Claims Reporting Jobs

The Quality Manager role leads the Quality department within a precision machining environment, reporting directly to the General Manager. Key responsibilities include developing and maintaining IATF 16949 and ISO 9001 compliance systems, leading the quality team through mentorship and training, and driving continuous improvement initiatives using Six Sigma and Lean methodologies. The position involves overseeing control plans, managing root cause analysis for defects, and serving as the primary liaison for customer and supplier quality audits. This opportunity appeals to professionals seeking a leadership position in a dynamic manufacturing setting where data-driven decision-making and cross-functional collaboration are central to operational success.

The Total Rewards Manager role at Planned Parenthood of Orange and San Bernardino Counties leads the design and delivery of compensation and benefits programs to support the organization's mission of exceptional patient care. This hybrid position, based in Anaheim with three days on-site, involves developing salary structures, managing healthcare benefits and complex leave policies, and ensuring compliance with state and federal regulations. The role appeals to candidates seeking to drive strategic workforce planning while fostering an inclusive culture that values diversity and equity. Key responsibilities include partnering with leadership on talent retention strategies, overseeing vendor relationships, and guiding annual open enrollment processes. The position offers a collaborative environment with opportunities for professional growth and a comprehensive benefits package.

The Insurance Account Representative role supports Sherrill Insurance Agency in managing client relationships and policy administration for Fortune 500 partners. Key responsibilities include answering client inquiries regarding coverage and billing, documenting policy changes in compliance with NAIC regulations, and facilitating claim documentation between clients and adjusters. The position also involves creating competitive quotes for renewals and staying updated on industry standards to assist the broader service team. This opportunity is appealing due to its lead-based sales model which eliminates cold calling, comprehensive industry-specific training, and a mentorship program designed for professional growth. The role is based on-site within the agency environment.

This permanent Contract Administrator role supports a construction company's operations by managing the full lifecycle of contracts from drafting to closure. The position involves overseeing negotiation, financial reporting, and compliance with federal and state regulations while coordinating with project managers and finance teams to ensure accurate budgeting. Key responsibilities include developing contract management procedures, mitigating legal risks, and handling contract closeouts and dispute resolution. The role appeals to experienced professionals seeking career advancement and stability under an experienced leadership team. Candidates must hold a bachelor's degree and possess at least three years of experience in contract administration within the construction industry.

The Home Healthcare Revenue Cycle EDI Systems Analyst role supports the Revenue Cycle Management team within CenterWell Home Health, a subsidiary of Humana. This position focuses on managing and optimizing billing systems to ensure accurate claims processing and timely reimbursements for home care patients. Key responsibilities include configuring revenue cycle applications, analyzing EDI transactions such as 837 and 835 files, monitoring denial rates, and ensuring compliance with HIPAA and CMS regulations. The role serves as a liaison between internal departments, IT, and external vendors to resolve system issues and drive process improvements. This position is appealing for its opportunity to impact patient care through efficient financial operations, offering a remote work arrangement with occasional travel for training. The role emphasizes a collaborative culture dedicated to whole-person wellness and professional growth in the healthcare technology sector.

The Manager Operational Accounting role at Highmark Inc. leads a team of four to six accountants and analysts within the finance department. Key responsibilities include overseeing monthly journal entries, reconciliations, and GAAP reporting, while managing large-scale projects such as system migrations and new product integrations. The position also involves developing internal controls, forecasting future activities, and providing technical coaching to staff. This opportunity appeals to professionals seeking to drive process efficiency and lead strategic financial initiatives within a collaborative healthcare environment. The role is primarily office-based with occasional travel up to 25 percent.

The Senior Allocation Analyst role supports the global forensics team at MDD, a leading firm specializing in economic damage quantification. The position involves performing quantitative analysis on complex long-tail insurance claims and building loss allocation models for mass torts such as asbestos and toxic torts. Key responsibilities include collecting and cleaning data from various sources, creating customized modeling solutions based on legal and jurisdictional factors, and communicating detailed analytical results to clients and senior management. This opportunity appeals to professionals seeking to apply advanced mathematical and financial skills to high-impact legal disputes within a collaborative, fast-paced environment. The role requires strong organizational abilities to manage multiple complex projects and offers the chance to work with diverse stakeholders across the firm's international network.

This full-time Project Manager role oversees restoration and reconstruction projects within Homeowners Association communities. The position manages the full project lifecycle from initial assessment to completion, including water, fire, mold, and storm damage repairs. Key responsibilities involve developing project scopes and budgets, coordinating subcontractors and vendors, conducting site inspections for safety and quality, and serving as the primary liaison for HOA boards, property managers, and insurance adjusters. The role requires a blend of office planning and frequent field visits to active construction sites. It is appealing for candidates seeking a dynamic environment that values strong leadership, professional client relationships, and the opportunity to manage complex multi-unit residential projects with a focus on timely delivery and high-quality workmanship.

