- 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 problem solvers of choice...efficiency. How you will create an impact + Complete quality reviews on all files within program guidelines while… more
- Zurich NA (Atlanta, GA)
- …by the local manager or area + Completes Crop Hail re-inspections when requested for quality assurance purposes + Works claims of 508H (Risk Management ... RCIS Crop Claims Specialist 128463 Zurich is looking...in identifying trends or issues that could affect the quality assurance of the Crop Claims...or issues that could affect the quality assurance of the Crop Claims team +… more
- Axis (Alpharetta, GA)
- …upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior Claims Specialist ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management...of internal Severity and Coverage resources. + Compliance & Quality Assurance - Comply with best practices… more
- AIG (Atlanta, GA)
- …continuous improvement on claim file handling with feedback and support through the Quality Assurance Review processes + Contribute to maintenance of best ... interpretation What you will need to succeed + Basic specialist knowledge in LoB technical claims topics...+ Basic specialist knowledge in LoB technical claims topics + Policy language skills enabling accurate and… more
- Molina Healthcare (Atlanta, GA)
- …Required Qualifications * At least 3 years clinical nursing experience in claims auditing, quality assurance , recovery auditing, DRG/clinical validation, ... Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). * Claims auditing, quality assurance , or recovery auditing,… more
- AIG (Atlanta, GA)
- …AIG Compliance efforts. Ensure appropriate support is provided to Legal, Vendor Services, Quality Assurance , and other support groups. + Support ongoing ... specialist expertise and experience. Make your mark in Claims . Our Claims teams are the proven...skills with ability to create consistently factual, correct, high quality reports, meeting notes and supporting documentation. + Ability… more
- Elevance Health (Atlanta, GA)
- …at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires at least one ... responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of.../ Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge… more
- Elevance Health (Atlanta, GA)
- …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