Director, Claims Operations Jobs

Optimize and resolve complex UM/UIM claims by conducting thorough investigations, negotiating settlements, and ensuring compliance with regulations. Deliver outstanding customer service while mentorin...

Unlock potential by managing and resolving complex UM/UIM claims. Collaborate with varied stakeholders while providing exceptional member service. Drive strategic evaluations and mentoring within a hi...

Drive exceptional service and resolution in complex auto claims, engaging with diverse stakeholders while ensuring compliance with regulatory standards and delivering quality outcomes. Contribute to t...

Champion excellence in claims management by leading complex UM/UIM investigations, negotiations, and member services while ensuring compliance with state laws, delivering empathetic support, and drivi...

Engage in a dynamic role as you evaluate and adjust complex auto claims nationwide while delivering exemplary service and mentoring team members. Your expertise will drive strategic discussions and en...

Optimize administrative operations for a multi-physician practice by leading teams, coordinating program development, managing budgets, and ensuring adherence to compliance standards for improved effi...

Take ownership of diverse administrative operations in a dynamic multi-physician environment, driving program development, regulatory compliance, and team leadership to optimize clinical and operation...

Oversee the administrative operations of a multi-physician practice, ensuring compliance and efficiency. Drive program development and manage resources while leading operational teams to meet financia...

Drive commercial sales operations by leading a global team focused on optimizing revenue capture and contract management. Foster collaboration across departments while delivering insights to enhance p...

Drive the investigation and adjustment of multi-line claims, focusing on commercial auto liability, property damage, and bodily injury while ensuring compliance with established standards and client g...

Empower the health plan as a Medical Policy Director, guiding coding and payment policy strategies while collaborating with diverse teams to optimize client solutions and deliver impactful presentatio...

Contribute to our EDI team by supporting, monitoring, and improving EDI workflows. Collaborate with IT and business units, ensuring accurate transactions while providing training and documentation for...

Transform the integrity and usability of enterprise data by leading Data Quality and Master Data Management initiatives. Collaborate with key stakeholders to enhance data operations that drive busines...

Lead and manage enterprise data quality and master data operations, ensuring trusted data flows through systems. Drive improvements and operationalize data standards, collaborating across teams to enh...

Architect robust governance frameworks that enhance delivery quality, ensure vendor accountability, and uphold process standards across technology initiatives. Lead a dynamic team to exceed contractua...

Transform provider network management by strategizing hospital and physician collaborations, enhancing satisfaction, and leading a dedicated team to achieve comprehensive healthcare goals...

Champion effective claims resolution in our General Liability sector, driving innovation and collaboration while managing complex claims. Contribute to strategic business growth and forge strong relat...

Join a team that's dedicated to resolving complex General Liability claims with expertise. Manage and analyze claims, drive resolutions, and foster strong relationships while contributing to business...

Unlock potential by driving efficient resolution for complex General Liability claims. Manage high exposure cases, collaborate with clients and teams, and enhance business development initiatives with...

Drive the resolution of complex General Liability claims by analyzing submissions, setting reserves, and collaborating with clients and brokers to optimize outcomes and foster strong relationships wit...

Support and drive the resolution of General Liability claims while managing a caseload, providing analysis, and engaging with clients and stakeholders to ensure optimal outcomes in a dynamic insurance...

Shape compliance strategy by leading initiatives that mitigate risks and enhance oversight within financial services, collaborating with teams to ensure adherence to regulations and effective manageme...

Join a dynamic compliance team as a strategic leader, driving regulatory risk management across diverse business lines. Collaborate with executive management, oversee the Compliance Management Program...

Lead compliance initiatives and oversee regulatory risk management while driving the development of an effective Compliance Management Program. Collaborate with various business units to ensure adhere...

Drive operational excellence by translating strategy into execution, enhancing workflows, and advancing market initiatives to scale care delivery. Collaborate cross-functionally to improve performance...