Claims Specialist Jobs in Spokane, WA

As a senior claims specialist, you will investigate complex injury claims and consult with various stakeholders to determine coverage, liability, and claim value. This hybrid role requires strong nego...

The Senior Claims Specialist - Injury is responsible for investigating complex and high-risk injury claims, consulting with various stakeholders to determine coverage, liability, and claim value. This...

The Business Lines Senior Claims Resolution Specialist, Bodily Injury is responsible for managing, investigating, and resolving moderate to complex claims while providing quality service to policyhold...

The Appeals Clinician I role involves utilizing clinical expertise to manage and resolve member and provider appeals within a health services organization. This position requires a strong commitment t...

The Appeals Clinician I role involves utilizing clinical expertise to manage and resolve member and provider appeals within a health services organization. This position requires a strong background i...

The Field Case Manager will work closely with treating physicians, employers, and injured individuals to create and implement effective treatment plans aimed at facilitating recovery and return to wor...

The Sr Program Specialist, Medicare is responsible for managing the benefits, operations, communication, reporting, and data exchange of the Medicare/MMP product. This role involves overseeing the des...

As a Contract Analyst for the Enterprise Vendor Management and Contracting team, you will develop, analyze, modify, and maintain contractual agreements with vendors. Your role is crucial in negotiatin...

CorVel Corporation is seeking a compassionate and self-motivated registered nurse to serve as a Medical Case Manager in Spokane, WA. This role involves working with injured workers to facilitate their...

The Case Manager at Avalon Healthcare Tacoma will facilitate interdisciplinary plans and ensure progress reports are completed for payors. This role involves coordinating communication between patient...

The Senior Analyst, Medical Economics will analyze key business issues related to cost, utilization, and revenue for Molina Healthcare products. This role involves conducting complex analyses to ident...

The Regional Vice President, Claims oversees the entire claims management process, ensuring efficient handling of client claims while leading a team of experienced claims staff. This role focuses on d...

The Payment Integrity RN conducts post-service reviews of claims to ensure appropriate clinical review, reimbursement, and accuracy of coding. This role involves applying nursing expertise to support...

The Payment Integrity RN conducts post-service reviews of claims to ensure appropriate clinical review, reimbursement, and accuracy of coding. This role involves applying nursing expertise to support...

The Political Affairs Specialist is responsible for managing the day-to-day operations and strategic planning of the corporate Political Action Committee (PAC) at Cambia. This role involves developing...

The Political Affairs Specialist is responsible for managing the day-to-day operations and strategic planning of the corporate Political Action Committee (PAC) at Cambia. This role involves developing...

The Collision Center General Manager is responsible for overseeing the daily operations of a collision repair shop, ensuring high levels of production quality and efficiency while meeting revenue goal...

The Healthcare Services Vendor Manager is responsible for program evaluation, development, and management within the healthcare sector. This role involves building relationships with internal customer...

The Healthcare Services Vendor Manager is responsible for program evaluation, development, and management within the healthcare sector. This role involves building relationships with internal customer...

The Director of the Special Investigations Unit in Regulatory Operations acts as a liaison between SIU operations and health plans, ensuring smooth workflows and compliance with quality assurance meas...

The Adjunct Drug Testing Program Administrative Manager will oversee the Drug Demand Reduction Program for the Air National Guard, managing drug testing sessions and educational initiatives. This role...

The Quality Consultant in Healthcare is responsible for developing and implementing quality improvement programs related to clinical quality measurement and outcomes. This role involves ensuring compl...

The Quality Consultant in Healthcare is responsible for developing and implementing quality improvement programs related to clinical quality measurement and outcomes. This role involves ensuring compl...

The Sr Analyst, Healthcare Claims Analytics is responsible for performing research and analysis of complex healthcare claims, pharmacy, and lab data to evaluate network utilization and cost containmen...

The Accountant Sr II is responsible for complex general and cost accounting activities, including financial reporting, analysis, and external audit coordination. This role requires strong leadership s...