- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly improve ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...clinical, and other data insights that directly improve the quality and efficiency of patient care. At LogixHealth, we're… more
- CVS Health (Springfield, IL)
- …and financial accuracy. **Required Qualifications** + 1-2+ years of experience in a quality audit or claims testing environment. + Working knowledge ... day. **Position Summary** The Senior Claim Benefit Specialist serves as a quality champion and...process improvements. + Participate in special projects and targeted quality audit initiatives. + Provide subject matter… more
- 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 ... skills with ability to create consistently factual, correct, high quality audit reports and supporting documentation. +...+ Ability to address queries, disputes, challenges through the claims audit cycle while maintaining the philosophies… 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...Assurance - Comply with best practices measured by monthly Quality Assurance and Management Initiated Audit scores… more
- AIG (Atlanta, GA)
- …to make more of your specialist expertise and experience. Make your mark in Claims . Our Claims teams are the proven problem solvers of choice for clients, ... adjuster licensing process and leading efforts on various Global Claim initiatives. You will have oversight of Claims...Audit Group (IAG), Compliance, External Auditors and the Claims organization. How you will create an impact +… more
- Health Care Service Corporation (Richardson, TX)
- …is in Richardson, TX **What Are Your Responsibilities?** The Audit Specialist Intern responsibilities may include assisting with claim accuracy audits and ... to contribute to ensuring department, divisional and corporate objectives are met. The Audit Specialist Intern will need to maintain knowledge of contracts,… more
- Commonwealth Care Alliance (Boston, MA)
- …will not be considered at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst ... Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role...claims systems (eg, Salesforce, Facets) in compliance with audit standards and MassHealth requirements. + Maintain awareness of… more
- UCLA Health (Los Angeles, CA)
- …commitment to accuracy and quality in claim processing. As an Audit and Appeals Specialist , you will: + Facilitate responses to regulatory audits related ... compliance with federal and state guidelines + Collect, analyze, and enter audit requests into relevant systems, distributing requests to necessary teams + Monitor… more
- Stanford Health Care (Palo Alto, CA)
- …of America) **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the ... as excellent analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will...for clarity and accuracy prior to submission to ensure high- quality presentation. + Audit Response: Ensuring the… more
- Access Dubuque (Dubuque, IA)
- Insurance Claims Specialist **Medical Associates** 1 Positions ID: oeGnwfwx Posted On 06/24/2025 Refreshed On 09/27/2025 **Job Overview** **Description** Medical ... Associates is hiring an experienced **Insurance Claims Specialist ** to join our business office...and suspended claims report. + Research open claims activity, audit accounts, and issue refunds… more
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