- The Cigna Group (Bloomfield, CT)
- …Lives? EviCore, a line of business within The Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst. For this **highly technical ... were input correctly per the specifications of the provider. The Claims Configuration Quality Review Senior Analyst will have in depth knowledge of the… more
- Axis (New York, NY)
- …Specialist, Claims Shared Services- Job Description AXIS is seeking a Claims Quality Assurance and Compliance Specialist, Claims Shared Services ... the ability to support the development and execution of the North America Claims Quality Assurance and Compliance program for AXIS North America Claims . The… more
- Axis (Alpharetta, GA)
- …in collaboration with key AXIS stakeholders + Collaborating and coordinating with Claims Quality Assurance and Compliance to implement appropriate quality ... with a particular focus on Lawyers and Vendors to ensure quality and appropriate claims service results. + Drive innovation, technology change and improvement of… more
- Apex Health Solutions (Houston, TX)
- …to support Claims budget process Develop and implement a comprehensive Claims Quality program to measure financial and clerical accuracy. Identify trends, ... S ummary: Position is responsible for overall strategy and effectiveness of Claims Operations. Position is responsible for oversight of claims adjudication and… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …throughout department. + Identifies learning gaps and opportunities in collaboration with the claims Quality team and the Claims Integrity Department. + ... improvement. + Develops Performance Improvement Plan in collaboration with claims management and the Quality team as needed. + Works with other departments to… more
- The Cigna Group (Bloomfield, CT)
- …direction and guidance to the team regarding policies, procedures, workflows, and claims service quality + Completes day-to-day Configuration tasks without ... Improve Lives? Do you have **advanced** **technology skills with Claims Systems Configuration,** SQL querying, MS Access, Excel and...a division of The Cigna Group is hiring a ** Claims Systems Configuration Senior Analyst.** For this senior level… more
- Randstad US (Phoenix, AZ)
- …The Claims Analyst III (CAIII) works on the full range of claims , correspondence, quality assurance and escalations to ensure the satisfaction of the ... claims analyst iii. + phoenix , arizona (remote)...MUST LIVE IN PHOENIX! Immediate Openings For an Experienced Claims III Analyst Are you looking for a position… more
- Adecco US, Inc. (Phoenix, AZ)
- …Processing/Reviewing Experience** + Strong Computer Skills + Works full range of claims , correspondence, quality assurance and escalations. + Attention to detail ... We are currently looking for Claims Representatives for a Remote Opportunity. **You MUST be located within the Phoenix area and have the following qualifications** :… more
- AIG (Jersey City, NJ)
- …efficiency. How you will create an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability ("HPL") Claims ... Claims Complex Director - Healthcare Professional Liability (HPL)...internal coordination with the corporate legal team. + Achieves quality standards by effectively managing each claim to ensure… more
- AIG (Atlanta, GA)
- …practices, and the ever-evolving legal and regulatory environment. Make your mark in high- quality Claims resolution. Claims Complex Directors will ensure ... customers to manage risk. Join us as a Complex Claims Director to play your part in that transformation....high quality claims handling in the Property & Casualty Specialties and… more
- Axis (Red Bank, NJ)
- …best in class internal and external client servicing through efficient and effective claims handling and quality customer service. How does this role contribute ... available upon request for candidates taking part in the selection process. The Reinsurance Claims Lead is a key contributor to the reinsurance team at AXIS. Working… more
- Kelly Services (Chicago, IL)
- …Join a leading company known for its commitment to excellent customer service and quality claims handling. * Enjoy a hybrid work schedule after initial training, ... comes in. We're seeking a **Human Resources Workers' Compensation Claims Handler** to work at a premier facility in...a typical day as a Human Resources Workers' Compensation Claims Handler? You'll be:** * Analyzing and processing complex… more
- Zurich NA (Maitland, FL)
- …points of contact, including customers, vendors, suppliers, and brokers, to provide a quality claims experience. + Learn and develop knowledge of established ... General Liability Claims Specialist I 112465 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to… more
- AIG (Atlanta, GA)
- …impact This position will ensure that Third Party Administrators (TPAs) provide high quality claims management and State Regulatory compliance performance in the ... help customers to manage risk. Join us as a Claims TPA Regulatory Governance and Performance Manager to play...valued member of the team. Make your mark in Claims Our Claims teams are the proven… more
- AIG (Atlanta, GA)
- …(NA) team to ensure that all NA Third Party Administrators (TPAs) provide high quality claims management to AIG and its clients through adherence to AIG's ... customers to manage risk. Join us as Head of Claims TPA Governance - North America to play your...valued member of the team. Make your mark in Claims Our Claims teams are the proven… more
- CRST The Transportation Solution, Inc. (Amherst, NY)
- … claims being managed. + Coordinate with all stakeholders on multiple open claims to ensure quality and turnaround time compliance meets our established ... analysis, and processing of-and reporting on-insurance and self-insurance programs and claims . Risk management personnel manage the company's risk by analyzing and… more
- Parkview North Hospital (Fort Wayne, IN)
- …Maintains relationships with payers and third party administrators (TPAs) to assure high quality claims data feeds. Analyzes and models structured data and ... Summary: Performs analysis of claims data, complex clinical and other varied data...claims data stream from payers and TPAs monitoring quality reports and collaboratively resolving issues to ensure data… more
- Molina Healthcare (WA)
- …efforts to ensure the claims teams and other departments have access to quality claims data through processes which are efficient, accurate, and timely to ... **Job Summary** The Senior Business Analyst is responsible for supporting the claims processing teams by supplying regular, timely, and accurate reports. As the… more
- Acosta Group (Charlotte, NC)
- …clients, customers, and the management team to identify the root cause and resolve claims issues to increase quality , efficiency and prevent future errors + ... job aids, and Standard Operating Procedures to ensure assigned claims meet or exceed Acosta and client quality... claims meet or exceed Acosta and client quality metrics + Achieves a level of productivity that… more
- Acosta Group (Dallas, TX)
- …clients, customers and the management team to identify the root cause and resolve claims issues to increase quality , efficiency and prevent future errors + ... **DESCRIPTION** The Claims Resolution Specialist is responsible for validating and...as a problem solver/agent for change to provide high quality service to clients and make continuous improvements in… more