The Inventory Specialist role supports store operations by managing inventory best practices for both the front end and pharmacy departments. Key responsibilities include executing receiving, counting, ordering, and pricing processes, validating planogram accuracy, and coordinating asset protection activities such as handling vendor claims and shortages. The position also involves coaching team members on inventory systems, ensuring regulatory compliance for regulated products, and assisting with physical inventory counts. This opportunity appeals to detail-oriented individuals seeking a collaborative environment where they can develop operational skills and contribute to a positive customer experience. The role offers flexible scheduling, including evening and weekend hours, and provides access to company-based training for continuous professional growth.

The Accountant role at Gratiot Integrated Health Network supports financial operations within a healthcare organization. Key responsibilities include managing journal entries, reconciliations, and accounts payable, while also assisting with salary budget preparation, payroll processing, and grant budget tracking. The position requires maintaining accurate general ledger records and ensuring compliance with financial audits and patient data confidentiality standards. This full-time position offers a hybrid work arrangement with flexible in-person and remote options. The role is appealing due to a strong emphasis on work-life balance, comprehensive benefits including employer contributions to retirement plans, and a supportive culture focused on professional growth and community health.

This full-time Data & I.T. System Analyst role is based onsite in Pinellas County, Florida, within a non-profit organization dedicated to serving individuals with mental disabilities, veterans, and youth. The position serves as the internal subject-matter expert for state behavioral health reporting and enterprise data analytics, reporting directly to the Director of Information Technology. Key responsibilities include leading Florida state reporting submissions, reconciling data with accounting and finance teams to ensure revenue integrity, and developing KPI dashboards using tools like SQL and Power BI. The role appeals to candidates seeking to leverage technical skills in a mission-driven environment where data accuracy directly supports organizational sustainability and community impact. The position offers the opportunity to collaborate across clinical, executive, and IT teams to drive strategic decision-making and operational excellence.

The Accounting Supervisor role is a full-time, on-site position based in Allegan, Michigan, responsible for leading the accounting department and overseeing daily financial operations. Key duties include managing accounts payable, payroll processing, grant reporting, and month-end and year-end financial closings while ensuring compliance with GAAP and federal regulations. The supervisor also provides mentorship and guidance to a team of analysts and specialists. This position offers a collaborative environment with opportunities for professional growth, comprehensive benefits including retirement matching and health coverage, and the chance to contribute to a mission-driven organization supporting individuals with diverse needs.

This full-time Pharmacy Technician - Billing Specialist role is based in Pink Hill, North Carolina, within Southern Pharmacy Services, a division of the Guardian family. The position focuses on delivering customized medication management solutions for long-term care facilities. Key responsibilities include processing insurance claims, verifying patient eligibility, resolving billing disputes, and managing patient files to ensure regulatory compliance. The role also involves providing guidance on Medicare plans and performing prescription claims adjudication. The position appeals to candidates seeking a collaborative, fast-paced environment with opportunities for career growth and professional development. The work arrangement requires an on-site presence with a rotating weekend schedule and flexible hours between 8 am and 6 pm.

This senior leadership role within HUB's Employee Benefits Practice involves managing a portfolio of complex True Group clients with over 100 lives. The position requires serving as the primary liaison between clients, the firm, and insurance carriers to deliver strategic consulting on benefit plan design, funding, and compliance. Key responsibilities include leading renewal negotiations, analyzing claims data to optimize costs, and mentoring junior team members to foster professional growth. The role appeals to professionals seeking an entrepreneurial environment within a rapidly expanding global organization that values continuous learning and innovation. While the position involves some travel, it offers a collaborative culture focused on high performance, ethical service, and significant opportunities for career advancement.

The HRP Consultant role functions as a strategic functional lead bridging healthcare payor and provider domains. The position involves defining end-to-end business workflows, translating complex requirements into functional specifications, and providing thought leadership on industry trends like value-based care and interoperability. Key responsibilities include advising on transformation roadmaps, ensuring regulatory compliance, and collaborating with technology teams to deliver scalable solutions. This opportunity appeals to professionals seeking to drive significant business transformation within a dynamic healthcare environment. The role offers a chance to work on high-impact modernization programs while leveraging deep expertise in claims, revenue cycle, and clinical operations.

This full-time Project Scheduler role supports the Federal Services Division in executing high-performance Design-Build infrastructure projects for the U.S. Navy in Guam and Hawaii. The position focuses on developing, maintaining, and analyzing project baselines using Primavera P6 to ensure compliance with federal contract specifications. Key responsibilities include coordinating with project leadership and government representatives to track progress, performing critical path analysis, and preparing Time Impact Analyses for potential delays. The role appeals to candidates seeking to work on mission-critical defense programs within a disciplined safety culture. It offers opportunities for professional growth, OCONUS project support including housing and travel allowances, and the chance to contribute to significant national infrastructure initiatives.

The Manager Operational Accounting role at Highmark Inc. leads a team of four to six accountants and analysts within the finance department. Key responsibilities include overseeing monthly journal entries and reconciliations, ensuring GAAP compliance, managing large-scale financial projects such as system migrations, and developing internal controls. The position involves mentoring staff, coordinating with cross-functional departments, and utilizing data modeling to forecast future business activities. This opportunity appeals to professionals seeking to lead in a collaborative environment focused on operational efficiency and strategic financial analysis. The role is primarily office-based with occasional travel requirements up to 25 percent.

