- Axis (New York, NY)
- …upon request for candidates taking part in the selection process. AXIS is seeking a Claims Quality Assurance & Audit Coordinator, Claims Shared Services to ... 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
- LA Care Health Plan (Los Angeles, CA)
- Claims Quality Auditor II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... and to support the safety net required to achieve that purpose. Job Summary The Claims Quality Auditor II works closely with the Claims Quality Auditing… more
- Dignity Health (Bakersfield, CA)
- …Other benefits include Paid Time Off and Sick Leave. **Responsibilities** The Claims Quality Specialist is responsible for ensuring the accuracy and ... corrective actions to improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with the Claims Research colleague… more
- Axis (Chicago, IL)
- …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
- Kelsey-Seybold Clinic (TX)
- …Advantage claims adjudication procedures, address the training needs for Claims Quality Support, and COB/Recovery units. Develop and utilize approved ... feedback on quality results. Provide feedback and trend data to claims management as well as document/update Policies & Procedures. **Job Title: Claims… more
- Walmart (Bentonville, AR)
- …future business needs to develop innovative strategies to improve efficiencies; evaluating claims quality and processes through standardized reviews and audits; ... and ensuring settlement or denial of the claim. Manages quality assurance reviews to improve claims handling...claim. Manages quality assurance reviews to improve claims handling procedures by performing quality assurance… 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
- Lincoln Financial Group (Columbus, OH)
- …+ Identifies and recommends process improvements that significantly reduce workloads or improve quality across the Voluntary Claims team. + Serves as a resource ... offices, and/or customers to ensure effective service delivery of claims . + Reviews regular quality audits, analyzes results and counsels staff to bring work… more
- Zurich NA (Rocky Hill, CT)
- …external stakeholders, including customers, vendors, suppliers, and brokers, to provide a quality claims experience. + Apply knowledge of established protocols ... Claims Specialist I, Auto Bodily Injury 119129 At...+ Customer service experience with a focus on delivering quality interactions + Analytical, critical thinking, and problem-solving abilities… more
- Zurich NA (Gold River, CA)
- …points of contact including customers, vendors, suppliers, and brokers to provide a quality claims experience. Additionally, you will learn and develop knowledge ... are handled in the most efficient, effective way while delivering a quality customer-centric claims experience. Basic Qualifications: + Bachelor's Degree and 6… more
- AIG (San Francisco, CA)
- …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
- 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
- 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
- AIG (Atlanta, GA)
- …point for colleagues . + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes , ensuring ... Join us asa Complex Claims Director to take on key responsibilities within a world - class claims function. Make your mark in Claims Our Claims teams are… more
- Zurich NA (Schaumburg, IL)
- …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 118171 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to… more
- Kelly Services (Claycomo, MO)
- …that promotes work-life balance. * Be part of a collaborative team that values quality claims handling and customer service. * Opportunity to contribute to loss ... How about this one? We're seeking a **Workers Compensation Claims Handler** to work in **Claycomo, MO** . With...**Why you should apply to be a Workers Compensation Claims Handler:** * Join a premier automotive manufacturer known… more
- Parkview Health (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
- Cedars-Sinai (CA)
- …to all CMS and DMHC guidelines. Investigate and complete open or pended claims . Meet production and quality standards. + Responsible for productivity standards ... standard of patient care we strive for. **What will you be doing:** The Claims Examiner is responsible for accurately and consistently adjudicating claims in… more
- Zurich NA (Topeka, KS)
- … Specialist, your primary accountabilitiles will include: + Work the most complex claims , involving multiple causes of loss, multiple quality issues, subrogation ... or area + Completes Crop Hail re-inspections when requested for quality assurance purposes + Works claims of 508H (Risk Management Agency pilot) crops + Assist… more
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