Claims Specialist Jobs in San Francisco, CA

Join a team dedicated to investigating and adjusting high-exposure workers' compensation claims. Utilize your expertise in California comp laws to develop effective strategies, ensuring optimal resolu...

Drive the evolution of medical payment policies as a subject matter expert, collaborating closely with clients to analyze data, present insights, and advocate for strategic policy adoption. Shape the...

Join a team that's shaping operational excellence in claims management. Oversee locations, ensure compliance with industry standards, manage staff training, and lead budget management while fostering...

Unlock the potential of your leadership by guiding a team of specialists in managing non-complex construction defect claims. Drive quality service, ensure compliance, and enhance processes while foste...

Join a team that's transforming claims processing by investigating liability and efficiently managing claims within our established frameworks while adhering to accuracy and compliance standards...

Join a team that's pivotal in ensuring accurate client payment policies. You'll manage medical policy integrity while conducting research and analysis, collaborating with internal teams, and providing...

Join our team to analyze and process complex auto and commercial transportation claims, ensuring accurate investigations, liability determinations, and timely resolutions to support our clients and in...

Unlock potential by expertly managing complex workers' compensation claims, ensuring timely resolutions while collaborating with clients and vendors. Engage in a rewarding role focused on innovative s...

Contribute to improving clinical documentation integrity through developing standard processes, educating staff, and conducting thorough reviews to enhance compliance and support value-based care init...

Join a team that excels in property claims management, optimizing the inspection process for residential and commercial properties. You'll utilize cutting-edge technology while providing exceptional s...

Join a team that's dedicated to resolving complex liability claims while ensuring adherence to best practices and regulatory standards. Leverage your expertise to conduct thorough investigations and n...

Manage and resolve complex General Liability claims, emphasizing strategic analysis, investigation, and efficient resolutions across diverse programs. Leverage expertise in coverage interpretation and...

Join a dynamic team as you lead TPA claims operations, develop top talent, and drive exceptional client service while ensuring compliance and operational excellence across various claims programs and...

Provide expert guidance in managing high-severity insurance claims, focusing on coverage analysis, strategic resolution, and compliance. Collaborate effectively with internal teams, carriers, and stak...

Explore new challenges by managing complex environmental and professional liability claims. Serve as a key expert in coverage analysis and claim resolution while collaborating with diverse stakeholder...

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...

Join a team that's focused on independently managing complex California workers' compensation claims, investigating, determining compensability, and strategizing resolutions while ensuring compliance...

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...

Analyze and resolve complex claims challenges across departments, providing support and training to ensure compliance and enhance provider relations. Drive efficiencies and develop educational materia...

Engage with members to enhance compliance resources and understanding of California surplus line insurance. Collaborate across teams to interpret regulatory requirements and support educational initia...

Join a team that's dedicated to managing complex claims with a focus on client solutions. Leverage expertise in general liability and auto claims while contributing to quality improvement in an energe...

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...

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...