- 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
- Siemens Energy (Orlando, FL)
- … claims efficiently. Additionally, you will support project managers in handling claims and analyzing quality -related issues! **How You'll Make an Impact** + ... topics on repair + Work with Project Managers where needed on claims management and quality topics + Develop processes that improve the efficiency and flow of… more
- Wittenberg Weiner Consulting LLC (Santa Fe, NM)
- Copperhead is seeking multiple Audit and Quality Control Claims Specialist for a potential contract to support disaster relief. This position involves receiving, ... attention to detail and adherence to FEMA guidelines. Audit and Quality Control Claims Specialist will objectively review, investigate, process, and evaluate … more
- MetLife (Bloomfield, CT)
- …Responsibilities: * Conducts quality reviews of Americans with Disabilities Act (ADA) claims . * Identifies trends, root causes, and quality gaps from the ... timely and meaningful feedback to associates and management regarding performance and quality standards. * Partners with team to develop criteria and standards in… more
- Walmart (Bentonville, AR)
- …future business needs to develop innovative strategies to improve efficiencies evaluating claims quality and processes through standardized reviews and audits ... and ensuring settlement or denial of the claim Manages quality assurance reviews to improve claims handling procedures by performing quality assurance audits… more
- DXC Technology (Richmond, VA)
- …+ Conduct quality control reviews of Life and Annuity Death Claims payments and correspondence to ensure compliance with regulatory requirements and internal ... experience in Life and Annuity insurance, specifically in Death Claims processing and quality assurance. + Strong...insurance, specifically in Death Claims processing and quality assurance. + Strong understanding of insurance regulations, … more
- Tidal Basin Group (Santa Fe, NM)
- …Summary Tidal Basin is seeking experienced Team Leads to oversee teams of Claims Reviewers and Quality Control Specialists supporting FEMA's Hermit's Peak/Calf ... requires strong leadership, technical expertise in disaster recovery or insurance claims , and a commitment to delivering high- quality , claimant-focused service… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Job Description **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays ... Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the end-to-end review,… more
- Insight Global (Nashville, TN)
- …via Microsoft Teams, phone, and email. . Maintain documentation and reporting for claims activities and quality metrics. Communicate to Claims Leadership ... Job Description . Support a remote claims processing team, including coordination with an offshore...Processes . Proven experience in a leadership, supervisory or quality assurance role. . Working knowledge of Medicare medical… more
- State of Minnesota (St. Paul, MN)
- …also serves as a mentor to Claims Adjudicators and contributes to improving claims processes and quality standards. In addition, the Senior Claims ... **Working Title: Senior Claims Adjudicator** **Job Class: State Program Administrator Senior**...essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of… more
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