$72K - $96K *
Deliver timely, high-quality evaluations and resolutions for liability claims while ensuring compliance and exceptional customer service in a fast-paced, collaborative environment that facilitates com...
Reposted 1 month ago
$90K - $100K *
Help us investigate and adjust high exposure claims, collaborating with defense counsel and vendors to ensure compliance. Leverage your expertise in casualty claims management while optimizing custome...
3 days 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...
1 week ago
$50K - $111K *
Join a team that's transforming claims processing by investigating liability and efficiently managing claims within our established frameworks while adhering to accuracy and compliance standards...
1 week 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...
1 week ago
Systems Analyst Advisor - Commercial Reinsurance
$101K - $151K *
Unlock potential by leading the Commercial Reinsurance data process, enhancing efficiency through automation. Drive improvements in reporting workflows and data accuracy while migrating legacy systems...
3 days ago
Clinical Provider Auditor II - Payment Integrity SIU
$58K - $107K *
Lead critical audits in healthcare payment integrity by assessing claims, preventing fraud, and collaborating with teams to enhance compliance. Drive risk management initiatives and contribute to bett...
6 days ago
Expert Claims Review Business Analyst
$71K - $90K *
Drive impactful business outcomes by enhancing analytics solutions in an Agile context. Collaborate with cross-functional teams to deliver user-centered results and optimize processes, ensuring the su...
1 week ago
Payment Integrity Analyst III - QA Analyst
$73K - $113K *
Lead a dynamic team to ensure compliance and quality in payment audits, utilizing clinical judgment and analytical skills. Drive policy adherence and best practices while enhancing team training and s...
2 weeks ago
$84K - $138K *
Unlock your potential as an Actuarial Analyst, driving impactful projects and enhancing data modeling for risk assessment and strategy development, while collaborating in a dynamic, hybrid work enviro...
Today
Executive Claim Analyst (Large Loss Casualty)
$120K - $135K *
Transform the claims process by managing severe bodily injury cases, ensuring accuracy, compliance, and superior service while collaborating with cross-functional teams and mentoring peers to enhance...
Today
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...
2 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...
2 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...
1 week ago
Executive Claims Examiner, Programs
$97K - $134K *
Inspire the future of claims resolution by becoming a trusted expert in managing complex casualty claims. Take charge of investigations, negotiations, and coverage analyses, while collaborating with d...
2 weeks 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...
1 week ago
Clinical Provider Auditor Senior - Payment IntegritySIU
$75K - $95K *
Join a team that's tackling fraud and abuse in healthcare by conducting audits and ensuring compliance in claims processing, while developing strategies for loss control and efficiently training new a...
3 days ago
Auditor Clinical Validation Outpatient Specialty Clinical
$95K *
Unlock potential by auditing outpatient and specialty claims, ensuring coding accuracy, clinical necessity, and compliance with industry standards. Leverage advanced coding expertise to identify billi...
6 days 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...
1 week ago
$78K - $107K *
Elevate claims resolution by managing complex cases, evaluating liability, and ensuring effective communication with stakeholders while mentoring team members for optimal performance...
3 weeks 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 1 week ago
$70K - $95K *
Join a team that evaluates and manages insurance claims, ensuring compliance and minimizing risk. You will analyze coverage, conduct investigations, communicate with stakeholders, and negotiate settle...
1 week ago
Complex Denials Consultant (Complex Claims)
$90K - $112K *
Unlock potential by guiding healthcare providers through complex claims disputes. Represent clients in WC, MVA, TPL, and VA claims while ensuring compliance with state laws. Collaborate with teams to...
3 weeks ago
$73K - $97K *
Manage and adjust aerospace claims, focusing on light and general aviation. Leverage strong technical expertise to identify trends and provide strategic feedback, while fostering effective relationshi...
Reposted 1 month ago
$83K - $104K *
Advance your career by expertly managing complex construction defect claims, fostering collaboration with clients and internal teams, resolving coverage questions, and ensuring compliance with legal r...
1 week ago