- Solugenix (Los Angeles, CA)
- … is responsible for various tasks within the Financial Compliance Unit, including the audit of claims processed by medical groups and health plans contracted ... requirements. Communicate issues and findings that would affect the audit results. Perform claims audits for all...medical groups and health plans contracted with client. Timely audit reports are presented to the supervisor … more
- ICL (New York, NY)
- …we are currently seeking a full-time candidate for the role of Case Manager Supervisor (CMS) to join our team! - Veterans preferred for specific VA Shelter ... of the Dir. of Social Services, the Case Mgr. Supervisor is someone primarily responsible for providing day-to-day oversight...treatment plans Ensure that the charts by staff are audit -ready and in compliance with all applicable agencies and… more
- Charles River (Raleigh, NC)
- …career that you can feel passionate about. JOB SUMMARY We are seeking a Production Supervisor to support our Breed Operation in Raleigh, NC . As the Production ... Supervisor , you will provide daily supervision of personnel...and report preparation. Review safety issues and Workers' Compensation claims . Actively interact with and provide technical assistance to… more
- Hugo Boss (Midway, GA)
- …correctly *Respond to all CDM issue emails within 24 hours *Process all claims dealing with damaged units/cartons and or missing shipments. This incudes email ... any exceptions and the current status of shipments *Approve import freight invoices and audit for cost savings *Manage regular entry audit process to ensure… more
- Walgreens (Fairmont, NC)
- …Continuous Quality Improvement Program. Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up ... as well as medical providers and conducts or participates in 3rd party audit . Assists and supports Store Manager and Pharmacy Manager in analyzing and seeking… more
- Covenant Health (Knoxville, TN)
- …department's established policies and procedures. Responsibilities include review of billed claims for timely and accurate payment. Employees use phones, internal ... defined by the department established policies and procedures under the Manager and Supervisor within the department. Specifics and volume of work is defined by the… more
- Vallarta Supermarkets (Carson, CA)
- …Store HR Safety Compliance Specialist Classification: Non-Exempt Reports to: HR Supervisor The compensation range provided is in compliance with state-specific laws. ... on evaluation ratings. *Identifies and communicates to Store Director and Supervisor current team members for possible promotions for open positions. *Ensures… more
- Santa Barbara County Education Office (Santa Barbara, CA)
- …for submission to the County Board of Education for action Monitor and audit budget expenditures, maintaining a variety of records, reports and files Open, sort ... and forms for the assigned program including preparing purchase orders, invoices, travel claims and other related documents Operate a variety of office machines such… more
- Walgreens (Chicago, IL)
- …to further promote productivity. Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... companies as well as medical providers and participates in 3rd party audit . Follows-up with medical providers' offices to clarify prescribed medications, dosages,… more
- Sedgwick (Riverside, CA)
- …of education and experience required to include two (2) years claims supervisor experience. **Licensing / Jurisdiction Knowledge:** **California workers ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead ( Supervisor ) | Riverside, CA...and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service… more
- Sedgwick (Little Rock, AR)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Supervisor - Workers Compensation **PRIMARY PURPOSE:** To supervise the ... and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service...education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** +… more
- PennyMac (Fort Worth, TX)
- …aspirations of homeownership through the complete mortgage journey. A Typical Day The Claims Supervisor is responsible for providing structure and oversight to ... all back-up as requested, and the reconciliation and posting of claim proceeds. The Claims Supervisor will : + Manage the post-foreclosure servicing functions as… more
- CRC Insurance Services, Inc. (Fort Worth, TX)
- …direction and oversight, the incumbent is responsible for managing and analyzing claims handling activities for Claims Examiners; ensuring compliance with legal ... time to time. 1. Effectively manage assigned team of Claims Examiners and performance of same. 2. Review all...and monitor quality of same. 7. Participate in the audit process by reviewing performance on individual claim files… more
- CHS (Clearwater, FL)
- …and financial accuracy percentages. * Coordinating escalations from other Departments with the Claims Supervisor to ensure that timely and complete actions and ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...Examiner queues waiting to be adjudicated, and in either audit or needing approval status. * Developing and implementing… more
- Novant Health (NC)
- …The Coding Audit Response Specialist will support the Corporate Coding Audit Response Lead/Coding Supervisor by proactively managing significant issues in ... Employment Type: Full time with benefits What You'll Do: + The Coding Audit Response Specialist position responds to external and internal audits for INPATIENT… more
- Novant Health (NC)
- …The Coding Audit Response Specialist will support the Corporate Coding Audit Response Lead/Coding Supervisor by proactively managing significant issues in ... Employment Type: Full time with benefits What You'll Do: + The Coding Audit Response Specialist position responds to external and internal audits for OUTPATIENT… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance ... medical audits, target audits, re-audits, etc and audits for claims which are in excess of payment authority limits...are in excess of payment authority limits in assigned audit queues. + Listen to and view all recorded… more
- City of New York (New York, NY)
- …CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. Division/Program Summary: The Bureau of Audit Services plays a leading role in risk-based assessments of the Department's ... Innovation's policies. Position Summary: DOHMH is seeking an Assistant Audit Manager to join the Bureau of Audit...all testing schedule (PS, OTPS, Fringe, Admin, LOS, EI claims ) and draft reports and submit for Supervisors review… more
- Sedgwick (Irving, TX)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service...quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. +… more
- CareFirst (Baltimore, MD)
- …information in reports. + Settles insurance claims by approving or denying claims and partnering with supervisor on progress towards claim settlement + ... local offices for meetings** . **PURPOSE:** Investigate and perform adjustment of complex claims and ensure that claims are handled properly within authority… more
