Director, Claims Operations Jobs in Atlanta, GA

Build and lead a robust Service Management Office to enhance IT operations, ensuring effective governance, accountability, and continuous improvement across a complex 24x7 environment, while fostering...

Transform state performance by driving growth and profitability through strategic management of pricing, underwriting, and market analysis. Collaborate across departments to enhance compliance and eff...

Lead the charge in transforming operations by integrating AI and technology to enhance member and clinician experiences, ensuring efficient care delivery and operational excellence across a distribute...

Champion the development of clinical operations by managing a network of providers, establishing policies, and enhancing quality programs. Collaborate with leadership to ensure operational excellence...

Lead a dynamic team in evaluating and resolving construction claims, ensuring compliance and efficiency while fostering strong relationships with stakeholders. Drive process improvements and deliver e...

Drive effective evaluation and resolution of construction claims, ensuring compliance with industry standards. Collaborate with insureds, brokers, and legal teams to manage claims proactively while ma...

Shape the future of value-based payments by leading product strategy, overseeing team development, and driving market innovations within a collaborative, cross-functional environment...

Drive the creation and oversight of a risk framework that balances growth with security. Partner with cross-functional teams to implement risk strategies operationally, while conveying insights to exe...

Unlock potential by leading claims adjudication logic to enhance accuracy and efficiency. Drive strategic improvements, collaborate across teams, and ensure compliance while optimizing operations in a...

Lead the charge in evaluating complex clinical scenarios and authorizing services based on national guidelines and regulatory compliance. Collaborate with healthcare professionals to ensure quality ca...

Lead the charge in supervising claims teams, enhancing processes, and driving quality assurance for liability claims. Collaborate with management to identify trends and ensure compliance while fosteri...

Join a dynamic team to manage and resolve moderate complexity claims, utilizing your analytical skills to investigate, negotiate, and settle cases effectively while ensuring compliance with policies a...

Unlock potential by managing complex claims with a focus on legal inquiries and resolutions. Collaborate with clients and experts to deliver innovative solutions while enjoying flexibility and profess...

Pioneer operational excellence in Design leadership, managing workflows, prioritizing projects, and developing talent. Collaborate cross-functionally to enhance Design integration in AI-driven product...

Join us to lead a dynamic team in optimizing revenue cycle operations for multiple clients. Drive continuous improvement and ensure client satisfaction while managing performance metrics and fostering...

Lead the charge in overseeing claims compliance activities, enhancing operational quality, and ensuring audit readiness. Collaborate cross-functionally to identify gaps, monitor KPIs, and drive improv...

Drive excellence in claims management by supervising a team of adjusters, ensuring quality service delivery, and maintaining compliance with legal standards. Foster staff development and oversee the i...

Lead the charge in managing high-severity, complex insurance claims, focusing on EPL and Professional Liability. Serve as a subject matter expert, ensuring compliance and strategic resolution while ad...

Drive strategic growth by establishing and nurturing key partnerships with Enterprise Claims carriers, ensuring service excellence and collaboration across internal teams to enhance business outcomes...

Elevate healthcare standards by guiding medical policy and coding within a collaborative team. Leverage your expertise to enhance client relationships, improve payment accuracy, and drive strategic in...

Analyze complex commercial claims, ensuring thorough investigations and effective resolutions. Collaborate with internal and external parties to manage litigated and non-litigated claims, leveraging s...

Unlock potential by leading enterprise-wide Cost of Care solutions. Drive scalability, optimize deployment, and enhance operational effectiveness across diverse markets, collaborating with stakeholder...

Transform healthcare sales by building strategic relationships within managed care organizations. Drive revenue growth through effective selling and relationship management while maximizing exposure t...

Manage data management operations to ensure high-quality clinical trial services, driving process improvements and team development while maintaining data integrity and adherence to timelines and regu...

Champion the management of complex liability claims, ensuring thorough investigations, negotiations, and settlements. Collaborate with internal and external stakeholders to maintain high standards of...