Director, Claims Operations Jobs in Philadelphia, PA

Shape the future of claims management by investigating and resolving complex litigated property claims, enhancing client relationships while strategizing litigation outcomes in a fast-paced environmen...

Partner with us to lead the Grievance & Appeals department, ensuring compliance and efficient processing of member and provider appeals while managing a team and collaborating with external stakeholde...

Join a team that's dedicated to effective claims management and driving change on complex Surety matters. Collaborate with leaders to enhance processes, mentor staff, and create optimal resolutions wh...

Accelerate compliance operations excellence by leading high-risk regulatory activities, enhancing processes, and fostering cross-functional partnerships to ensure alignment with the Company’s Complian...

Lead the charge in underwriting complex pharmacy benefit deals, optimizing pricing strategies with cross-functional teams. Leverage automation and insights to enhance underwriting capabilities while m...

Join a team that empowers employers and brokers by providing expert clinical guidance. Leverage your pharmacy benefit management experience to enhance client satisfaction and support innovative strate...

Lead the care management team to enhance healthcare outcomes through strategic oversight, compliance, and performance improvement, ensuring high-quality and cost-effective care for members. Foster col...

Lead and optimize stop-loss operations, ensuring seamless integration, compliance, and zero errors while empowering teams and enhancing the client experience in a dynamic environment...

Unlock your leadership potential by guiding a team of claims adjusters. Drive operational excellence and encourage professional growth while adapting to evolving workflows in a fast-paced claims envir...

Analyze and operationalize privacy programs in the US healthcare sector, ensuring compliance with evolving laws. Collaborate across teams to implement solutions that safeguard personal information whi...

Grow your career with us as an Underwriting Supervisor, leading and developing a high-performing team. Influence crop insurance's future through strategic initiatives, operational excellence, and comp...

Join a team that's dedicated to optimizing operations and delivering exceptional service. In this role, you will enhance productivity, manage compliance, and drive continuous improvement to achieve st...

Join a collaborative team and lead initiatives in Utilization Management, ensuring quality medical service delivery while mentoring staff and enhancing efficiency within a fast-growing health plan org...

Partner with us to manage complex P&C insurance products, optimizing performance through data analysis, market insights, and collaboration with underwriting leaders. Leverage analytics and operational...

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

Join a dynamic team as you manage complex high-value property claims, driving negotiations and resolutions. Use your expertise to provide exceptional customer support while ensuring compliance with re...

Lead the charge in shaping a comprehensive Medicare Advantage strategy by leveraging extensive expertise to enhance member experience and operational efficiencies, while collaborating with cross-funct...

Champion a high-performing team to drive strategic Workers Comp claim initiatives, enhancing quality and outcomes while providing expert guidance and fostering collaboration in a dynamic environment...

Lead the charge in risk underwriting across North America, driving strategic credit decisions and fostering high-performance teams. Collaborate with stakeholders to enhance governance and profitabilit...

Elevate analytics strategies by leading insights and AI initiatives for Claims, transforming data into actionable solutions that enhance operational efficiency and drive business value across the orga...

Unlock potential by leading strategic initiatives to enhance revenue recovery and drive operational excellence in healthcare financial operations. Collaborate with cross-functional partners to achieve...

Innovate product strategies for multiple states, optimizing P&L performance through data-driven analysis, collaboration with cross-functional teams, and strategic recommendations to enhance market com...

Shape product vision and strategy while leading a high-performing product management team. Drive innovations, oversee product lifecycles, and collaborate across departments to deliver impactful soluti...

Join a collaborative team as you manage complex claims involving design professionals. Leverage your expertise in legal analysis and problem-solving to resolve disputes effectively while ensuring exce...

Elevate profitable underwriting performance through leadership and strategy execution. Lead a team in achieving timely, quality underwriting decisions, nurturing agency relationships, and driving inno...