Remote Senior Claims Compliance Leader
Bellwether Staffing Solutions, LLC
- Remote job
A staffing solutions company is seeking a Senior Compliance Analyst to manage claims compliance across 50 states. This fully remote role requires at least 7 years of experience in claims compliance or insurance regulation and a law degree. The ideal candidate will lead regulatory responses, monitor legislation, and oversee compliance audits. Strong knowledge of Medicare protocols and commercial insurance is essential. Compensation ranges from $125K to $145K with bonuses and benefits. #J-18808-Ljbffr Bellwether Staffing Solutions, LLC
- Centene is hiring for a remote role within the continental US, focused on strategic fraud, waste and abuse activities in... ...leadership experience and a strong background in medical claim investigation and compliance. The role involves monitoring billing integrity, leading...Remote jobSeniorClaimsFlexible hours
- ...Management Services, Inc. (CCMSI) seeks a Workers’ Compensation Claim Supervisor for Midwest National Accounts to oversee... ...Illinois focus. Lead a team of 4-6 claim professionals and ensure compliance with client instructions and standards. This role requires 10+...Remote jobSeniorClaims
$175k - $195k
...SVPs in the PR Strategy world. Senior Group DirectorofStrategy serves as a senior strategic leader within Integrated... ..., Carmel, or San Francisco—or remotely within the US, depending on team... ...payments to any unverified sources claiming to be connected to Real Chemistry...Remote workSeniorClaimsWork experience placementWork at officeLocal area2 days per week- ...HumanaPosted: 2026-08-11Humana, Inc. is seeking a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims for coding accuracy, DRG assignment, and guideline compliance.You will report to the Manager, Payment Integrity....Remote workSeniorClaims
- ...StatesCompany: HumanaPosted: 2026-08-10Humana Inc. seeks a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims for coding accuracy, DRG assignment, and regulatory compliance. You will report to the Manager, Payment Integrity....Remote workSeniorClaims
- ...Actuarial function in Columbus, OH. You will oversee Loss Reserving and Claims Actuarial, mentor staff, and present insights to the Chief... .... Strong communication and strategic thinking are essential, with hybrid/remote options available. #J-18808-Ljbffr Grange InsuranceRemote workSeniorClaims
- Intact Insurance Specialty Solutions seeks a Senior Claim Manager for GL, E&S Casualty and Construction Liability claims. Hybrid work in Denver, CO or Plymouth, MN or nationwide remote. Leads a claims team, directs complex claims, and partners with underwriting and brokers...Remote workSeniorClaims
- Providence Health & Services is seeking a Senior Claims Manager for Employment Practice Liability in a fully remote capacity. You will handle EPL claims, analyze coverage, conduct investigations, and work with defense counsel and business partners to direct litigation activities...Remote jobSeniorClaims
- ...disputes with insurance carriers, the remote Senior Attorney will manage associates, develop... ...compelling appeal letters to drive successful claim resolutions in the healthcare revenue... ...communication abilities Commitment to upholding HIPAA compliance and company policies...Remote workSeniorClaims
- ...insurance provider is seeking a Sr. Commercial Claims Manager to oversee the Non-Injury Claims... ...planning, team leadership, and ensuring compliance with insurance regulations. Candidates... ...The position offers flexibility to work remotely, in hybrid settings, or in person while...Remote jobSeniorClaims
- A professional recovery solutions provider is seeking a Remote Sr. Workers' Compensation Subrogation Specialist. This role demands expertise in managing complex subrogation claims while mentoring team members. Candidates should possess 5 years of relevant experience, strong...Remote jobSeniorClaims
- ...Insurance in the United States seeks an experienced Environmental Claims Officer to manage high-exposure environmental, pollution, toxic... ...policyholders, brokers, reinsurers, and defense counsel. This senior role offers autonomy and broad decision-making authority across...Remote jobSeniorClaims
- Aon Corporation in New York is seeking a Senior Claim Preparation Leader to direct forensic accounting for construction-related claims and lead a team of consultants. You will coordinate with brokers, adjusters, and clients to deliver precise, timely analyses and documented...Remote jobSeniorClaims
- Strategic Comp is seeking a Senior Claims Specialist to investigate and adjust workers' compensation claims with high exposure. The role is primarily remote with periodic travel within the Pacific Region and Pacific Time Zone business hours. Applicants must be authorized...Remote jobSeniorClaimsVisa sponsorship
