- Axis (Alpharetta, GA)
- …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
- Equitable (Charlotte, NC)
- … claims team as needed. + Other duties as requested **Performance & Quality Assurance :** + Meet or exceed service targets, including call resolution times, ... **Key Job Responsibilities** **Claim Documentation Review:** + Review and verify the claims documentation, including medical records, claim forms, and supporting… more
- Cognizant (St. Louis, MO)
- …ideal opportunity for you! **About Cognizant's QEA Practice:** We are the largest Quality Assurance Practice Globally servicing 800+ Clients. We bring the ... looking for a " **QA Test Lead - Healthcare (Payer/ Claims )"** to join in our team of IT professionals...We provide Next Gen QA offerings like System Modernization assurance , Business Process Assurance , Quality … more
- Walmart (Bentonville, AR)
- …Monitor the team's phone queue to ensure that customer needs are addressed timely. ** Quality Assurance & Compliance** + Conduct claim reviews to ensure accurate ... **Position Summary ** **What you'll do ** The ** Claims Manager** is responsible for **leading** a team...coding, claim quality , accuracy, compliance with jurisdictional requirements, timeliness of benefits,… more
- State of Minnesota (Vadnais Heights, MN)
- **Working Title: DCT Revenue Cycle Quality Assurance Analyst** **Job Class: Management Analyst 4** **Agency: Direct Care and Treatment** + **Job ID** : 87792 + ... exciting and rewarding opportunity as a DCT Revenue Cycle Quality Assurance Analyst! As the DCT Revenue...the revenue cycle, including billing, coding, insurance verification, and claims processing. The goal is to identify areas of… more
- JBS USA (Russellville, AL)
- …with customer relations and complaint procedures ( claims ) + Working alongside the quality assurance team to develop an understanding of how all the roles ... **Description** 2026 Quality Assurance Management Trainee About us:...for the following compensation and benefits: + Benefits: Vision, Medical , and Dental coverage begin after 60 days of… more
- CHS (Clearwater, FL)
- …Experience:** + A high school diploma or equivalent is required + Experience in medical customer service, quality assurance , or insurance training is ... (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer service calls to… more
- Cognizant (Lansing, MI)
- …coverage guidelines and regulations. * Experience in the analysis and processing of claims , utilization review/ quality assurance procedures. * Must be able ... - 4:30pm ET **Experience:** A minimum of 1 years claims processing is required. **Travel:** None required **About the...HCFA paper or EDI information. * Responsible for reviewing medical records when necessary to determine if service rendered… more
- Elevance Health (Tampa, FL)
- …we are actively defining our innovative role in the industry. **Pharmacy Quality Assurance Specialist** **Location:** This role requires associates to be ... as required by law._ **Schedule: Monday - Friday; 8:00am-5:00pm** The **Pharmacy Quality Assurance Specialist** is responsible for evaluating the quality… more
- MyFlorida (Tallahassee, FL)
- …than 30 claim determinations processed, and 50 expenses paid monthly. + Finalizes quality assurance corrective actions within 5 business days of notification. ... VICTIM COMPENSATION CLAIMS ANALYST - 41000639 Date: Jul 15, 2025...from victims, applicants, attorneys, centers, financial institutions, insurance carriers, medical providers, and/or criminal justice agencies to finalize determinations.… more