Claims Specialist Jobs in San Jose, CA

Champion effective workplace initiatives by guiding leaders and employees through performance management and employee relations, ensuring compliance, fostering communication, and promoting a respectfu...

Unlock potential by driving sales growth through strategic account engagement. As a vital member of the team, you will build relationships, gather insights, and qualify leads to enhance customer exper...

Lead the charge in ensuring quality compliance for clinical audits, utilizing expert knowledge in claims auditing and healthcare protocols to enhance process efficiency and accuracy across various cli...

Empower the Property and Casualty team by analyzing data and trends to support State Managers. You'll provide project leadership, insights, and recommendations to enhance product strategies and meet c...

Optimize your legal and investment expertise as you analyze and support litigation finance portfolios. Collaborate with cross-functional teams to track and evaluate investments, offering insights in a...

Lead advanced financial clearance for complex cases, ensuring compliance with payer requirements while supporting revenue cycle goals through proactive engagement and resource management. Mentor team...

Optimize financial analysis and risk assessment processes to enhance value-based care strategies. Lead a team to drive data-driven decisions in health plan operations while collaborating with cross-fu...

Explore a key role in driving sales growth and developing client relationships within the electrical contracting market. You'll leverage technical expertise to meet sales targets, influence specificat...

Manage clinical validation processes to ensure high-quality, cost-effective care. Collaborate with medical teams to assess treatment appropriateness and facilitate member transitions within the health...

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...

Transform your career by engaging oncology professionals and driving revenue growth through strategic account management and collaboration. Utilize advanced selling skills to excel in a dynamic market...

Collaborate with cross-functional teams to define and implement AI and GenAI solutions for contract lifecycle management, enhancing automation, insight generation, and workflow efficiency in legal ope...

Drive the development of insurance product content by managing multi-faceted projects from inception to completion, coordinating resources, timelines, and communications to produce high-quality member...

Shape the future of risk analysis by leading in-depth investigative research and guiding internal teams on regulatory topics. Act as a trusted expert in risk policy, supporting stakeholders and client...

Join a team that's dedicated to exceeding shop revenue goals and ensuring top-notch quality and efficiency in vehicle repairs, all while fostering teammate growth and development in a fast-paced envir...

Shape the future of operations by driving seamless workflow, managing a skilled team, and ensuring top-tier service and performance in a dynamic environment while consistently meeting revenue goals an...

Engage in driving location success by managing shop KPIs, leading teams, and ensuring quality repairs while achieving production goals and fostering a collaborative work environment for growth and dev...

Unlock potential by assessing and pricing complex insurance risks. Collaborate with brokers and customers to deliver tailored solutions while managing a diverse portfolio. This is a remote position re...

Shape the future of premium auditing by executing precise virtual and field audits, ensuring accurate premium calculations for Workers' Compensation and General Liability policies within a multi-funct...

Accelerate your career by conducting comprehensive premium audits in both virtual and field environments, focusing on Workers' Compensation and General Liability, to ensure accurate premium assessment...

Lead the charge in compliance operations by analyzing regulations and ensuring adherence to Medicare Pharmacy and Part D standards. Support key initiatives and relationships while conducting audits to...

Elevate pricing strategies by leading the actuarial function, enhancing models, and providing strategic insights to optimize portfolio performance and foster profitable growth across diverse underwrit...

Join a team that's driving operational excellence by optimizing legal workflows and technology. Be the strategic partner who enhances efficiency, supports corporate governance, and empowers cross-func...

Drive the implementation of EHS programs, ensuring compliance and safety standards. Collaborate with departments, conduct audits, and promote continuous improvement in practices. Foster a culture of s...

Transform the Commercial Lines department by mentoring leadership, resolving client issues, and driving team performance. Oversee operations, implement training, and adopt innovative technologies for...