- AIG (Charlotte, NC)
- …is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with the latest tools to ... include enterprise architecture, software and systems engineering, cybersecurity, and technology risk and compliance. How you will create impact The Delivery Quality… more
- Banco Popular Puerto Rico (San Juan, PR)
- …overseeing the Special Investigations unit, which handles inquiries into customer claims , allegations, and internal issues, especially those related to possible ... regulatory compliance, and driving process improvements to reduce organizational risk . The Manager collaborates extensively with Legal, Compliance, Human Resources,… more
- Sharp HealthCare (San Diego, CA)
- …Auditor will analyze and assess Sharp's potential risks using SHC's billing and coding claims data, risk assessment data, MDAudit risk analyzer software, OIG ... 1 **Shift Start Time** **Shift End Time** Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate; Other; Certified Health Care… more
- Bechtel Corporation (Cheyenne, WY)
- …of negotiations + Provides oversight, training, mentoring, and ensures capability of Project Risk Coordinator(s) and Project Risk Specialist (s) in conducting ... guidance, training, and mentoring to your team on key project procedures and risk management to ensure successful project execution and delivery. \#LI-JL1 # Major… more
- Lundbeck (Deerfield, IL)
- …employees. Provide support for compliance communications program. + **Field Compliance Risk Mitigation** **:** Identify and implement strategic projects designed to ... aspects of internal investigations, while ensuring legal compliance and managing risk . Partner with the Director, Field Compliance and Investigations to recommend… more
- Henry Ford Health System (Troy, MI)
- …HAP code-related committee meetings to resolve coding questions related to claims , configuration, benefits, new technology, fraud, compliance, and any other issue. ... Aside from committee meetings, assist with claims resolution issues as needed. + Assist in requesting...third-party payer regulations. + Knowledge of CMS programs, processes, risk adjustment payment methodology, and payment principles. + Knowledge… more
- Zurich NA (Irvine, CA)
- …challenging and varied caseload. Responsibilities will include working directly with claims professionals providing legal analysis and advice, preparing and filing ... needs in mind, the ZNA hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating… more
- USAA (New York, NY)
- …and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate ... when appropriate. + Maintains accurate and current claim file documentation throughout the claims process for low complexity claims . + Explains coverage, assists… more
- Chenega Corporation (Rockville, MD)
- …CICP Contracting Officer's Representative (COR), Contracting Officer (CO), Contracting Specialist (CS), CICP Program leadership, and other associated government ... and/or COR. + Participate in the development and execution of appropriate Risk Management processes and procedures, which contribute to the mitigation and… more
- Chenega Corporation (Rockville, MD)
- …CICP Contracting Officer's Representative (COR), Contracting Officer (CO), Contracting Specialist (CS), CICP Program leadership, and other associated government ... and/or COR. + Participate in the development and execution of appropriate Risk Management processes and procedures, which contribute to the mitigation and… more