- AIG (Atlanta, GA)
- Claims , QA Specialist - Worker 's Compensation Join us as a Claims QA Specialist to make more of your specialist expertise and experience. ... Make your mark in Claims . Our Claims teams are the proven problem solvers of choice...efficiency. How you will create an impact + Complete quality reviews on all files within program guidelines while… more
- Delek US Holdings (Brentwood, TN)
- …to prevent potential claims + Develop and deploy best practices around quality and quantity assurance within the organization. + Select, direct, and audit ... procedures and standards. Key objectives include accurate measurement of custody transfers, quality assurance across the Marine Vessels, Terminals, Refinery, and… more
- NBC Universal (Universal City, CA)
- …to the insurance carrier, Occ Health Clinics, Risk Management, and HR related to worker 's comp claims . Participates in injury case review meetings and works with ... with the OSHA recordkeeping requirements, regulatory Medical Surveillance programs, Worker 's Compensation, OSHA injury & illness logs, and reports/dashboards. This… more
- Elevance Health (Columbus, OH)
- …a HS diploma or equivalent and 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
- Centene Corporation (El Paso, TX)
- …and supports provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures, ... + Collaborates with Provider Relations to improve provider performance in areas of Quality , Risk Adjustment and Operations ( claims and encounters). + Assists in… more
- NorthWest Senior & Disability Services (Salem, OR)
- …to Protective Services Workers, Adult Foster Home Licensing Specialists, Compliance Specialist , Protective Services Worker -Screener, and Protective Services ... services to ensure consumer protection, regulatory compliance, and the overall quality , responsiveness, and efficiency of service delivery within agency mission and… more