Claims Specialist Jobs in Riverside, CA

Shape the future of claims management by overseeing professional and general liability claims operations, driving teamwork, compliance, and effective communication across regions to enhance patient sa...

Champion compliance excellence by supporting insurance operations, enhancing training, and resolving regulatory issues. Collaborate with leaders to ensure process integrity and maintain compliance acr...

Analyze and validate Medicare Advantage member medical records to ensure accurate risk adjustment submissions to CMS. Collaborate with healthcare providers and improve coding quality for optimal reimb...

Optimize financial analysis projects through forecasting and risk assessment. Bring your expertise to Medicaid knowledge and analytical skills, working strategically to enhance provider contracting pr...

Elevate risk management by partnering across teams to create tools mitigating fraud. You'll gather requirements, drive collaboration, and influence operational processes, ensuring successful project d...

Innovate legal operations through project management and continuous improvement. Take ownership of key initiatives, facilitate cross-functional collaboration, and enhance processes in a remote work en...

Shape the future of healthcare consulting by utilizing your expertise in revenue cycle operations to enhance performance, drive financial improvement, and provide strategic guidance to healthcare orga...

Lead the development and management of clinical appeals teams, driving operational excellence, quality assurance, and strategic initiatives to improve service delivery and client engagement in a fast...

Lead the charge in evaluating, pricing, and managing medical underwriting for a diverse book of business, serving as a subject matter expert and mentor while ensuring high standards of productivity an...

Join a dynamic team to design and build a comprehensive metrics store, enabling data-driven insights across business functions while shaping API layers to enhance analytics engineering practices for a...

Deliver innovative pricing solutions as an Actuarial Analyst, leveraging statistical analysis to enhance insurance models. Collaborate with teams to ensure compliance and execute complex projects that...

Empower our claims team by overseeing Management and Professional Liability claims, ensuring compliance and efficacy in settlement processing. Play a vital role in strategic initiatives while managing...

Lead diverse client service programs managing relationships and ensuring customer satisfaction while driving operational excellence and retention across multiple accounts in a dynamic, global environm...

Lead the charge in optimizing full-cycle accounts payable operations in a high-growth environment. Own vendor management and ensure timely processing of invoices while supporting finance initiatives t...

Shape the future of energy underwriting by analyzing risks, guiding projects, and mentoring teams to drive profitability in new business and renewals while ensuring compliance and effective relationsh...

The Client Executive - Commercial Insurance is responsible for managing World Class Client accounts and leading a service team to ensure high-quality client service. This role involves overseeing acco...

Empower your legal expertise in ERISA by providing compliance services and consulting on employee benefit plans while collaborating with a dedicated team to enhance organizational processes and client...

Provide legal support and guidance to enhance subrogation operations, collaborating closely with internal teams to address legal matters and ensuring compliance with regulations while contributing to...

Unlock potential by becoming a vital contributor in a flexible remote role, where you’ll connect with clients, understand their needs, and provide tailored insurance solutions while enjoying comprehen...

Join a team that's committed to delivering exceptional legal support in a dynamic hybrid environment. As a Senior Paralegal, you will tackle diverse cases, collaborate closely with attorneys, and ensu...

Join a dynamic team dedicated to delivering quality legal services in civil litigation. Support both commercial and personal lines insurance defense with effective collaboration and innovative case ma...

Drive sustainable performance improvement by managing Revenue Cycle projects, enhancing charge capture processes, and optimizing client strategies in a dynamic healthcare environment, while fostering...

Drive strategic decisions by analyzing complex insurance metrics and business processes, collaborating across departments to deliver impactful solutions, and leveraging your analytical expertise to in...

Shape the future of Commercial Auto pricing through innovative analyses and strategies. As a Lead Pricing Analyst, you will drive business performance by dissecting data, delivering actionable insight...

Elevate your career as an Auto Damage Adjuster, leveraging your expertise to handle complex claims in a dynamic environment while delivering exceptional customer service and ensuring accurate settleme...