- Cognizant (Raleigh, NC)
- ** Claims Quality Review ** ( remote ) This is a remote position open to any qualified applicant that lives in the United States. **Summary:** Our ... quality standards, processes and procedures and policies + Ensures the claims processing reps adhere to predetermined quality assurance standards and the… more
- Sedgwick (Charlotte, NC)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation ( Remote - MUST reside in NC) Are you ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- NTT DATA North America (Charlotte, NC)
- …NTT DATA and for the people who work here. NTT DATA is seeking to hire a ** Remote (Anywhere in US besides CA) Claims Processing Associate** to work for our end ... the right people on board, anything is possible. The quality , integrity, and commitment of our employees are key...training of NTT Data/Client + Work independently to research, review and act on the claims +… more
- Cognizant (Raleigh, NC)
- …and coverage guidelines and regulations + Experience in the analysis and processing of claims , utilization review / quality assurance procedures + Must be able ... to transform a variety of business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical** ** Claims … more
- Brighton Health Plan Solutions, LLC (NC)
- …on claims requiring adjudication. + Review and process High Dollar claims and conduct quality reviews of claims and logic changes/updates. + ... reports. The expectations include providing coaching, mentoring, and training while promoting quality and superior customer service. The Claims Supervisor is… more
- Otsuka America Pharmaceutical Inc. (Raleigh, NC)
- …Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for leading a ... global team focused on R&D Quality . This global role includes direct reports in the...be reported periodically to Senior Management through the Management Review process to ensure alignment with Company policy and… more
- Sedgwick (Raleigh, NC)
- …+ Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, ... Financial Services & Insurance Team Leader - Liability | Remote **PRIMARY PURPOSE** : To supervise the operation of...authority of the individual examiner. + Monitors third party claims ; maintains periodical review of litigated … more
- Prime Therapeutics (Raleigh, NC)
- …requestors to resolve questions regarding requested software changes, and participate with Quality Assurance and UAT resources to review related test cases ... drives every decision we make. **Job Posting Title** Sr. AI Business Analyst - Remote **Job Description** **Are you a Business Systems Analyst with an AI background?… more
- Prime Therapeutics (Raleigh, NC)
- …combined pharmacy and PBM experience to include: 1 year of work experience in claims processing in an operations, audit or quality assurance environment, and 1 ... decision we make. **Job Posting Title** Recovery & Resolution Analyst - Remote **Job Description** The Recovery & Resolution Analyst is responsible for recovering… more
- CBRE (Raleigh, NC)
- Property Management Manager ( Remote ) Job ID 241052 Posted 06-Oct-2025 Service line GWS Segment Role type Full-time Areas of Interest Property Management Location(s) ... Remote - US - Remote - US...Vendor Management: Source, vet, and handle service providers, ensuring quality and cost-effectiveness. + Documentation: Maintain detailed records of… more