- Grant Thornton (Newport Beach, CA)
- …of enterprise or operational risk management programs, and/or entity-level and business process controls for Internal Audit , or other risk management, ... As a Healthcare Process Risk Senior Associate, you will...but are not limited to co-sourced and outsourced internal audit , internal control assessments, enterprise risk management… more
- Albany Medical Center (Albany, NY)
- Department/Unit: Risk Management Work Shift: Day (United States of America) Salary Range: $71,612.39 - $110,999.20 Claims Management: Develop litigation ... experts, life care planners, structure brokers and settlement strategies. * Establish claims files immediately * Conduct all interviews within specified timeframes *… more
- ICW Group (Sacramento, CA)
- …all lines of business. The Senior Manager will focus on specific areas within claims such as ** Audit , Compliance, and Claims Support.** **ESSENTIAL DUTIES ... Focus** . + Develop and execute strategies that align audit , compliance, technical claims management, and support...performance. + Drive initiatives that improve claim outcomes through process optimization and risk mitigation. + Establish… more
- Prime Therapeutics (Richmond, VA)
- …in-depth analysis of large datasets and audit findings to detect high- risk pharmacy claims , identify billing irregularities, and uncover patters of ... + Research and select appropriate audit samples strategically, prioritize pharmacy claims and providers for review based on risk indicators and compliance… more
- CHS (Clearwater, FL)
- …approval status. * Developing and implementing strategies for greater automation in the claims process , including electronic receipt of claims and ... clients. * Management of relationships with essential vendors involved with the Claims Adjudication process , including clearinghouses, claims cost control… more
- DoorDash (Tempe, AZ)
- …the company's bottom line. The team is divided into three separate subgroups: Actuarial, Claims Operations, and Risk Management & Mitigation. We are looking for ... About the Team The Risk & Insurance team at DoorDash is responsible...DoorDash. About the Role We are seeking an experienced claims specialist who will be a member of DoorDash's… more
- Axis (New York, NY)
- …part in the selection process . About the Team AXIS is hiring a Claims Specialist - Primary Casualty for its North America Claim Team. This role involves managing ... We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns...primary claims for AXIS US Primary Casualty policies. How does… more
- Travel + Leisure Co. (Orlando, FL)
- … and loss data within the RMIS. + Ensure data integrity throughout the claims process . + Collaborate with HR, Operations, Loss Prevention, adjusters, brokers, ... compensation insurance renewals through data collection and analysis. + Audit TPA performance, contribute to process improvements,...Degree or equivalent work experience + AIC (Associate in Claims ) or ARM (Associate in Risk Management)… more
- Axis (Alpharetta, GA)
- …Accommodation is available upon request for candidates taking part in the selection process . **Job Description: Senior Claims Specialist** AXIS is seeking a ... We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns...of signal reserves as well as the sensitivity projection process , to drive optimal claims resolutions for… more
- Sedgwick (Seatac, WA)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Sedgwick (Shreveport, LA)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Sedgwick (Houston, TX)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Sedgwick (Greensboro, NC)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Sedgwick (Syracuse, NY)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Sedgwick (Indianapolis, IN)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Sedgwick (Rancho Cordova, CA)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Sedgwick (Norfolk, VA)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- AON (Chicago, IL)
- … Audit Directors in assessing key business risks and controls and in developing risk based audit plans, which are responsive to audit priorities and ... expertise, such as reviewing the insurance quotation and placement process . Participation in these audits will include: + Completing...assessing key business risks and controls and in developing risk based audit plans, which are responsive… more
- M&T Bank (Getzville, NY)
- …Security Claims , Loss Mitigation Claims , and Deed in Lieu Claims . + Process /file claims according to investor/insurer/statutory & regulatory ... the loan to the next phase of the Claim process . + Review claims completed by processors...investor or prior servicer. + Adhere to applicable compliance/operational risk controls in accordance with Company or regulatory standards… more
- Johns Hopkins University (Baltimore, MD)
- …internal audit plan in assigned areas, including performing effective risk assessments and meeting with institutional management to support the development of ... claims processing, premium billing, encounter data, utilization management, risk adjustment, provider contracting, quality metrics, and related operations. +… more