- AIG (New York, NY)
- …You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ensuring mitigation of indemnity ... Job Description Join us as a Claims Analyst III to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim… more
- LA Care Health Plan (Los Angeles, CA)
- Manager, Claims Quality Assurance Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position ... required to achieve that purpose. Job Summary The Manager, Claims Quality Assurance (QA) is... audit frequency, scoring tools, examiner scorecards, and quality thresholds. Co-leads claims components of mock… more
- AIG (Atlanta, GA)
- Claims , Quality Assurance Specialist - Worker's Compensation Join us as a Claims QA Specialist to make more of your specialist expertise and experience. ... skills with ability to create consistently factual, correct, high quality audit reports and supporting documentation. +...+ Ability to address queries, disputes, challenges through the claims audit cycle while maintaining the philosophies… more
- AIG (Atlanta, GA)
- …are reimagining the way we help customers to manage risk. Join us as a Global Quality Assurance Reviewer - Claims to play your part in that transformation. ... environment. How you will create an impact The Global Quality Assurance team is looking to recruit...to apply it to the role. + Experience in claims analysis and audit , desirable. + Ability… more
- LA Care Health Plan (Los Angeles, CA)
- …Responsibility (DoFR) to claims processing. Demonstrated experience leading enterprise audit programs or quality assurance functions. Experience ... Director, Center of Excellence and Quality Assurance Job Category: Management/Executive Department: Claims ...continuous improvement and execution of the Core Administrative Operations quality audit program, including audit … more
- LA Care Health Plan (Los Angeles, CA)
- …and designing remediation strategies that reduce risk and recommends quality assurance protocols to ensure accuracy across the claims ecosystem. The Manager ... and support enterprise readiness during regulatory reviews, inquiries, or settlements. Partners with Claims Administration and Quality Assurance (QA) in the… more
- City of New York (New York, NY)
- …conformity to State and Federal regulations and to the mandated deadlines - Perform an audit / quality control review of completed claims for accuracy and for ... revenues, expenditures and staffing for all HRA's programs. The Quality Assurance & Data Analysis Unit is...compliance with State and Federal regulations and to reconcile claims to expense data - Oversee the audit… more
- LA Care Health Plan (Los Angeles, CA)
- …timeliness, and regulatory compliance. Oversees examiner productivity models, workload balancing, Quality Assurance performance, and inventory trending to ensure ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...and reducing operational rework. The Director has ownership of claims regulatory compliance and audit readiness. This… more
- CHS (Clearwater, FL)
- …for Claims Department strategy, planning, staffing projection, budgeting and quality assurance and improvement. * Responsibility for final hiring decisions ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...Quality to implement appropriate standards for accuracy and audit procedures intended to validate those standards are met.… more
- Integra Partners (Troy, MI)
- The Quality Assurance Analyst is responsible for monitoring and documenting production quality in support of the departmental goals and initiatives. The ... Quality Assurance Analyst evaluates both verbal and...Analyst will fairly and consistently review the calls, emails, claims , etc. of our team for accuracy and provide… more
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