• Claims Analyst

    Adecco US, Inc. (Beaverton, OR)
    Claims Analysts (CA) will be responsible for managing the full spectrum of claims , correspondence, quality assurance , and escalations to support the ... achievement of the team's goals and priorities. The CA also contributes to meeting the expectations of both internal and external clients regarding claim handling and adherence to Service Level Agreements. **Top 5 Required Skills** 1. Strong Basic Math Skills… more
    Adecco US, Inc. (05/07/25)
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  • Claims Analyst III

    Adecco US, Inc. (Phoenix, AZ)
    …Summary** The Claims Analyst III works on the full range of claims , correspondence, quality assurance and escalations to ensure the satisfaction ... of the goals and priorities of the team. The CAIII also does their part to meet expectations of internal and external clients with respect to claim handling and Service Level Agreements. **Location:** AZ, Remote **Compensation:** $21/hr **Top 5 Required… more
    Adecco US, Inc. (04/30/25)
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  • Fraud & Claims Management Quality

    Wells Fargo (Chandler, AZ)
    …to ensure deliverables are met timely and accurately. + Lead the FCM Claims Assurance Quality Control organization including developing and executing ... a Quality Control Director to join the Fraud & Claims Management (FCM) Quality Control team. **Key Responsibilities** + Manage 140+ staff performing key … more
    Wells Fargo (04/12/25)
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  • Utilization Review Medical Director

    Intermountain Health (Las Vegas, NV)
    …considered for the position.** Performs medical review activities pertaining to utilization review, claims review, quality assurance , and medical review of ... PCPs and Specialists in the community, utilization management, care management, claims , network management, and finance. As the Medical Director for Utilization… more
    Intermountain Health (03/04/25)
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  • Claim Analyst IV (Lexington), Professional…

    AIG (Boston, MA)
    …decisions on the portfolio. + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ... Join us as a Claims Analyst IV to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim Analyst IV, you will… more
    AIG (03/15/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Norfolk, VA)
    …in applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance , or clinical documentation improvement, and a ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims more
    Elevance Health (04/29/25)
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  • Sr. Manager, Provider Contract and Pricing Testing

    CVS Health (Hartford, CT)
    assurance projects. + 5+ years of experience in provider contract testing, claims adjudication systems, quality assurance , or related functions. + 5+ ... with extensive experience in provider and contract testing, test automation, and quality assurance . You will be responsible for managing a team of quality more
    CVS Health (04/23/25)
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  • HR Business Partner

    Adecco US, Inc. (Fort Payne, AL)
    …resume!** **Responsibilities:** The Claims Specialist works on the full range of claims , correspondence, quality assurance and escalations to ensure the ... satisfaction of the goals and priorities of the team. The Claims Specialist also does their part to meet expectations of internal and external clients with respect… more
    Adecco US, Inc. (05/07/25)
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  • Valet Supervisor

    Legacy Parking Company (Coral Gables, FL)
    …or any unusual occurrence to Management. + Ensure compliance with loss prevention, claims reporting, quality assurance and company's policies and procedures. ... Non-Essential Duties and Responsibilities + Implementation and completion of other projects, programs and initiatives that may be assigned by management Minimum Job Qualifications + High School degree required. + One year related experience. + Ability to read… more
    Legacy Parking Company (04/28/25)
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  • Valet Supervisor

    Legacy Parking Company (Miami, FL)
    …or any unusual occurrence to Management. + Ensure compliance with loss prevention, claims reporting, quality assurance and companies policies and procedures. ... Non-Essential Duties and Responsibilities + Implementation and completion of other projects, programs and initiatives that may be assigned by management Minimum Job Qualifications + One year related experience. + Ability to read and comprehend verbal… more
    Legacy Parking Company (02/19/25)
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