- WelbeHealth (Columbus, OH)
- …Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate ... At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option...Provide feedback to the Oversight & Monitoring Manager on claims processing errors, quality improvement opportunities, and… more
- Axis (New York, NY)
- …available upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a Senior Claims ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims...Assurance - Comply with best practices measured by monthly Quality Assurance and Management Initiated Audit scores… more
- Illumination Foundation (Santa Ana, CA)
- …County, Los Angeles County and the Inland Empire. Job Description The CalAIM Senior Claims Specialist is responsible for ensuring accurate and compliant claim ... critical role in supporting the organization's revenue cycle by ensuring claims meet payer requirements, coordinating with internal departments, and maintaining… more
- Grant Thornton (Newport Beach, CA)
- As a Healthcare Process Risk Senior Associate, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand their ... include but are not limited to co-sourced and outsourced internal audit , internal control assessments, enterprise risk management program assessments, tests of… more
- CHS (Clearwater, FL)
- …for Claims Department strategy, planning, staffing projection, budgeting and quality assurance and improvement. * Responsibility for final hiring decisions on ... **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
- Under Armour, Inc. (Sparrows Point, MD)
- …(DOT, FMCSA, TSA, Customs, Import/Export compliance). * Familiarity with freight audit processes, claims management, and carrier agreements/contracts. * Working ... Logistics Compliance & Claims Analyst **Logistics Compliance & Claims ...Develop and present weekly, monthly, and quarterly reports to senior leadership highlighting chargeback trends, financial impact, and opportunities… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …5. Train claims staff on new policies or procedures. 6. Oversee and audit claims process ensuring proper documentation was created in the system and/or ... Coordinators reviewing allocation of staff to ensure productivity and quality standards meet or exceed expected goals. 4. Review,...order to provide account loss ratios and claims history to senior management.… more
- Aflac (GA)
- …training for all claims specialist to understand how we can improve quality for the department. The next phase includes getting more granular with the data, ... 2026 Summer Intern-Individual Claims The Company: Aflac Columbus The Location: GA,...looking to optimize our processes to provide the best quality to our policyholders. Most recently, we kicked off… more
- Zurich NA (Schaumburg, IL)
- …the ability to organize teams, prioritize effectively, and coach others to deliver high- quality audit outcomes. + You'll have meaningful experience or strong ... Audit Manager 129341 **Let's grow together!** **About Zurich...working closely with the Chief Auditor. + You'll deliver high- quality audits on time and within budget, collaborating with… more
- Otsuka America Pharmaceutical Inc. (Olympia, WA)
- …actions (CAPAs). + Monitor audit trends and escalate recurring issues to senior leadership. ** Quality Systems & Compliance** + Support the implementation and ... **Job Summary** The Senior Manager of Global Quality Management...standards across global clinical trials. This role provides hands-on quality oversight, supports audit and inspection readiness,… more