• Complex Claims Director, Severity

    AIG (Atlanta, GA)
    …+ You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes , ensuring mitigation of ... Join us as a Senior Claims Adjuster to take on key responsibilities within a world - class claims function. Make your mark in Claims Our Claims teams are… more
    AIG (05/30/25)
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  • Payment Integrity: Reimbursement Policy Invoice…

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …+ BS/BA degree preferred or equivalent experience or training + Minimum of 5 years claims audit / quality assurance experience in healthcare required + ... and reconciliation claim audits for BCBSMA's payment integrity programs. Quality assurance audit reviews and...reconciliation QA audits for BCBSMA's payment integrity programs. + Audit vendor claims data and invoices against… more
    Blue Cross Blue Shield of Massachusetts (06/22/25)
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  • Quality Audit for Life & Annuity…

    DXC Technology (Richmond, VA)
    …cross-functional teams to address and resolve process deficiencies. + Document and maintain quality assurance reports, records, and audit trails. + Support ... of experience in Life and Annuity insurance, specifically in Death Claims processing and quality assurance . + Strong understanding of insurance regulations, … more
    DXC Technology (05/29/25)
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  • Audit Services, Claims (Executive)

    USAA (Charlotte, NC)
    …associated with the current material processes, product lines, services, functions. Ensures quality audit work within required completion timeframes of each ... makes us special and impactful. **The Opportunity** As the ** Audit Services, Claims (Executive)** , you will...Claims (Executive)** , you will direct and oversee assurance and advisory services across multiple lines of business… more
    USAA (06/27/25)
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  • Claim Analyst IV (Lexington), Professional…

    AIG (Boston, MA)
    …You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ensuring mitigation of indemnity ... 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 (07/10/25)
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  • AVP, Quality Assurance & Operational…

    UPMC (Pittsburgh, PA)
    …; and audit management, support and facilitation teams. The AVP, Quality Assurance & Operational Integrity evaluates statistical patterns and trends of ... + Develops, assesses, and adapts clear and effective Quality Assurance monitoring, audits/reviews, testing, reporting, and audit sampling methodologies to… more
    UPMC (06/20/25)
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  • Director, Application Support and Quality

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    About The Role The Director of Application Support and Quality Assurance will oversee initiatives that align with the strategic goals of the ASG department. This ... to drive business growth, with a strong emphasis on quality control and improvements to enhance claims ... core platform strategic roadmap. + Establishes processes to audit configuration before deployment to production to streamline timeline… more
    Brighton Health Plan Solutions, LLC (07/19/25)
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  • Quality Assurance Specialist

    Air National Guard Units (Fairchild AFB, WA)
    …Washington Air National Guard Title 32 Excepted Service Unit Technician position: QUALITY ASSURANCE SPECIALIST Location: 141st Maintenance Group Fairchild AFB, ... in its entirety and complete all application requirements. Responsibilities A GS-1910-11, QUALITY ASSURANCE SPECIALIST: Serves as the Office of Primary… more
    Air National Guard Units (07/03/25)
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  • Claims Manager

    CHS (Clearwater, FL)
    …for Claims Department strategy, planning, staffing projection, budgeting and quality assurance and improvement. * Responsibility for final hiring decisions ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...Quality to implement appropriate standards for accuracy and audit procedures intended to validate those standards are met.… more
    CHS (05/09/25)
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  • Quality Assurance Specialist Senior

    USAA (Phoenix, AZ)
    …what truly makes us special and impactful. **The Opportunity** As a dedicated ** Quality Assurance Specialist Senior** , you will support USAA's financial ... strength through measurement, analysis, and review of quality assurance and compliance related business processes....+ 1+ years experience in demonstrated direct experience in quality , audit , risk, and/or compliance roles. +… more
    USAA (07/19/25)
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