Director, Claims Operations Jobs in Philadelphia, PA

Unlock impactful financial decisions by leading legal financial operations. Collaborate cross-functionally to enhance forecasting, analytics, and governance. Drive transparency and continuous improvem...

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...

Advance your career by leading global regulatory submissions and document management. Drive compliance and efficiency while collaborating with cross-functional teams to enhance operational processes a...

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...

Transform construction claims management by evaluating, investigating, and resolving claims efficiently. Collaborate with insureds, brokers, and legal teams to ensure fair outcomes while maintaining h...

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 capital management initiatives that drive financial strength and informed decision-making. Collaborate across functions to ensure accurate reporting and optimize capital al...

Join us in managing complex Pennsylvania workers' compensation claims from start to finish. You'll investigate, evaluate, and develop strategies to ensure compliance with regulations while collaborati...

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...

Join a dynamic team to manage complex claims, leveraging your litigation expertise to deliver innovative solutions for high-profile clients across various industries while fostering professional growt...

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...

Elevate operational excellence by leading a high-performing claims team, ensuring compliance and exceptional service delivery while driving strategic initiatives and fostering a culture of continuous...

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...

Lead the charge in optimizing agent commission systems for life and annuity products. Drive operational excellence, mentor teams, and collaborate with leadership to enhance service delivery and foster...

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...

Drive strategic reimbursement initiatives to enhance market access and sales. Collaborate with cross-functional teams to align objectives, support stakeholders, and navigate coding and payment issues...

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...