Director, Claims Operations Jobs in Boston, MA

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...

Manage a team of adjusters in overseeing complex workers' compensation claims. Drive process improvements, ensure compliance, and foster a high-performance environment while collaborating with diverse...

Drive operational excellence and lead a team of specialized claims professionals, ensuring high-quality service and compliance in the Public D&O and Financial Institutions sectors while achieving busi...

Build your career by overseeing claims strategy for Commercial, E&S, and Specialty. Ensure excellence in claims handling, provide consultative guidance, and deliver operational support, while driving...

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...

Join a team that's redefining claims operations, transforming traditional processes into a strategic, data-driven powerhouse. This leadership role champions continuous improvement and collaboration to...

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...

Develop and lead departmental operations, driving efficiency and meeting revenue goals while ensuring a high-quality patient experience. Collaborate with cross-functional teams to implement strategic...

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...

Join a team that's transforming managed care operations. Lead strategic initiatives, oversee payer relations, and ensure compliance across the health system, all while developing a culture of collabor...

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...

Champion excellence in clinical operations by managing field practitioners, ensuring compliance and quality care, and driving operational success in a dynamic healthcare environment. Lead innovative t...

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...

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...

Lead complex claims operations, optimize processes, and manage a high-performing team in a collaborative environment to enhance customer service and drive business growth...

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...

Drive the transition of client-facing Certificate of Insurance processes to offshore teams, ensuring operational readiness and service quality while leading cross-functional collaboration and continuo...

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...

Drive strategic operational excellence in program management, ensuring effective resource allocation, project delivery, and financial oversight across multiple teams and locations to meet organization...

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...