- CRC Insurance Services, Inc. (TX)
- …maintain client, carrier and agent relationships through timely, accurate service 4. Audit , correct, and verify all necessary information prior to policy issuance. ... 5. Monitor accounts to ensure compliance with company's policies and procedures and take appropriate action for correction when necessary. 6. Request cancellation and reinstatement of policies based on outlined terms, company policy and statutory regulations.… more
- JPMorgan Chase (Plano, TX)
- …are responsible for carrying out critical technology solutions with tamper-proof, audit defensible methods across multiple technical areas within various business ... functions. + Specific experience deploying commercial software at scale into an enterprise environment. + Develop and enforce robust change management practices to ensure system integrity and security. + Show strong experience defining and implementing… more
- Sedgwick (Austin, TX)
- …appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. + Acts as second ... level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. + Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. +… more
- Acosta Group (Houston, TX)
- …direct reports and retail store leaders + Complete weekly field visits to audit completed merchandising projects + Utilize MS Excel to report in-field measures and ... monitor progress towards achieving clients' compliance standards + Assist with leading New Hire Orientation calls to effectively acclimate new hires to the ActionLink team + Ensure direct reports complete all required ActionLink training courses + Mentor,… more
- Healthfirst (TX)
- …of work for the position. + Participate in regulatory and mock audit activities including universe review, universe scrubbing, risk analysis, timeliness assessment, ... and case walkthrough activities + Additional duties as assigned **Minimum Qualifications** **:** + Experience with the investigation, resolution, and reporting of appeal and grievance processes. + Experience in Microsoft Office suite of applications including… more
- Elevance Health (Grand Prairie, TX)
- …of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. + Perform pre-adjudication claims reviews to ensure ... proper coding was used. + Prepares correspondence to providers regarding coding and fee schedule updates. + Trains customer service staff on system issues. + Works with providers contracting staff when new/modified reimbursement contracts are needed. **Minimum… more
- Amentum (El Paso, TX)
- …protocols and training requirements. + Develop and update quality control checklists, audit tools, and reporting templates. + Collaborate with department heads to ... address deficiencies and implement corrective actions. + Maintain records of inspections, findings, and follow-up actions. + Assist in preparing for external audits and accreditation reviews. + Provide training and guidance to staff on compliance and quality… more
- JPMorgan Chase (Plano, TX)
- …and malicious behavior. Carry out critical technology solutions with tamper-proof, audit defensible methods across multiple technical areas within various business ... functions in support of the firm's business objectives **Job responsibilities** + Executes security solutions design, development, and technical troubleshooting with the ability to apply knowledge of existing security solutions to satisfy security requirements… more
- Marriott (Irving, TX)
- …requirements. **Assisting in Managing Profitability** * Assists in performing required annual Quality audit with GM & RD. * Ensures a viable key control program is ... in place. * Understands financial statements, sales and activity reports, and other performance data. **Conducting Human Resources Activities** * Interviews and assists in making hiring decisions. * Receives hiring recommendations from team supervisors. *… more
- Evolent (Austin, TX)
- …requirements. Adherence to the organization's ability to be in a constant state of audit readiness. * Assists in the preparation of customer and external audits * ... Assists/leads with annotations and bookmarks for customer audits (ie policies and procedures, meeting minutes, other required materials/documents) * Assists/leads with gathering documents for accreditation audits * Assist leadership with finalizing documents… more
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