Claims Specialist Jobs in San Jose, CA

Unlock potential by guiding healthcare providers through complex claims disputes. Represent clients in WC, MVA, TPL, and VA claims while ensuring compliance with state laws. Collaborate with teams to...

Manage complex claims by analyzing coverage, negotiating resolutions, and collaborating with stakeholders. Lead litigation activities and ensure compliance with regulations while delivering exceptiona...

Drive the transformation of complex Auto Casualty claims operations by leading innovative strategies, optimizing processes, and ensuring regulatory compliance, all while championing a culture of teamw...

Lead the end-to-end claims management for diverse professional liability portfolios, including architects and engineers. Drive proactive strategies for effective resolution and enhance the claims proc...

Lead the management of complex commercial general liability claims, overseeing investigations, evaluations, and litigation, while mentoring junior analysts and ensuring optimal claims outcomes in alig...

Join us in leading a dedicated claims team, delivering exceptional service, compliance, and support across diverse clients while fostering professional growth and ensuring claim excellence in a dynami...

Lead the charge in managing reinsurance claims, ensuring precision in reporting and compliance while optimizing recoveries and collaborating cross-functionally for the best outcomes in a complex, dyna...

Join a team that evaluates and manages insurance claims, ensuring compliance and minimizing risk. You will analyze coverage, conduct investigations, communicate with stakeholders, and negotiate settle...

Shape the future of claims management by leading strategy for large accounts, providing analytics and insights, and fostering strong relationships with clients and stakeholders for optimal claim resol...

Join a team that's crucial for financial accuracy and efficiency, supporting collections managers with client onboarding, payment processing, reporting, and administrative tasks in a fast-paced enviro...

Empower your career as a claims adjuster specialist, managing attorney-represented bodily injury claims. Collaborate with a supportive team while independently negotiating settlements and assessing li...

Drive the resolution of complex major case claims involving serious injuries. Take ownership of the entire claims lifecycle while collaborating with stakeholders to achieve timely outcomes through eff...

Champion proactive claims management by serving as a trusted advisor, partnering with clients and stakeholders to drive optimal outcomes in the insurance claims lifecycle across multiple coverage line...

Seeking a detail-oriented analyst to perform complex clinical and coding reviews of facility claims, ensuring adherence to medical guidelines and fostering optimal performance through expert analysis...

Manage ceded reinsurance processes, oversee claims accuracy, and facilitate team training while ensuring effective communication with leadership and IT to enhance reporting capabilities...

Lead the charge in coaching and directing a casualty resolution team, ensuring effective claims handling and staff development. Collaborate with stakeholders to drive operational efficiency and uphold...

Help us investigate and adjust high exposure claims, collaborating with defense counsel and vendors to ensure compliance. Leverage your expertise in casualty claims management while optimizing custome...

Empower the management of complex Workers Compensation claims, utilizing established medical strategies and data analytics to track trends, collaborate with teams, and drive resolution for cases of hi...

Lead the charge in managing complex claims for Management Liability, ensuring compliance, and enhancing customer satisfaction through strategic analysis and effective resolution...

Lead the charge in managing high-severity insurance claims related to healthcare professional liability, overseeing complex investigations and providing expert coverage analysis while collaborating wi...

Unlock potential by expertly managing complex workers' compensation claims from initiation to resolution while ensuring compliance and effective communication with all stakeholders in a hybrid work en...

Solve complex claims with autonomy, leveraging your 10+ years of expertise to ensure timely and fair resolutions. Manage high-stakes cases while collaborating with adjusters and legal teams to uphold...

Shape the future of claims management by leading a team to ensure compliance, quality service, and effective resolution in liability claims while fostering a supportive work environment and driving op...

Transform healthcare management by leading a team that ensures optimal utilization of services. Oversee review processes and improve care quality while fostering collaboration and adherence to complia...

Support the Clinical Chart Validation team by reviewing appeals and claims, applying coding guidelines, and providing expert feedback to ensure accurate recovery determinations and maintain compliance...