- Providence (CA)
- …The Senior Quality Analyst is also responsible for maintaining a claims quality assurance program, management of projects and continual learning, data ... Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims leaders in managing… more
- Cognizant (Sacramento, CA)
- …coverage guidelines and regulations. * Experience in the analysis and processing of claims , utilization review/ quality assurance procedures. * Must be able to ... - 4:30pm ET **Experience:** A minimum of 1 years claims processing is required. **Travel:** None required **About the...is required. **Travel:** None required **About the role:** As Claims Processor, you will be responsible for timely and… more
- Sedgwick (San Diego, CA)
- …Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... Best Workplaces in Financial Services & Insurance Workers' Compensation Claims Team Lead | Roseville, CA or San Diego,...contract requirements, and quality standards. + Acts as second level of appeal… more
- Sedgwick (Riverside, CA)
- …Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead (Supervisor) Workers Compensation **PRIMARY PURPOSE:** To...contract requirements, and quality standards. + Acts as second level of appeal… more
- Travelers Insurance Company (Diamond Bar, CA)
- …and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... manage staff. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely… more
- Travelers Insurance Company (Diamond Bar, CA)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle ... and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. This job does not manage… more
- Ontic (Los Angeles, CA)
- …Reduce quality costs, primarily focusing on manufacturing process controls and warranty claims reduction using quality tools such as RCCA, SPC, MSA, PFMEA, ... pace. Our team is looking for a Director of Quality Control to join them. You will report to...Chatsworth, California. To be considered for the Director of Quality Control opening, here's what you'll need to bring… more
- Elevance Health (Walnut Creek, CA)
- …applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum ... 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
- Tiburcio Vasquez Health Center (Hayward, CA)
- …in healthcare reporting and data visualization + Strong background and knowledge of EMR, quality reports, claims data and reimbursement quality required. + ... The Healthcare Quality Analyst - Population Health plays a key...a key role in driving improvements in patient outcomes, quality performance, and operational effectiveness across the organization. This… more
- Sharp HealthCare (San Diego, CA)
- …reasonableness checks). Providing efficient and cost-effective solutions as required.Oversees all claims testing and quality assurance activities and defect ... and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit… more