- Grant Thornton (Philadelphia, PA)
- As a Process Risk & Claims Audit Manager, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand ... and help you achieve more, confidently. Your day-to-day may include: + Leverage claims operations experience and claim audit experience to review and analyze… more
- Grant Thornton (Newport Beach, CA)
- …of enterprise or operational risk management programs, and/or entity-level and business process controls for Internal Audit , or other risk management, ... As a Healthcare Process Risk Senior Associate, you will...but are not limited to co-sourced and outsourced internal audit , internal control assessments, enterprise risk management… more
- Albany Medical Center (Albany, NY)
- Department/Unit: Risk Management Work Shift: Day (United States of America) Salary Range: $71,612.39 - $110,999.20 Claims Management: Develop litigation ... experts, life care planners, structure brokers and settlement strategies. * Establish claims files immediately * Conduct all interviews within specified timeframes *… more
- ICW Group (Sacramento, CA)
- …This position is responsible for the development and execution of the Claims audit program, identifying trends and promoting continuous improvement. This ... gaps. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Develops and provides oversight of the Claims Audit & Compliance program. + Develops and executes end-to-end… more
- ICW Group (Sacramento, CA)
- …all lines of business. The Senior Manager will focus on specific areas within claims such as ** Audit , Compliance, and Claims Support.** **ESSENTIAL DUTIES ... Focus** . + Develop and execute strategies that align audit , compliance, technical claims management, and support...performance. + Drive initiatives that improve claim outcomes through process optimization and risk mitigation. + Establish… more
- CHS (Clearwater, FL)
- …approval status. * Developing and implementing strategies for greater automation in the claims process , including electronic receipt of claims and ... clients. * Management of relationships with essential vendors involved with the Claims Adjudication process , including clearinghouses, claims cost control… more
- AON (Chicago, IL)
- … Audit Directors in assessing key business risks and controls and in developing risk based audit plans, which are responsive to audit priorities and ... expertise, such as reviewing the insurance quotation and placement process . Participation in these audits will include: + Completing...assessing key business risks and controls and in developing risk based audit plans, which are responsive… more
- Bank of America (Dallas, TX)
- …evaluating the design and execution of business processes/controls associated with Fraud and claims risk management activities (eg fraud claims , prevention ... would involve learning on each new assignment. + Executes audit strategy for the sound application of risk...seek an accommodation through the Bank's required accommodation request process before your first day of work. This communication… more
- DoorDash (Tempe, AZ)
- …the company's bottom line. The team is divided into three separate subgroups: Actuarial, Claims Operations, and Risk Management & Mitigation. We are looking for ... About the Team The Risk & Insurance team at DoorDash is responsible...DoorDash. About the Role We are seeking an experienced claims specialist who will be a member of DoorDash's… more
- Johns Hopkins University (Baltimore, MD)
- …internal audit plan in assigned areas, including performing effective risk assessments and meeting with institutional management to support the development of ... claims processing, premium billing, encounter data, utilization management, risk adjustment, provider contracting, quality metrics, and related operations. +… more
- Axis (Short Hills, NJ)
- …part in the selection process . About the Team AXIS is hiring a Claims Specialist - Primary Casualty for its North America Claim Team. This role involves managing ... We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns...primary claims for AXIS US Primary Casualty policies. How does… more
- Axis (Alpharetta, GA)
- …Accommodation is available upon request for candidates taking part in the selection process . **Job Description: Senior Claims Specialist** AXIS is seeking a ... We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns...of signal reserves as well as the sensitivity projection process , to drive optimal claims resolutions for… more
- Sedgwick (Syracuse, NY)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Sedgwick (Atlanta, GA)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Sedgwick (Indianapolis, IN)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Sedgwick (Seatac, WA)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Sedgwick (Rancho Cordova, CA)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Sedgwick (Norfolk, VA)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- Zurich NA (Schaumburg, IL)
- …Zurich Cover-More and Zurich Group, maintaining open and constructive dialogue throughout the audit process . + You'll foster a culture of continuous learning, ... outcomes for the business. + You'll help develop and evolve a dynamic, risk -based audit plan for Zurich Cover-More and related Zurich Global Ventures… more
- Dignity Health (Bakersfield, CA)
- …for audit purposes. - Collaborate with internal departments, including claims processing, UM, compliance, and provider relations, to develop and implement ... **Job Summary and Responsibilities** The Claims Research Specialist will oversee and manage research... processing by reviewing contract, system configuration, benefits, financial risk (DOFRs), and manual adjudication to identify the cause… more