- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …to drive business growth, with a strong emphasis on quality control and improvements to enhance claims processing stability, flexibility, and innovation. ... system configurations and changes. Primary Responsibilities Establishes controls and defines quality program (process and objectives) for end-to-end claims core… more
- Wellmore of Tega Cay (Fort Mill, SC)
- …preparation and validation of bills for all payers. 1. Performs pre-billing audit with designated clinical staff prior to release of billing. Processes corrections ... to process and collect cash. 4. Maintains logs for claims processing and ADR tracking in a timely manner....and files clinical and other incoming documentation. Maintains a control procedure for all active and inactive files, retrieves… more
- Burns & McDonnell (Atlanta, GA)
- …Project Manager is responsible for managing the construction project safety, quality , schedule, cost control , contracts, subcontractors, suppliers, proposals, ... sections of the Project Execution Plan, including construction execution, construction quality assurance plan, safety & health plan, subcontracting plan, project… more
- Bristol Bay Construction Holdings (Peoria, IL)
- …Holdings LLC (BBCH). The Fuels Superintendent provides general oversight, inspections and quality control measures, implemented by SES, for all aspects of ... System construction projects and may occasionally assist in QC audit trips in support of our Routine Maintenance &...safety and quality . Working along side SES Quality Control Manager. Assist the Project Manager… more
- FedEx (Punta Gorda, FL)
- …solve and/or escalate customer inquiries and issues. Assists management with Business Control Self Assessment (BCSA) audit activity by retrieving data and/or ... or all hub and station operational areas, including linehaul, records management, quality assurance and customer service. Tends to damaged and incorrectly addressed… more
- FedEx (Wichita, KS)
- …solve and/or escalate customer inquiries and issues Assists management with Business Control Self Assessment (BCSA) audit activity by retrieving data and/or ... or all hub and station operational areas, including linehaul, quality assurance and customer service. Tends to damaged and...for management review Reviews and trends loss and damaged claims filed to identify improperly charged claims … more
- Sentry (Nashville, TN)
- …Build and maintain quality relationships with businesses Work directly with Underwriting, Claims , Loss Control , Audit , Customer Service and other key ... Wisconsin, with offices located throughout the United States. From sales to claims , and information technology to marketing, we enjoy a rewarding and challenging… more
- Citigroup, Inc. (New Castle, DE)
- …and monitors errors to suggest solutions to reduce errors, and to adhere to audit and control policies. Often related, but not limited to loan documentation ... to audience diversity. Limited but direct impact on the business through the quality of the tasks/services provided. Impact of the job holder is restricted to… more
- CenCal Health (Santa Barbara, CA)
- …contract components and contract language specific to healthcare In-depth knowledge of audit , control and monitoring processes, and the ability to effectively ... the Medical Director is responsible for providing clinical oversight for utilization, quality , care management and credentialing functions in a manner that ensures… more
- Wittenberg Weiner Consulting LLC (Santa Fe, NM)
- Copperhead is seeking multiple Audit and Quality Control Claims Specialist for a potential contract to support disaster relief. This position involves ... to detail and adherence to FEMA guidelines. Audit and Quality Control Claims Specialist will objectively review, investigate, process, and evaluate… more
- DXC Technology (Richmond, VA)
- …improvement, compliance, and service excellence. **Key Responsibilities** + Conduct quality control reviews of Life and Annuity Death Claims payments and ... growing team. This role will be responsible for performing quality control and assurance tasks to ensure...address and resolve process deficiencies. + Document and maintain quality assurance reports, records, and audit trails.… more
- CHS (Clearwater, FL)
- …for Claims Department strategy, planning, staffing projection, budgeting and quality assurance and improvement. * Responsibility for final hiring decisions on ... with the Claims Adjudication process, including clearinghouses, claims cost control vendors and the ...Quality to implement appropriate standards for accuracy and audit procedures intended to validate those standards are met.… more
- American Water (Camden, NJ)
- …This role is responsible for the management of American Water's overall loss control , risk control , and analytics-focused claims programs, including but ... experience with contract reviews, contractual risk transfer, insurance certificate management, and claims handling. * Strong understanding of loss control , risk… more
- AIG (Atlanta, GA)
- …Services Partners, while monitoring SLA's and quality . + Partner with Compliance, Audit , Claims , and IT providing direction and support for SOX and SOC1 ... customers to manage risk. Join us as a Senior Claims Business Analyst to play your part in that...questions, etc. as well as the remediation of system-related audit findings and improvement opportunities. What you'll need to… more
- Axis (Alpharetta, GA)
- …well as, receiving feedback to continuously improve. + Participate in required audit activity, consistently maintaining control evidence in line with ... taking part in the selection process. Part of AXIS Claims Shared Services, the Claims Operations Analyst...performance metrics, including Task Volumes, adherence to Service Levels, Quality , and Exception rates. + Performing Quality … more
- Panasonic North America (De Soto, KS)
- …coordination, and regulatory compliance, while identifying trends to improve loss control . Strong technical knowledge of claims processes, OSHA recordkeeping, ... compliance, reviewing reportable vs. recordable classifications + Enter and audit injury and illness records and assist with annual...serving as a technical resource + Familiarity with loss control or claims prevention initiatives in a… more
- Sedgwick (Irving, TX)
- …reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Liability - Irving, TX **ARE...seven) technical operations colleagues for a wide span of control ; may delegate some duties to others within the… more
- Sedgwick (Concord, CA)
- …reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | CA Jurisdiction Knowledge | Concord,...seven) technical operations colleagues for a wide span of control ; may delegate some duties to others within the… more
- Sedgwick (Wausau, WI)
- …reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead, Liability (Commercial Trucking) - Telecommute WI...seven) technical operations colleagues for a wide span of control ; may delegate some duties to others within the… more
- Sedgwick (New Orleans, LA)
- …reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Liability (MUST RESIDE IN LOUISIANA)...seven) technical operations colleagues for a wide span of control ; may delegate some duties to others within the… more
