- Elevance Health (Latham, NY)
- …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 (Albany, NY)
- …* Reviewing and resolving escalated issues and concerns. * Meeting all established quality assurance benchmarks. * Ensuring claims processing is consistent ... Glance** We are excited to bring on a highly motivated Claims Manager to our Long Term Disability Claims Organization! As a Claims Manager, you will provide… more
- Axis (New York, NY)
- …opportunities the increased use of internal Severity and Coverage resources. + Compliance & Quality Assurance - Comply with best practices measured by monthly ... taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a Senior Claims...Quality Assurance and Management Initiated Audit scores… more
- Zurich NA (New York, NY)
- …testing, thematic reviews, and deep-dive assessments. + You will oversee and perform quality assurance on regional/local Compliance assurance activities. + ... Head of Assurance 125664 **Let's grow together!** Zurich Cover-More is...of digital specialists, actuaries, marketers, doctors, nurses, case managers, claims specialists, finance experts and customer service professionals. We… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Brooklyn, NY)
- …in distribution and co-manufacturing product complaints. + Organize and audit co-manufacturers' quality assurance documentation stored in the Quality ... the Boar's Head Audit Team in conducting comprehensive Food Safety and Product Quality audits across a variety of venues, including Food Service Operations, Retail… more
- Actalent (Clayville, NY)
- …Skills + Quality control and inspection + Data entry and admin support + Quality assurance and visual inspection + Use of calipers and inspection equipment + ... 1st Shift Quality Technician Job Description The Quality ...and prevent defects in supplied materials and verify defect claims . + Lead cross-functional teams to pursue performance improvements… more
- City of New York (New York, NY)
- …the operation of the Office of Audit Services (OAS) and Office of Quality Assurance (OQA), Special Investigations Division (SID), Office of Accountability ... Trusts is responsible for the settlement of liens and claims for recoupment of money expended in Medicaid and...the Estates Unit represents DSS and asserts liens and claims against recipients' assets for the recovery of benefits… more
- Sedgwick (Albany, NY)
- …until the assigned Field Case Manager arrives onsite. + Adheres to quality assurance standards. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other ... followed and communicated to the appropriate parties and promotes quality cost-effective outcomes through communication and available resources. **ESSENTIAL… more
- Sedgwick (Buffalo, NY)
- …RESPONSIBILITIES** + Performs other duties as assigned. + When not in the field, assist quality assurance team and be available for desk appraisal work as well ... with information regarding their vehicle's cost of repair estimate and explains claims /repair process + Maintains accurate vehicle's cost of repair estimate and… more
- City of New York (New York, NY)
- Job Description ONLY CANDIDATES SERVING PERMANENTLY IN THE TITLE OF QUALITY ASSURANCE SPECIALIST OR THOSE WHO APPLIED FOR EXAM #4124 ARE ELIGIBLE TO APPLY. The ... Quality Assurance Specialist 1 serves as one...and deviations. Conduct analysis and recalculation to confirm/verify vendor's claims of quality , quantity, and other specifications.… more