UNKNOWN

FEED

Working knowledge of how different healthcare stakeholders (payers, providers, life sciences, employers/brokers, digital health and care navigation) actually use data to make decisions. Comfort treating other internal teams as your customers, and skill at balancing proactive, self-directed roadmap work with planning built around other teams’ timelines.

Turquoise

Senior Product Manager, Claims Data

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The ideal candidate can independently identify systemic gaps, translate complex operational issues into actionable technical requirements, and partner with Product and Engineering to drive sustainable solutions. End-to-End Adjudication Knowledge: Demonstrated expertise in claims adjudication workflows, benefit hierarchy, health plan configuration, pend rules, and identifying systemic processing gaps.

YEAR

CollectiveHealth, Inc.

Senior Manager, Claims Systems

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Independently owns and manages scorable action items (SAIs), including assisting and executing projects and tasks to ensure Centers for Medicare and Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits, post-payment datamining, and overpayment recovery, to improve encounter submissions, reduce general and administrative (G&A) expenses, and drive positive operational and financial outcomes for all payment integrity (PI) solutions. Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), and federal/state Medicaid payment rules.

Molina Healthcare Inc

Program Manager, Health Plan Payment Integrity (Claims & Recovery) Remote

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Key responsibilities include providing technical guidance, coaching, and actionable feedback; consulting on complex or high-risk claim matters; identifying and analyzing trends; and helping prioritize actions needed to maintain claim block health. The successful candidate will serve as a Long-Term Disability technical expert, applying deep claim management knowledge and sound judgment to guide claim professionals, support the Team Lead, and promote consistent, high-quality claim outcomes.

Prudential Financial

Disability Claims Specialist

The aims are to protect Client rights and entitlements as provided in the contracts, ensure the Contractors' obligations are fulfilled, ensure Client is fulfilling their obligations, optimizing value-for-money, reducing contract risks, lowest Total Cost of Ownership (TCO), on time/schedule delivery, quality and in-cost project purchases to support the goal for Client growth investments. Job Description: As a member of the Global Capital Sourcing team, a Senior Contracts & Claims Manager is sought to be responsible for the commercial management of a variety of projects within large and medium green or brown field CAPEX schemes (CAPEX project sizes/spend of min 5 m USD).

Karwell Technologies

Contract Manager

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FULL_TIME

Depending on level and experience, responsibilities may include direct management of claims professionals, technical oversight of complex claim portfolios, strategic leadership initiatives, talent development, operational excellence, and partnership with executive leadership to drive results. Overview: AmTrust Financial Services, a fast-growing commercial insurance company, is seeking experienced Construction Defect Claims Leaders across multiple levels, including Manager, Senior Manager, and Director.

AmTrust Financial Services, Inc.

Team Leader, Construction Defect Claims

[AW]-iCims

PART_TIME

Candidate must be capable of working in a team environment, participate in technical activities throughout the development life cycle of the project, and maintain a close technical involvement with all contributing developmental organizations. Experience working with project management methodology including budget development, project planning, project management software and finance/accounting concepts and practices.

CAM HVAC & Construction Parent LLC

HVAC Project Manager

This role serves as a key management leader for the Construction & Infrastructure Claims Team, supporting overall team direction, operational consistency, and high-level execution across client accounts and complex claims matters. Lead coverage advocacy on complex and disputed claims by directing policy analysis, challenging adverse carrier positions, coordinating supporting facts and arguments, and advancing strategies designed to maximize available coverage and claim outcomes for clients.

NFP Corp

VP, Construction Claims

Aon Plc

VP, Claims

COMMUNICATION AND DOCUMENTATION: Prepare and maintain accurate and timely record of communications with Insureds, Claimants, and other third-parties; review, establish and modify appropriate units reflecting potential loss exposures; maintain appropriate Claim File including all required electronic and other records and provide information regarding assigned claims to manager and others as required. We offer retirement and savings plan with immediate enrollment with 100% employer match up to 5%, Medical, Dental and Vision for regular, full-time employees and eligible dependents, a dedicated Learning & Development program for employees to grow personally and professionally, 100% upfront Educational Reimbursement program, subsidized downtown parking, competitive time off policies including parental leave, an Employee Assistance program and much more!

National Indemnity Company

Senior Claims Examiner I

ADAPTED_NOW

HR Manager - Hybrid - Goodlettsville - Up to $120,000 + Bonus & Stocks - Stocks - Five Weeks of PTO - Work/Life Balance - Permanent Direct Hire . Serve as a strategic and hands-on HR leader, reporting to the Senior Director of Human Resources and overseeing the HR Generalist team while supporting all core HR functions.