This senior accounting role within Cherry Bekaert's Finance & Accounting Outsourcing practice supports clients in the captive insurance industry. The position involves managing day-to-day accounting operations, including premium revenue recognition, loss reserve accruals, and complex balance sheet reconciliations. Key responsibilities include preparing monthly and quarterly financial packages, overseeing regulatory filings, and supervising staff accountants to ensure accurate and timely deliverables. The role appeals to professionals seeking a collaborative environment that values integrity and continuous career growth. It offers the opportunity to work with diverse teams, including actuaries and external auditors, while contributing to process improvements. The position is based within a firm known for fostering inclusion and providing flexibility to balance impactful work with personal life.

This Managing Director role leads the Forensic, Litigation & Valuation Services practice within EisnerAmper's Financial Advisory division. The position involves directing complex engagements such as damages analyses, fraud investigations, and expert witness services while managing cross-functional teams to ensure technical excellence. Key responsibilities include serving as a trusted advisor to attorneys and corporate clients, driving strategic business development, and representing the firm as a thought leader through industry publications. The role appeals to seasoned professionals seeking autonomy within a collaborative, award-winning culture that prioritizes work-life balance and authentic leadership. Based in New York with hybrid flexibility, the position offers significant opportunities for mentorship and career growth within one of the industry's fastest-growing advisory firms.

The Engineering Program Manager III role at Hewlett Packard Enterprise is an onsite position based in Sunnyvale, California, focused on managing the end-to-end spend governance for engineering programs. The individual will lead cross-functional teams through the Request-to-Fulfillment lifecycle, handling budget management, resource allocation, and financial forecasting while coordinating with vendors and finance stakeholders. Key responsibilities include standardizing processes, resolving financial discrepancies, and ensuring period-close readiness. This position appeals to candidates seeking to work within a global edge-to-cloud environment that values varied backgrounds and offers flexibility to balance work and personal needs. The role provides opportunities for professional growth through dedicated development programs and fosters a culture of unconditional inclusion where employees can make bold moves together.

This part-time Lead Event Specialist role operates within retail store environments to execute in-store food and non-food product demonstrations. The position involves managing event equipment, preparing and serving food samples in compliance with safety guidelines, and actively engaging consumers to promote products. Key responsibilities include maintaining a professional appearance, communicating with store management, and documenting event success through digital photos. The role offers a flexible schedule of up to 25 hours per week and provides opportunities for leadership within the team. It is ideal for individuals who enjoy a dynamic retail atmosphere, possess strong communication skills, and are eager to build rapport with both customers and store personnel.

The Payroll Director role at USRC leads end-to-end payroll operations within the dialysis industry, serving as a strategic bridge between payroll managers and executive leadership. Key responsibilities include overseeing U.S. payroll processing, ensuring strict compliance with federal and state regulations, managing payroll tax filings, and driving system optimizations. The position involves leading payroll managers, establishing internal controls, and collaborating with HR and Finance teams to maintain data integrity. This opportunity appeals to candidates seeking a leadership position in a diverse and inclusive culture that values continuous improvement and operational excellence. The role is based in a hybrid arrangement in the DFW area and offers comprehensive benefits including health coverage and retirement matching.

This full-time Epic Principal Trainer role within the EPIC Acute department focuses on developing and maintaining comprehensive training programs for ambulatory medical informatics. The position requires a certified expert to design role-based curriculum, create instructional materials, and manage training environments for clinical and revenue cycle workflows. Key responsibilities include collaborating with application teams to build testing scenarios, facilitating classroom instruction, and mentoring additional trainers while ensuring all documentation aligns with change management protocols. The role appeals to candidates seeking a mission-driven environment where passion for customer focus and belief in the work are central to the culture. It offers a stable 40-hour schedule with opportunities for professional growth through wild growth and collaboration with enthusiastic over-achievers.

The Safety Manager role leads daily safety initiatives for Ainsworth-Benning Construction, ensuring compliance with federal and state regulations while fostering a proactive safety culture. Key responsibilities include developing strategic safety goals, managing OSHA recordkeeping and incident investigations, and overseeing fleet and workers' compensation programs. The position requires regular field visits to conduct risk assessments and lead training sessions for project teams. This opportunity appeals to candidates seeking a mission-driven environment where employee well-being is a core value. The role offers a hybrid work arrangement with approximately 45% field time and 55% office time, providing a balance of on-site engagement and administrative planning.

The Construction Manager role supports the Engineer Procure Construct team in Lexington or Louisville, Kentucky, overseeing day-to-day operations from pre-construction through project closeout. Key responsibilities include managing project safety, quality, schedule, and cost control while negotiating contracts and leading subcontractor selection. The position involves mentoring field staff, coordinating with engineering teams, and ensuring compliance with all regulatory and safety standards. This opportunity appeals to professionals seeking a collaborative environment within a diverse, veteran-owned firm that values growth and offers comprehensive benefits. The role requires a mix of on-site presence and travel, approximately one week per month, to support multiple projects simultaneously.