- ...Insurance Company in Columbus, OH, seeks a senior actuarial leader to evolve the Corporate Actuarial... .... You will oversee Loss Reserving and Claims Actuarial, collaborate with Capital Management... ..., with flexibility for hybrid/remote work and a strong emphasis on actuarial...Remote workSeniorClaims
$132.4k - $198.6k
The Hartford is seeking a remote Senior Staff Attorney to litigate cases in Maryland and the District of Columbia. This position targets attorneys... ...managing cases independently, and closely collaborating with claims partners. The team emphasizes personal growth and outstanding...Remote jobSeniorClaims- Allstate is seeking a Senior PIP/No-Fault Attorney to independently manage a sophisticated litigation caseload, defending both insureds... ...judgment, the ability to handle complex cases, and collaboration with claims and business stakeholders. The ideal candidate has 4+ years of...Remote jobSeniorClaims
$250k
Carolina Casualty, a Berkley company, seeks a Commercial Bodily Injury Claims Manager to lead a team handling non-litigated cases up to $250k.... ...high-quality customer outcomes. Location options include remote US candidates. #J-18808-Ljbffr Carolina Casualty (a Berkley Company...Remote jobSeniorClaims- CNA Insurance seeks a Complex Claims Director to lead a team handling high exposure mass tort and environmental claims. You will set... ...performance analytics, develop operational strategies, and ensure compliance with regulatory requirements. The role requires extensive...SeniorClaims
- MEM Insurance is seeking a Senior Claims Representative to join our Claims team. You will manage high-exposure workers’ compensation claims... ...You will collaborate across departments to ensure regulatory compliance, deliver exceptional service, and support strategic outcomes...Remote jobSeniorClaims
- SafePoint Insurance seeks a Senior Claims Examiner located in Florida for a fully remote role. You will handle daily residential and commercial property claims... ...first notice of loss to resolution while ensuring compliance with state requirements and company guidelines....Remote jobSeniorClaims
- ...To support a leading insurance organization, the remote contract Senior Claims Counsel will manage a complex portfolio of Lawyers Professional... ...analyses of coverage, liability, and damages while ensuring compliance with policy and regulatory requirements Evaluate,...Remote workSeniorClaimsContract work
- ...seasoned Risk Manager to lead RMIS optimization, oversee complex claims handling, and manage relationships with TPAs in a large real... ...and defense attorneys on settlements while ensuring regulatory compliance and timely reporting. Ideal candidates bring extensive experience...SeniorClaims
- ...TypeContractRemote100% RemoteJob Title: Senior Data Scientist Position Type:... ...healthcare. This is a fully remote contract position supporting... ..., AI ethics, and regulatory compliance.Key... ...healthcare systems, including claims processing, call centers, or...Remote workSeniorClaimsContract work
- ...making and risk management, the full-time Senior Actuary will lead advanced actuarial... ...predictive modeling, while working in a hybrid or remote capacity. Key responsibilities Lead... ...trends and uncover key drivers Partner with Claims, Underwriting, Finance, and leadership to...Remote workSeniorClaimsFull time
- ...investigations, the full-time Senior Fraud Investigator will... ...corrective actions while working remotely. Key responsibilities Lead investigations... ...resources Analyze claims, billing patterns, and... ...identify potential fraud and compliance concerns Prepare comprehensive...Remote workSeniorClaimsFull time
- A nonprofit organization is seeking a Senior Finance Officer to oversee finance operations... ...robust financial management and compliance. The ideal candidate will have over 7 years... ...election cycles. Competitive benefits and remote work opportunities are offered. #J-18808...Remote workSenior
- ...in Tampa, FL, seeks an experienced litigation leader to guide a team of Staff Counsel and align strategies with Claims leadership. The role requires extensive Florida... ...discovery and trial readiness, and ensure compliance with court requirements and professional standards...SeniorClaims
- Regional Leader, Strategic Account ManagementHybrid Wilmington... ...relationships with senior-level decision makers... ...not be eligible to claim related fees and the submitted... ...administration and compliance solutions. CSC is a... ..., CSC offers hybrid or remote work schedules in alignment...Remote workClaimsLocal areaWorldwide
- Efinancial, LLC in Chicago, IL seeks a Fraud Investigator to review claims, lead investigations, and ensure compliance with insurance regulations. Candidates should possess a Bachelor's degree and 5-8 years of relevant experience in insurance claims and fraud investigations...Remote jobSeniorClaims
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