- 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 ... the ability to support the development and execution of the North America Claims Quality Assurance and Compliance program for AXIS North America Claims… more
- AIG (Atlanta, GA)
- …referral point for colleagues . + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes , ... 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
- Walmart (Bentonville, AR)
- …determine validity of claim; and ensuring settlement or denial of the claim. Manages quality assurance reviews to improve claims handling procedures by ... future business needs to develop innovative strategies to improve efficiencies; evaluating claims quality and processes through standardized reviews and audits;… more
- Elevance Health (Indianapolis, IN)
- …at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires at least one ... responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of.../ Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge… more
- CVS Health (Columbus, OH)
- …Business Analytics - FEP - Sr. Manager incorporates these into all aspects of the claims quality assurance as well as initiates corrective actions to resolve ... supports audits for both internal teams and external agencies and year-round quality assurance testing. As new programs, benefits, processes, and technology… more
- Zurich NA (Topeka, KS)
- …by the local manager or area + Completes Crop Hail re-inspections when requested for quality assurance purposes + Works claims of 508H (Risk Management ... Team Member reviews and aid in identifying trends or issues that could affect the quality assurance of the Crop Claims team + Assists with claims that… more
- AIG (Boston, MA)
- …referral point for colleagues. + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ... Join us as a Claims Analyst IV to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim Analyst IV, you will… more
- Elevance Health (Columbus, GA)
- …in applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance , or clinical documentation improvement, and a ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims … more
- Lincoln Financial Group (Columbus, OH)
- …and beneficiaries. * Meeting all established performance metrics * Meeting all established quality assurance benchmarks. * Ensuring claims processing is ... to bring on a highly motivated Lead Supplemental Health Claims Associate to our Lincoln team! As a Lead...to our Lincoln team! As a Lead Supplemental Health Claims Associate, you will provide coaching, mentorship, and direction… more
- GEHA (Lee's Summit, MO)
- …a personalized customer experience, sustained by a nimble and efficient organization. The Quality Assurance Specialist audits claims coding, customer service ... Data Management policy and procedures. **PREFERRED:** + Experience as an Associate Quality Assurance Specialist within Provider Relations department. + Candidate… more
- Chenega Corporation (San Antonio, TX)
- …Minimum three (3) years of experience within the last seven (7) years evaluating disability claims within an Internal Quality Assurance , Office of Quality ... + Participate in special studies and case reviews, reports findings respective Quality Assurance Manager for administrative action. + Assist with program… more
- Legacy Parking Company (Miami, FL)
- …or any unusual occurrence to Management. + Ensure compliance with loss prevention, claims reporting, quality assurance and companies policies and procedures. ... Non-Essential Duties and Responsibilities + Implementation and completion of other projects, programs and initiatives that may be assigned by management Minimum Job Qualifications + One year related experience. + Ability to read and comprehend verbal… more
- LA Care Health Plan (Los Angeles, CA)
- …Services/Population Health department. Advanced knowledge of and experience in health plan quality assurance (especially related to claims , health ... and analytical work related to the testing, validation, and quality assurance of business requirements for and...root causes, etc. that impact member access to care, claims payments, etc.; and assessment and roll-out of key… more
- Army National Guard Units (East Wenatchee, WA)
- …Army National Guard Title 32 Excepted Service Bargaining Unit Technician position: QUALITY ASSURANCE SPECIALIST Location: Army Aviation Support Facility 2 East ... this announcement, will not be considered. Responsibilities A GS-1910-9, QUALITY ASSURANCE SPECIALIST: Develops the AASF ...or other documentation of proof to support your Educational claims . Additional Information - If you are a male… more
- Robert Half Finance & Accounting (Starkville, MS)
- Description We are seeking a Quality Assurance Manager to join our team in Mississippi. This role involves overseeing and maintaining the Quality Management ... according to ISO, API, and other relevant standards. The Quality Assurance Manager will also focus on...quality requirements and ensure compliance. * Manage warranty claims and ensure efficient resolution. * Evaluate and manage… more
- Army National Guard Units (Decatur, IL)
- …TITLE 32 EXCEPTED SERVICE POSITION. This National Guard position is for a QUALITY ASSURANCE SPECIALIST (TITLE 32), Position Description Number D1065000 and is ... the IL AASF 1, National Guard. Responsibilities As a QUALITY ASSURANCE SPECIALIST (TITLE 32), GS-1910-9, you...OFFICIAL transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide… more
- Defense Logistics Agency (Richmond, VA)
- …issues. Negotiates and coordinates complex Technical/ Quality issues pertaining to supply quality assurance . Provides pre and post award Quality ... action. Requirements Conditions of Employment Qualifications To qualify for a Quality Assurance Specialist your resume and supporting documentation must… more
- Gummi World (Chandler, AZ)
- …your customers with the brand they have learned to trust. Job Overview: The Quality Assurance (QA) Manager is responsible for overseeing quality activities ... and regulatory agencies and manage a staff of both quality assurance and quality control...regulatory compliance of NFP's, SFP's and other product label claims + Perform other duties as assigned depending upon… more
- Zurich NA (Topeka, KS)
- …and a great culture. Additional responsibilities will include: + Completes high dollar/ quality assurance type claim reviews for Crop Hail/Named Peril with ... RCIS Claims Crop Field Adjuster II 115218 Zurich is...reviews and referrals for sake of operations integrity and quality assurance + Assist managers in assignment… more
- Defense Contract Management Agency (Troy, AL)
- …vacancies may be filled from this announcement. Responsibilities Administers the quality assurance provisions of contracts by designing, implementing, and ... Requirements Conditions of Employment Qualifications To qualify for a Quality Assurance Specialist position your resume and...at the time of application) to support your educational claims . Or, if you are using education to qualify… more
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