Director, Claims Operations Jobs in Princeton, NJ

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 the strategic development and execution of underwriting goals, providing direction and support to teams. Drive profitability and growth while ensuring best practices in underwriting and fostering...

Optimize data exchange processes to ensure accuracy and reliability in pharmacy benefit services. Collaborate with teams to troubleshoot issues, support client onboarding, and enhance operational effi...

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...

Champion the resolution of construction claims by leveraging analytical skills and industry knowledge. Collaborate with insureds, brokers, and legal teams to ensure fair and efficient claims processin...

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...

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...

Join a team that's dedicated to optimizing complaint resolution across departments. Oversee a skilled group focused on member satisfaction and regulatory compliance while promoting process improvement...

Empower quality engineering excellence by leading strategic initiatives across diverse technology portfolios. Drive modernization, enhance automation, and foster collaboration to ensure high-quality s...

Shape the future of claims management by investigating, evaluating, and settling moderate complexity claims. Collaborate with stakeholders to ensure compliance and effective resolution while maintaini...

Drive the resolution of moderate complexity claims by investigating, evaluating, and negotiating settlements. Collaborate with stakeholders to ensure compliance and effective claim management while ma...

Unlock vendor performance by leading analytics and risk adjustment initiatives across healthcare programs. Drive strategy, manage relationships, and ensure accurate reporting to optimize operational s...

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...