Director, Claims Operations Jobs in Providence, RI

Oversee a team managing TPA claims, ensuring compliance and quality standards while developing staff in various jurisdictions. Drive improvement in processes and maintain effective communication with...

Lead claims management by overseeing staff, evaluating cases, and driving process improvements while ensuring robust analysis and timely settlements for optimal client and company outcomes...

Lead the charge in insurance compliance oversight, risk management, and operational efficiency. Drive team performance, strategic process improvements, and technology integration, ensuring alignment w...

Elevate claims oversight by ensuring compliance and quality in handling P&C claims across MGAs. Collaborate with Program Managers, audit practices, and monitor performance while fostering strategic re...

Champion operational excellence in a senior leadership role by enhancing client services through innovative process improvement. Collaborate with cross-functional teams to drive performance management...

Accelerate project success by leading implementation initiatives and fostering client relationships across cross-functional teams, ensuring seamless delivery of services and technology from pre-sales...

Support the effective management of Workers Compensation claims through the oversight of Third Party Administrators, ensuring compliance and optimal outcomes while fostering strong relationships with...

Lead the charge in enhancing claims quality assurance by overseeing audits, establishing standards, and driving continuous improvement across liability claims and TPA interactions, ensuring compliance...

Drive the transformation of complex Auto Casualty claims operations by leading innovative strategies, optimizing processes, and ensuring regulatory compliance, all while championing a culture of teamw...

Unlock potential by leading strategic insurance risk management initiatives. Drive operational efficiency and team performance while integrating technology to enhance compliance across diverse portfol...

Lead and elevate a team handling Commercial General Liability claims, ensuring operational excellence and exceptional service. Drive performance, promote accountability, and foster continuous learning...

Lead and optimize the clinical appeals function within Utilization Management, ensuring compliance and excellent outcomes through strategic oversight and collaboration with healthcare teams, while dri...

Reimagine your career by leading strategic pricing initiatives within a dynamic team. Collaborate across departments to enhance models for Businessowners Policy and Commercial Package Policy, driving...

Lead and oversee manufacturer program operations and client relations while collaborating with executive management to enhance service delivery, drive organizational growth, and ensure effective commu...

Join a team that's redefining casualty claims management by leading a high-performing group, setting enterprise standards, and driving strategic initiatives that enhance operational performance and im...

Analyze and manage complex General Liability claims while collaborating with internal teams and TPAs. Use your expertise to drive excellence and innovation in claims management, ensuring timely resolu...

Lead and mentor fraud investigation teams, driving operational excellence and compliance. Oversee strategic fraud mitigation, ensuring timely responses to regulatory standards and collaboration with l...

Lead the charge in combating fraud by overseeing investigative teams, ensuring compliance, and fostering collaboration. Drive strategic initiatives to strengthen fraud prevention measures while aligni...

Drive operational excellence and service delivery improvements in Medicaid operations, collaborating with clients and leading a high-performing team to ensure regulatory compliance and innovate proces...

Collaborate with Executive Leadership to drive key operational initiatives and business strategies. This role offers dynamic exposure across functions, promoting impactful decision-making and growth o...

Take ownership of EPMO operations, leading project management teams to ensure successful delivery of enterprise projects. Foster efficiency through established operational standards and continuous imp...

Oversee payment integrity initiatives, ensuring alignment between clinical coding and organizational strategy. Partner with cross-functional teams to strengthen provider relations and improve audit op...

Empower a high-performing remote team as you oversee provider data management and credentialing frameworks. Drive strategic initiatives and optimize infrastructure to ensure accurate, compliant provid...

Join us to lead strategic operations for a dynamic team, driving efficiency and process improvements. You will oversee budgeting, staff development, and policy changes, ensuring alignment with broader...

Transform data into insights by leading a high-performing team of analysts to deliver impactful reporting solutions, driving collaboration with stakeholders while fostering a culture of continuous lea...