Director, Claims Operations Remote Jobs

Elevate financial leadership by overseeing insurance accounting operations, leading a dynamic team while ensuring compliance, accuracy, and modernization of financial reporting processes and systems...

Manage and support strategic initiatives for senior leadership, prioritize key activities, and drive cross-functional collaboration to enhance business growth and effectiveness across the designated f...

Engage in driving cross-functional projects that enhance agency operations and partnerships, ensuring scalable solutions in a fast-paced environment. Lead initiatives from identification to implementa...

Unlock potential by managing complex casualty and litigated claims nationwide, guiding teams through expert claims handling and resolution strategies, while ensuring best practices and timely communic...

Accelerate progress at the intersection of strategy and operations, driving high-performance marketing systems and data governance. You'll partner closely with executive leadership to optimize revenue...

Drive the handling and oversight of complex Property claims, ensuring optimal outcomes through field engagement, investigations, and collaboration with internal and external partners. Lead initiatives...

Champion clinical excellence by guiding clients through pharmacy benefit processes, conducting insightful reviews, and fostering partnerships. Drive innovative strategies that enhance client satisfact...

Advance the effectiveness of our utilization management team, ensuring compliance with best practices, improving member experiences, and managing daily operations to achieve optimal outcomes and cost...

Drive team success by overseeing Workers' Compensation claims management, providing expert guidance, and ensuring compliance with regulations while fostering a collaborative and high-performance envir...

Manage operational excellence in delivering customer-facing technology, oversee incident resolution and production support, collaborate with internal and offshore teams, and ensure compliance with reg...

Partner with us to navigate complex regulatory environments, ensuring compliance and facilitating business expansions. Leverage your expertise to advise leadership and manage licensure processes effec...

Lead and optimize accounting operations for insurance transactions, ensuring compliance with regulations while managing a team. Collaborate cross-functionally for accurate reporting and drive digital...

Innovate your career by leading extensive Prior Authorization governance strategy across diverse populations. Drive enterprise decision-making and improve operational efficiency through strategic coll...

Pioneer your career by leading global financial operations, driving efficiency in AP, AR, and revenue processes while ensuring regulatory compliance and operational excellence across cross-functional...

Accelerate progress at the forefront of crop insurance by leading, training, and supporting a remote team of adjusters across Ohio, ensuring compliance and excellence in claims handling while addressi...

Manage critical partner integrations and optimize operational processes to enhance vendor verification speed and quality. Own the end-to-end relationship between our system and partner APIs for seamle...

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...

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...

Contribute to the enhancement of encounter operations by leveraging your expertise in claims, analysis, and regulatory compliance. Engage collaboratively across teams to resolve complex issues and dri...

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...

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