- Sentara Health (Lexington, VA)
- …efficient utilization of health benefits; conducts gap in care management for quality programs Assists with the implementation of member care plans by facilitating ... company policies and procedures May assist in problem solving with provider, claims or service issues. Education: Associate or Bachelors Degree in Nursing REQUIRED… more
- Sentara Health (Virginia Beach, VA)
- …efficient utilization of health benefits; conducts gap in care management for quality programs Assists with the implementation of member care plans by facilitating ... company policies and procedures May assist in problem solving with provider, claims or service issues Preferred: Private duty nursing experience and knowledgeable… 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. Make ... your mark in Claims . Our Claims teams are the proven...efficiency. How you will create an impact + Complete quality reviews on all files within program guidelines while… more
- 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
- PennyMac (Moorpark, CA)
- …aspirations of homeownership through the complete mortgage journey. A Typical Day The Quality Assurance (QA) Claims Processor will perform QA reviews in ... required by the applicable investor and insurer servicing guidelines. The QA Claims Processor will : + Reconcile servicing expenses/corporate advances as required by… 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. It's ... valued member of the team. Make your mark in Claims Stewardship Our Claims professionals support AIG...environment. How you will create an impact The Global Quality Assurance team is looking to recruit a talented… more
- Molina Healthcare (Buffalo, NY)
- …* Adjudicates or readjudicates claims in a timely manner. * Meets claims department quality and production standards. * Supports claims department ... JOB DESCRIPTION Job Summary Provides support for claims adjustment activities including administering claims payments, maintaining claim records, and providing… more
- Molina Healthcare (Omaha, NE)
- …communicating claims error issues and potential solutions to leadership. * Meets claims department quality and production standards. * Supports claims ... JOB DESCRIPTION Job Summary Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching,… more
- Zurich NA (New York, NY)
- …points of contact including customers, vendors, suppliers, and brokers to provide a quality claims experience. Additionally, you will learn and develop knowledge ... are handled in the most efficient, effective way while delivering a quality customer-centric claims experience. This position will work from one of the following… more
- AIG (Jersey City, NJ)
- …How you will create an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability ("HPL") Claims ... Claims Complex Director - Healthcare Professional Liability (HPL)...internal coordination with the corporate legal team. + Achieves quality standards by effectively managing each claim to ensure… more
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