Director, Claims Operations Jobs in Plano, TX

Shape the future of healthcare by driving risk adjustment solutions that enhance interoperability, improve documentation accuracy, and ensure compliance across Medicare, Medicaid, and ACA programs thr...

Transform clinical operations by leading a high-performing team to enhance patient experience, streamline processes, and ensure compliance while fostering innovation that drives organizational growth...

Lead and manage the resolution of complex commercial general liability claims, both litigated and non-litigated, ensuring timely and effective communication with clients and stakeholders while providi...

Champion innovation in claims management by expertly handling Private and Non-Profit D&O claims. Assess coverage, guide litigation, and lead negotiations to deliver high-quality resolutions while coll...

Empower decision-making through data insights by leading a talented team of analytics professionals. Drive operational excellence and foster collaborative partnerships to enhance performance and impro...

Engage in resolving complex professional liability claims while minimizing risk. Drive decisions with minimal oversight, train team members, and communicate efficiently with stakeholders. Foster colla...

Drive operational excellence and enhance Commercial Lines performance by partnering with leadership, standardizing workflows, and implementing strategic process improvements to optimize client service...

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...

Champion payment integrity by overseeing audits, compliance strategies, and educational initiatives, ensuring adherence to regulations while driving operational efficiency across healthcare services...

Analyze and resolve complex Construction Defect claims, ensuring compliance with standards while guiding junior staff. Collaborate across teams to negotiate settlements and prepare reports on claims s...

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...

Lead the charge in optimizing operational efficiency through analytics and strategic management, overseeing multi-million-dollar P&L, and empowering teams to enhance clinical delivery and patient enga...

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...

Champion operational excellence by enhancing processes, driving client retention, and leading a high-performing team to achieve strategic business goals while fostering a culture of accountability and...

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 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...

Champion risk innovation by leading strategic functions in a modern, agile framework. Collaborate with senior leaders to create effective governance while managing complexity in AI, data, and operatio...

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...

Drive operational excellence by leading clinical and audit review functions, ensuring compliance and efficiency while fostering a culture of improvement and teamwork across diverse departments within...