Director, Claims Operations Jobs in Los Angeles, CA

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...

Unlock potential by leading a dynamic team to drive growth and profitability in middle market commercial insurance, managing a $200 million portfolio while fostering relationships and executing strate...

Lead the evaluation and resolution of construction claims, ensuring compliance and effective communication with all stakeholders while driving process improvements and maintaining high standards of cu...

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 clinical direction for complex workers’ compensation claims, ensuring effective care coordination and cost management while guiding a team in applying regulatory standards and best practices...

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...

Pioneer strategic network operations, driving efficiency and compliance while leading a high-performance team. Oversee regulatory implementation, enhance provider experience, and ensure alignment with...

Lead the overall management of a high-performing market, driving operational excellence and inspiring teams to exceed performance targets while ensuring top-tier customer service and strategic growth...

Join a team that's dedicated to operational excellence and leadership. Drive performance, inspire teams, and exceed industry standards while managing a top-tier market territory with a focus on custom...

Lead legal and risk operations, ensuring compliance and integrity across domestic and international initiatives. Collaborate with stakeholders to manage contracts, develop policies, and support govern...

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...

Champion operational excellence by leading a high-performing claims team, enhancing customer experience, and driving strategic initiatives to improve outcomes and reduce costs across the claims depart...

Drive operational excellence in claims management while leading a high-performing team. Foster collaboration, enhance customer experience, and ensure compliance to deliver exceptional outcomes and str...

Join a team that's dedicated to supervising and guiding claims examiners in effectively investigating and settling property insurance claims while ensuring compliance with regulations and maintaining...

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...