Founded by CPA firms in 1994, Creative Financial Staffing has spent over 30 years helping job seekers and employers succeed. In fall 2025, we rebranded as CFS—a name that reflects our full range of expertise while staying true to the trusted company you know.CFS is the industry’s leading employee-owned staffing firm, connecting top talent in accounting, finance, technology, and human resources. We provide skilled professionals on both a temporary and permanent basis across diverse industries, leveraging our extensive network to match the right people with the right opportunities.Our dedication to excellence extends to our award-winning culture, recognized repeatedly for growth, recruiting, workplace environment, and employee support. Honors include Forbes’ “America’s Best Recruiting and Temporary Staffing Firms,” Staffing Industry Analysts’ top U.S. staffing rankings, FlexJobs’ Top 100 Companies for Remote and Hybrid Work, Top Workplaces USA, Newsweek’s Best Practices awards, and more.

Human Resources Manager

Leoforce - Creative Financial Staffing

Incorporating industry-leading preconstruction and construction services, the Companys multi-disciplined team of engineering and construction professionals delivers a wide range of projects, including new facilities, infrastructure improvement and expansion, and capital construction services. With the ultimate goal of delivering maximum value to clients and their local communities, MWH Constructors provides single-source, integrated design and construction services through a full range of project delivery methods.

Slayden Constructors Inc

Senior Construction Claims Analyst

The Portfolio & Claims Coordinator is a hybrid role responsible for supporting portfolio management processes and overseeing claims administration across professional growing media and retail product lines (IGC and big box channels). Since its humble beginnings in 1929, it has become the leading supplier of soilless growing mixes to North America’s top 100 greenhouse and nursery growers, shipping over 70,000 truckloads of product annually.

Sun Gro Horticulture

Stage-Gate & Claims Coordinator

This role reports to a manager in Rockwood PA., and this role is focused on adjudicating workers’ compensation indemnity claims in the jurisdictions of NY, NJ, MD, CT, MA and contribute to providing superb results for our clients. Providing laser-focused customer service to our clients by providing superior claims outcomes and developing meaningful and long lasting connections with our insured and brokers.

BP&C

Workers' Compensation Associate Claims Adjuster

This position partners closely with executive leadership, Legal, Finance, Operations, Sector leadership, Project Managers, brokers, carriers, third-party administrators, and outside counsel to ensure LJA maintains appropriate coverage, responds effectively to claims, and embeds risk-aware practices across a growing, multi-office engineering consultancy organization. Insurance Program Leadership : Serve as the internal owner of LJA's enterprise insurance program, including professional liability, general liability, automobile, workers' compensation, property, cyber, umbrella and excess, management liability, environmental, crime, fiduciary, international, and project-specific insurance.

Enterprise Risk & Insurance Manager

Project & Claims Coordinator

JOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of low to moderate complexity and exposure commercial claims by following company protocols to verify policy coverage, gather necessary information, maintain appropriate file documentation and authorize disbursements within authority limit. Exercises judgement to determine liability and compensability by conducting investigations to gather pertinent information, taking recorded statements from insureds, witnesses and working with experts to verify the facts of the claim.

Claims Manager Jobs in the United States

Senior Product Manager, Claims Data Turquoise

Senior Manager, Claims Systems CollectiveHealth, Inc.

Program Manager, Health Plan Payment Integrity (Claims & Recovery) Remote Molina Healthcare Inc

Disability Claims Specialist Prudential Financial

Contract Manager Karwell Technologies

Team Leader, Construction Defect Claims AmTrust Financial Services, Inc.

HVAC Project Manager CAM HVAC & Construction Parent LLC

VP, Construction Claims NFP Corp

VP, Claims Aon Plc

Senior Claims Examiner I National Indemnity Company

Human Resources Manager CFS

Senior Construction Claims Analyst Slayden Constructors Inc

Stage-Gate & Claims Coordinator Sun Gro Horticulture

Workers' Compensation Associate Claims Adjuster BP&C

Enterprise Risk & Insurance Manager LJA

Project & Claims Coordinator Sun Gro Horticulture

Commercial General Liability Claims Representative CNA Financial Corp.

Workers Compensation Claims Representative CNA Financial Corp.

APD Claims Representative CNA Financial Corp.

Workers Compensation Claims Specialist, West CNA Financial Corp.

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