating real-world issues into actionable insights, driving resolution of clinical concerns, and enhancing produc...

Contribute to regulatory excellence by coordinating U.S. submissions, ensuring compliance with FDA standards, and maintaining vital documentation for the Obesity Therapeutic Area, while collaborating...

Lead the charge in SPP Settlements, partnering cross-functionally to ensure compliance and enhance product features. Use your expertise to drive solutions and deliver exceptional support that meets cu...

Champion your career by leading audits and coding for medical records, ensuring compliance with industry standards and tackling fraud investigations to enhance service delivery across health plans...

Lead the charge in strategic actuarial engagements for health insurance programs, supporting Medicaid agencies and clients nationwide. Utilize extensive experience to provide insights and foster growt...

Manage outside counsel engagement and performance to optimize legal services, focusing on workers' compensation claims and expense management, ensuring compliance with guidelines and enhancing operati...

Support our underwriting team by efficiently processing and managing inland marine policies. You'll ensure accurate submissions, provide vital assistance to underwriters, and maintain compliance acros...

Elevate the Promotional Review Committee's effectiveness by leading the compliant review process of promotional materials. Drive cross-functional collaboration, enhance operational workflows, and ensu...

Shape the future of healthcare finance by managing contracts in Epic, recovering underpayments, and collaborating with teams to refine reimbursement strategies for hospital and ASC operations...

Transform compensation consulting by developing and administering programs, analyzing market data, and providing expert guidance to clients, all while ensuring project deliverables are met in this dyn...

Elevate your career by driving product transformation in our Property & Specialty team. Work closely with cross-functional leaders to redefine Personal Lines insurance, shaping strategies and solution...

Unlock potential by leading the effective management of Insurance Broking Accounts, ensuring compliance, improving cash collection, and fostering collaboration across finance and operations for optima...

Oversee the evaluation of new business submissions, assessing risk for referrals or binding. Collaborate with underwriters to retain business while maintaining and developing broker relationships to d...

Engage with a diverse commercial client portfolio by managing accounts, enhancing retention, and driving new business initiatives. Utilize expertise in transportation and trucking to provide outstandi...

Transform project engagements by leading forensic analysis and dispute resolution efforts in the AEC industry. Leverage your expertise to guide junior members and enhance client relationships, driving...

Champion efficiency in the revenue cycle as you lead a dedicated billing team. Drive performance improvements, oversee compliance, and identify revenue opportunities while cultivating a culture of exc...

Reimagine clinical contract negotiations by joining a dynamic team committed to efficiency and compliance. Support various contract types and ensure streamlined processes while interfacing with stakeh...

Drive supplier quality excellence by managing Quality Technical Agreements (QTAs) and conducting GMP audits. Lead cross-functional collaborations to ensure compliance with regulatory standards while e...

Optimize compensation programs to align with organizational goals. This role supports HR and business partners through data analysis, market research, and program development, ensuring effective commu...

Empower clients by driving adoption of innovative solutions, enhancing their value through proactive support, and transforming partnerships into long-term successes within a dynamic legal industry env...

Grow your career with a dynamic legal team, providing innovative solutions across transactions, compliance, and regulatory issues, while collaborating to support multiple business units in a fast-pace...

Accelerate progress at client satisfaction by serving as a strategic advisor, fostering key relationships, and driving improvements to optimize revenue cycle outcomes. Engage cross-functionally to enh...

Join us to lead global supplier relations and performance management, driving complex negotiations, establishing a robust performance framework, and collaborating across departments to ensure optimal...

Empower your career by enhancing coding accuracy, guiding audits, and delivering impactful training in a senior role focused on compliance and education within the healthcare sector...