- Axis Capital (New York, NY)
- …is 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...practices measured by monthly Quality Assurance and Management Initiated Audit scores as well as the implementation of Management… more
- CERiS (Fort Worth, TX)
- …leadership). Strong leadership, interpersonal, and team-building skills. Proficiency in audit tools, electronic medical records (EMR) systems, abstracting ... Position Summary: The DRG Audit Program Director is a strategic and operational...finding generation and appeal management. Oversee the entire clinical claims review process, understanding various client configurations and workflows.… more
- Chubb (Cincinnati, OH)
- …to verify premium calculations and ensure accuracy. Reporting and Communication: Present audit reports to senior management, providing clear and actionable ... Job Description The Premium Audit Production Service Manager is responsible for overseeing the verification and accuracy of premium audits for insurance policies.… more
- KING'S INSURANCE STAFFING LLC (Charlotte, NC)
- …General Liability, Bodily Injury, and Property losses being handled by TPA's. Monitor and audit claims while working with claims adjusters and attorneys to ... National Insurance Carrier, is seeking to add aP&C Oversight Claims Specialist to North Carolina operations. This person would...large losses, large reserve increases and large settlements to senior management for approval. Audit loss runs… more
- Transdev (Lombard, IL)
- …of life and combat global warming. https://www.transdevna.com Overview of Position: Senior staff position within North American headquarters responsible to support ... and 4 floating - Other standard benefits: 401(k) retirement plan, medical , dental and vision, life insurance, short-term disability, voluntary long-term disability.… more
- ND Group (Dedham, MA)
- …and location of risk, age and condition of property. Calls for inspections, audit reports or further information from agents to verify conditions affecting degree of ... questionable endorsements with appropriate individuals. Reviews Questionable Risk reports from Claims Department for their impact on renewals, details of coverage,… more
- Experis (Houston, TX)
- …with the Compliance Program, and with HHSC, TDI, NCQA and Health Plan Senior Management. *Ensure ongoing compliance with federal and state regulations and provide ... Health Plan in developing an auditing and monitoring program. Develop comprehensive audit tools to objectively measure internal performance and performance of third… more
- Roku (Austin, TX)
- …guides, international trade laws, and transportation policies. Manage retailer chargebacks, claims , and disputes, working with partners to minimize financial impact. ... Control: Ensure compliance with international trade regulations and customs requirements. Audit trade controls, processes, and tools for compliance and improvement.… more
- San Francisco Art Institute (Beverly Hills, CA)
- …that include, but are not limited to, the following: In collaboration with senior leader peers and the Corporate SFA Associate Relations Team, provide guidance to ... Line investigations Ensure all components of the SFA HR Audit are always at standard Ensure People Data is...and timely Ensure requests for data related to Unemployment Claims is submitted through Case Builder, accurately and timely… more
- Washington University (St. Louis, MO)
- …leadership for all billing functions, including charge capture, coding, claims submission, accounts receivable management, and denials management. Lead continuous ... cycle metrics. Direct activities between WashU Physicians Billing Service and Medical School Finance (journals, report requests, budgets, year-end close). Recommend… more
- Sunrise Senior Living (Westmont, IL)
- When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will you ... and shed light on meaningful ways to serve, grow, and shine together. Sunrise Senior Living was again certified as a Great Place to Work(R) by Activated Insights.… more
- Visa (San Francisco, CA)
- …and experience Life at Visa. Job Description We are looking for a senior corporate insurance professional who has strong leadership and insurance experience to own ... roughly 2,000 vendors that do business with Visa and manage the insurance claims process. We have also implemented a captive insurance arrangement and are continuing… more
- San Francisco Art Institute (Deer Park, NY)
- …of arrest Identify and present opportunities for improving Asset Protection strategies to senior leadership by compiling reports using audit data, and ensure ... and external theft exposures; complete accident investigations and general liability claims reports Demonstrate a direct impact in high shortage departments and… more
- Cuyahoga County Board of Health (Cleveland, OH)
- …budgets and monitor expenditures. Responsibilities: Serves as a member of the CCBH's Senior Leadership Team. Participates in the creation and execution of the CCBH's ... revenue, purchasing, vouchers, accounts payable, payroll, inventory, grants management, medical billing, and accounts receivable, and all other areas of… more
- AssuredPartners (Columbus, OH)
- …management plans for clients as assigned an directed by Agency management. Own all audit , review and claims processes for assigned book of business. Analyze data ... of more junior team members including Account Coordinators, Account Managers, and Senior Account Managers. Facilitate and collaborate with account team on the… more
- Transdev (Garden City, NY)
- …New York, is hiring a Purchasing Specialist.Under the direction of the Senior Director of Procurement, the Purchasing Specialist shall be responsible for drafting ... standard and 3 floating Other standard benefits: 401(k) retirement plan, medical , dental and vision, life insurance, short-term disability, voluntary long-term… more
- Houston Methodist (Houston, TX)
- …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of complex claims ... FUNCTIONS** + Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective actions and processes… more
- Axis (Alpharetta, GA)
- …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...practices measured by monthly Quality Assurance and Management Initiated Audit scores as well as the implementation of Management… more
- Point32Health (Canton, MA)
- …contract interpretation in accordance to claims processing guidelines, Point32Health Medical and Payment Policies and established audit protocols. He/she ... (minimum): 5-7 years of related professional healthcare experience including familiarity with medical claims processing. + Preferred: 8-10 years of related work… more
- CVS Health (Springfield, IL)
- …a Regional Pharmacy Onsite Auditor, you will be an essential part to the Pharmacy Audit Department at CVS/Caremark. In this role, you will be based from your home ... and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
