$72K - $96K *
Reimagine the claims process by leading investigations and negotiations on complex auto liability cases. Ensure compliance, maintain high service standards, and drive timely resolutions while effectiv...
Reposted 3 weeks ago
$95K - $115K *
Empower your career by joining a dynamic team handling complex cyber claims. Collaborate with industry experts to assess risk, manage vendor relationships, and provide exceptional service while drivin...
4 days ago
$110K - $140K *
Elevate your career by joining our dynamic claims team, where you'll manage complex cyber claims, collaborate with top-tier vendors, and support underwriting efforts, all while contributing to innovat...
Reposted 1 week ago
$66K - $114K *
Unlock potential by leveraging your analytical skills to assist in rate determination and perform actuarial validations. Collaborate in a hybrid work environment to enhance our actuarial models and en...
4 days ago
Complex Clinical Claims Analyst
$100K - $110K *
Seeking a detail-oriented analyst to perform complex clinical and coding reviews of facility claims, ensuring adherence to medical guidelines and fostering optimal performance through expert analysis...
Yesterday
Claims Expert, Treaty Casualty Claims
$115K - $141K *
Innovate solutions for complex casualty claims management in the insurance sector. Collaborate with internal teams and clients to deliver exceptional service while overseeing a portfolio of high-value...
3 weeks ago
Auditor Clinical Validation DRG
$95K *
Empower the auditing process by analyzing inpatient claims and ensuring coding accuracy. Leverage your clinical expertise and advanced coding knowledge to drive quality and productivity in chart valid...
1 week ago
Content Analyst II - Drug and Biological Policy
$100K - $125K *
Join a dynamic clinical operations team, driving quality assurance and policy maintenance for Drug and Biological policies. Your expertise will enhance our coding processes and support client inquirie...
3 weeks ago
$95K - $115K *
Help us analyze and optimize medical policies while providing key insights across clinical operations. Collaborate with teams to ensure effective policy development and quality assurance, enhancing ou...
1 week ago
$100K - $140K *
Engage with cross-functional teams to translate business strategies into actionable solution requirements, ensuring effective delivery and alignment with organizational goals in healthcare economics...
Today
$89K - $170K *
Unlock complex actuarial insights by analyzing risk contracts and leading projects. Support management reporting, enhance team training, and drive innovative capitation initiatives in a dynamic hybrid...
3 weeks ago
$75K - $95K *
Lead the management of complex commercial general liability claims, overseeing investigations, evaluations, and litigation, while mentoring junior analysts and ensuring optimal claims outcomes in alig...
2 days ago
Executive Claims Examiner, Programs
$97K - $134K *
Champion the resolution of high-exposure claims, overseeing complex investigations, negotiations, and litigation while ensuring compliance and efficient collaboration across teams...
5 days ago
$80K - $105K *
Elevate your career by leading a team in Utilization and Denials Management. Drive quality assurance, enhance operational efficiency, and mentor specialists to achieve client goals while ensuring comp...
1 week ago
$80K - $105K *
Champion quality assurance in healthcare by leading a Utilization and Denials Management team, ensuring efficient operations, training staff, and collaborating with stakeholders to elevate production...
1 week ago
Claims Module Senior Business Analyst
$85K - $111K *
Shape the future of healthcare with your expertise in claims processing and business analysis. Drive innovation and provide domain knowledge while leading projects, collaborating with teams, and enhan...
Today
Claim Examiner-Commercial Auto/Trucking Physical Damage (hybrid)
$68K - $98K *
Analyze and resolve Commercial Material Damage claims, ensuring thorough evaluation and effective communication. Collaborate with various stakeholders while managing project responsibilities to achiev...
1 week ago
Auditor Clinical Validation Outpatient Specialty Clinical
$95K *
Unlock your potential by auditing outpatient claims. Leverage your clinical and coding expertise to enhance accuracy and improve treatment quality while contributing to innovative auditing solutions i...
3 weeks ago
$101K *
Support the Clinical Chart Validation team by reviewing appeals and claims, applying coding guidelines, and providing expert feedback to ensure accurate recovery determinations and maintain compliance...
2 days ago
$70K - $95K *
Support a team that evaluates and manages construction claims, ensuring effective strategies for investigation, negotiation, and resolution, while communicating findings with stakeholders and adapting...
1 week ago
$100K *
Lead the charge in managing reinsurance claims, ensuring precision in reporting and compliance while optimizing recoveries and collaborating cross-functionally for the best outcomes in a complex, dyna...
Reposted today
$78K - $107K *
Drive the timely resolution of complex claims while mitigating risks, providing technical guidance, and ensuring strong communication with all stakeholders for optimal outcomes and best practices in c...
2 weeks ago
$80K - $110K *
Transform the claims process by adjudicating complex claims, documenting outcomes, and guiding litigation strategies while supporting a dynamic team dedicated to superior client service and operationa...
Reposted 2 weeks ago
$80K - $110K *
Reimagine the claims process by adjudicating complex cases with expertise, providing operational support, and driving best practices within a dynamic team focused on superior service and effective cla...
Reposted 2 weeks ago
$80K - $110K *
Analyze and adjudicate complex claims as a Senior Claims Examiner. Provide operational support and documentation in compliance with regulations while driving best practices and managing litigation to...
Reposted 2 weeks ago