- Axis (Alpharetta, GA)
- …request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a Senior Claims Specialist to join ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management...practices measured by monthly Quality Assurance and Management Initiated Audit scores as well as the implementation of Management… more
- Sedgwick (Bismarck, ND)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Leader - Liability **PRIMARY PURPOSE** : To...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Bridgestone Americas (Akron, OH)
- …case law. + Conduct thorough investigations into reported bodily injury claims , including interviewing claimants, witnesses, policyholders, and medical ... of customers and industries. **Job Category** Legal, Compliance & Audit **Position Summary** Bridgestone is looking for a highly...Bridgestone is looking for a highly motivated and detail-oriented Claims Adjuster to join our dynamic claims … more
- Cardinal Health (San Juan, PR)
- … medical terminology; E/M rules, teaching physician guidelines, and/or medical necessity defense reviews; healthcare compliance audit methodology, principles ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation… more
- NTT DATA North America (Ontario, CA)
- …**Job Description** To serve as a senior-level adjudicator and SME for medical claims within the Xcelys environment. Provide subject-matter expertise on ... **Key Duties & Responsibilities** -Adjudication & Review -Process comprehensive medical claims using Xcelys and associated subsystems...Claims processed per day / throughput -Accuracy / audit scores -Rework / error rate -Turnaround time for… more
- Aflac (Columbia, SC)
- Claims Compliance Coord I The Company: Aflac Columbus The Location: Columbia, SC, US, 29217 The Division: Group Voluntary Benefits Job Id: 8382 Opportunity: ... Claims Compliance Coord I Job Posting End Date: 10/17/2025...and interest calculations; assists with completing reports of external audit examinations as necessary; collaborates with Regulatory Compliance to… more
- Robert Half Office Team (Ontario, CA)
- …correspondence. * Batch trailers created by various departments and ensure proper documentation. * Audit the batch log key to confirm claims have been assigned ... Description We are looking for a detail oriented Entry-level Claims Representative to join our clients' team in Ontario, California. In this role, you will provide… more
- Robert Half Office Team (Grand Rapids, MI)
- …with a focus on maintaining accuracy and efficiency. The role involves processing medical , dental, and vision claims , requiring precision to ensure claims ... entered correctly and paid accurately. Responsibilities: * Accurately input medical , dental, and vision claims into the...* Maintain a high level of accuracy, achieving 99% audit compliance during training and beyond. * Follow strict… more
- Prime Healthcare (Ontario, CA)
- … Claims for all Prime Healthcare's self-insured Employee Health Plans. Through in-depth audit and review of Claims data, the VP will identify financial ... relocating to Ontario, California. TheVice President of Health Plan Operations and Claims is responsible for the development and execution of Claim Operations… more
- Health Care Service Corporation (Richardson, TX)
- …insurance, information technology or other related job or intern experience is preferred. + Medical claims auditing experience is a strong plus. + Knowledge of ... internship is in Richardson, TX **What Are Your Responsibilities?** The Audit Specialist Intern responsibilities may include assisting with claim accuracy audits… more