Director, Claims Operations Jobs in San Diego, CA

Advance your career by enhancing the efficiency and effectiveness of our Legal and Compliance function. Lead operational improvements, manage budgets, and implement legal technology solutions in a dyn...

Contribute to quality operations initiatives by reviewing study documents, supporting audits, and ensuring compliance with regulatory standards. Collaborate with cross-functional teams to enhance qual...

Lead the strategic execution of commercial planning and sales coverage, aligning cross-functional teams to drive profitable growth. Oversee territory design, customer segmentation, and annual planning...

Drive litigation strategy and outcomes in a dynamic P&C environment, leading a team to enhance operational effectiveness and improve policyholder experiences while managing diverse liability and cover...

Unlock potential by leading strategic government programs, managing P&L, and driving operational excellence. Oversee contract delivery, mentor staff, and foster client relationships to ensure growth a...

Innovate underwriting strategies and technology solutions to enhance decision-making, efficiency, and profitability. Collaborate across teams to implement scalable capabilities that improve customer a...

Elevate channel strategy and partner relationships to drive revenue growth, enhance market positioning, and ensure effective collaboration across teams, while managing negotiations and performance met...

Join a team that's redefining business processes through digital transformation. Lead cross-functional initiatives, ensuring scalable and standardized practices that align with strategic goals while f...

Grow your career with a dynamic team focused on optimizing provider operations. Lead credentialing initiatives, implement AI solutions, and enhance workflows while ensuring compliance and operational...

Unlock potential by leading clinical reimbursement strategies across skilled nursing facilities, ensuring compliance and optimal performance through collaboration with multidisciplinary teams to enhan...

Lead a team of specialists in managing absence and claim cases, ensuring operational excellence and high-quality service delivery while fostering a supportive and growth-oriented environment for team...

Join a team that's dedicated to managing complex professional liability claims, focusing on legal malpractice. Leverage your expertise to evaluate coverage, negotiate outcomes, and ensure timely reser...

Lead the charge in managing claims by verifying coverage, initiating customer contact, and resolving complex issues. Collaborate with legal teams and ensure compliance while mentoring junior staff and...

Lead product strategy and execution for TPA, PEO, and Carrier partners, driving innovation and operational excellence. Collaborate with cross-functional teams to enhance platform capabilities and deli...

Join a team that's redefining care management by leading strategic initiatives in utilization and appeals processes. Drive high-quality, cost-effective care while ensuring compliance and fostering a c...

Shape the future of billing operations by leading a team to enhance accuracy, timeliness, and efficiency. Drive process improvements, manage complex accounts, and collaborate across functions to resol...

Drive accurate, evidence-based clinical claims while collaborating with Marketing, Legal, and Clinical teams. Build and manage the claims framework and evidence library to support bold, compliant mark...

Transform the underwriting landscape by leading a dedicated team in complex decision-making. Collaborate to enhance relationships and ensure service excellence, driving consistent, high-touch experien...

Transform your career by leading claims advocacy efforts, managing complex coverage issues, and providing expert guidance to brokers and clients. Collaborate with teams to ensure positive outcomes and...

Champion process excellence by optimizing workflows and driving cross-functional improvements. Collaborate with teams to enhance operational efficiency, reduce costs, and elevate service quality throu...

Innovate digital experiences by leading project execution across technology portfolios. Collaborate with business and tech leaders to drive priorities, enhance capabilities, and deliver exceptional me...

Transform healthcare performance by leading integrated optimization programs that enhance clinical, operational, and financial outcomes for hospitals and health systems. Drive measurable results throu...

Unlock your potential as you structure and manage reinsurance programs, collaborating with cross-functional teams to ensure effective risk transfer and operational excellence in a dynamic environment...

Drive growth by identifying and securing new business opportunities in risk management and medical education. Collaborate with teams to develop proposals, manage sales pipelines, and ensure alignment...

Join a team that's dedicated to managing complex commercial liability claims. You'll negotiate settlements, investigate coverage, and ensure compliance while maintaining high standards in a fast-paced...