- UCLA Health (Los Angeles, CA)
- …to the next level. You can do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned ... to the auditor. You will review claims (paid, pending, and denied) for accuracy, appropriate application of benefits, authorization for services, contract… more
- Transdev (Lombard, IL)
- …short-term disability, voluntary long-term disability. Principal Duties and Responsibilities + Claims Quality Assurance (QA) + Responsible for ensuring ... or watch an overview video athttps://youtu.be/ilO5cv0G4mQ About the Role: The Claims Specialist will assist the Director of Workers Compensation in overseeing… more
- The Hartford (Albuquerque, NM)
- …help shape the future. The Property Quality and Improvement Consultant ~ Claims Quality Solutions (CQS) is responsible for auditing damage estimates across ... Preferred Vendors or Inside Claim Handlers. This role reports to the Claims Quality and Improvement Property Manager in the CQS organization. The Property… more
- Robert Half Legal (Dallas, TX)
- …experience. Responsibilities Include: Review and audit existing and incoming general liability claims for quality , accuracy, and compliance. Identify issues in ... Description We're hiring Active Licensed Liability Claims Adjusters to support a high-impact project focused...attention to detail Ability to spot inconsistencies and drive quality improvements Willingness to obtain additional licenses within 45… more
- Brighton Health Plan Solutions, LLC (NC)
- …reports. The expectations include providing coaching, mentoring, and training while promoting quality and superior customer service. The Claims Supervisor is ... claims requiring adjudication. + Review and process High Dollar claims and conduct quality reviews of claims and logic changes/updates. + Assist Customer… more
- Zurich NA (Rocky Hill, CT)
- …points of contact, including customers, vendors, suppliers, and brokers, to provide a quality claims experience. + Learn and develop knowledge of established ... Claims Associate II 126144 Zurich is currently hiring a Claims Associate to join their General Liability Claims Team. This is a great opportunity to start a… more
- Zurich NA (Dallas, TX)
- …points of contact, including customers, vendors, suppliers, and brokers, to provide a quality claims experience. + Learn and develop knowledge of established ... General Liability Claims Specialist I 126145 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to… more
- Marriott (Bethesda, MD)
- …requirements and the complexity of workers' compensation and general liability claims , ensuring high- quality , timely, and cost-effective claim outcomes. ... Full Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** The Claims Unit Manager is responsible for overseeing the adjustment and resolution of… more
- Cognizant (Trenton, NJ)
- …coverage guidelines and regulations + Experience in the analysis and processing of claims , utilization review/ quality assurance procedures + Must be able to work ... business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical**... Processors to join our growing team. The **Medical** ** Claims Processor** is responsible for the timely and accurate… more
- General Dynamics Information Technology (Menands, NY)
- …Required:** None **Job Family:** Professional Engineering **Skills:** Healthcare Claims , Quality Assurance (QA),Structured Query Language (SQL) **Experience:** ... 2 + years of related experience **Job Description:** Quality Analyst (Regression Tester) Transform technology into opportunity as...TECHNICAL SKILLS: + 837 (I, P and D) Medical Claims testing experience + Knowledge of X12 + Experience… more