Director, Claims Operations Remote Jobs

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...

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...

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...

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...

Drive the transformation of complex Auto Casualty claims operations by leading innovative strategies, optimizing processes, and ensuring regulatory compliance, all while championing a culture of teamw...

Unlock potential by leading strategic insurance risk management initiatives. Drive operational efficiency and team performance while integrating technology to enhance compliance across diverse portfol...

Lead and elevate a team handling Commercial General Liability claims, ensuring operational excellence and exceptional service. Drive performance, promote accountability, and foster continuous learning...

Lead the charge in optimizing clinical appeals processes, ensuring compliance and high-quality outcomes. Manage a skilled team while collaborating with stakeholders to enhance operational effectivenes...

Reimagine your career by leading strategic pricing initiatives within a dynamic team. Collaborate across departments to enhance models for Businessowners Policy and Commercial Package Policy, driving...

Lead the charge in managing complex commercial casualty claims, providing strategic oversight and fostering a high-performing team. Drive improvement in claims outcomes, enhance customer experiences...

Transform practice operations by integrating AI technology with compliance and quality management. Oversee scaling initiatives, ensure safe automation, and enhance clinical risk mitigation while leadi...

Analyze and manage complex General Liability claims while collaborating with internal teams and TPAs. Use your expertise to drive excellence and innovation in claims management, ensuring timely resolu...

Champion innovative pharmacy channel strategies to optimize value and performance. Collaborate cross-functionally to analyze and implement initiatives that enhance clinical and financial outcomes for...

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...

Lead a high-performance team focused on fraud prevention and claims operations, ensuring compliance with regulations and enhancing risk mitigation strategies through collaboration and innovative solut...

Transform your career by managing operational risk for a diverse property portfolio. Oversee incident investigations, enhance claims coordination, and drive proactive loss prevention strategies to min...

Manage the product team, driving strategy, standardization, and high-quality delivery across diverse product lines while leading cross-functional collaboration and fostering a culture of innovation...

Lead the charge in optimizing third-party risk management, enhancing operational effectiveness, and ensuring compliance with regulations. Oversee due diligence, audits, and cross-functional initiative...

Take ownership of EPMO operations, leading project management teams to ensure successful delivery of enterprise projects. Foster efficiency through established operational standards and continuous imp...

Drive transformative automation in claims operations, enhancing efficiency and member experience. Lead cross-functional teams to design AI-driven workflows, optimize processes, and ensure operational...

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...

Empower a high-performing remote team as you oversee provider data management and credentialing frameworks. Drive strategic initiatives and optimize infrastructure to ensure accurate, compliant provid...

Join us to lead strategic operations for a dynamic team, driving efficiency and process improvements. You will oversee budgeting, staff development, and policy changes, ensuring alignment with broader...