- AUROBINDO (Durham, NC)
- …family consists of an experienced management team with expertise in manufacturing, R&D, Quality Assurance and Quality control and regulatory affairs. In addition ... (FMLA, STD, etc.), Visas and Immigration (H1B, L1, etc.), Workers Compensation claims , Unemployment Claims , etc.Committee member for all employee activities… more
- Formation Bio (New York, NY)
- …infrastructure, and generative AI. While your initial focus will be on building high- quality EHR models for Formation Bio platform, you'll also contribute to our ... practices. Implement data validation and observability frameworks to ensure quality , trust, and reproducibility of datasets. Document transformation logic,… more
- Eisai, Inc (Indianapolis, IN)
- …local and national, health care issues/strategies, customer issues/trends, pathway and quality trends, and best practices to establish credibility beyond product and ... local and national, health care issues and strategies including pathway and quality trends (340B, buy & bill, Government, and commercial payer coverage)… more
- Pall (Miami, FL)
- …Pall is there, helping protect critical operating assets, improve product quality , minimize emissions and waste, and safeguard health. For the exponentially ... the Danaher Business System which makes everything possible.Director Global Quality and Regulatory ComplianceJOB SUMMARYInterprets federal/state/international regulations as they… more
- UCLA Health (Los Angeles, CA)
- …to the next level. You can do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned ... to the auditor. You will review claims (paid, pending, and denied) for accuracy, appropriate application of benefits, authorization for services, contract… more
- Siemens Energy (Orlando, FL)
- … claims efficiently. Additionally, you will support project managers in handling claims and analyzing quality -related issues! **How You'll Make an Impact** + ... topics on repair + Work with Project Managers where needed on claims management and quality topics + Develop processes that improve the efficiency and flow of… 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 receiving, ... attention to detail and adherence to FEMA guidelines. Audit and Quality Control Claims Specialist will objectively review, investigate, process, and evaluate … more
- MetLife (Bloomfield, CT)
- …Responsibilities: * Conducts quality reviews of Americans with Disabilities Act (ADA) claims . * Identifies trends, root causes, and quality gaps from the ... timely and meaningful feedback to associates and management regarding performance and quality standards. * Partners with team to develop criteria and standards in… more
- Shell (Shell, ND)
- …asset. + Experience in the industry, particularly in Marine/Terminal Operations, Oil Loss Claims , Quality claims , Refinery and Terminal Logistics, and/or ... the contractual agreement around costs. + Prepare product quantity, quality , and freight claims with third parties and stakeholders to maximize income while… more
- DXC Technology (Richmond, VA)
- …+ Conduct quality control reviews of Life and Annuity Death Claims payments and correspondence to ensure compliance with regulatory requirements and internal ... experience in Life and Annuity insurance, specifically in Death Claims processing and quality assurance. + Strong...insurance, specifically in Death Claims processing and quality assurance. + Strong understanding of insurance regulations, … 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 ... Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the end-to-end review,… more
- HCA Healthcare (Nashville, TN)
- …ability to independently problem solve and proactively manage and resolve claims . Job Responsibilities: ** Quality ** + Handle professional medical malpractice ... an organization that invests in you as a Sr Claims Supervisor? At HCA Healthcare, you come first. HCA... and trends in order to support collaboration and quality of care. + Build and maintain strategic alliances… more
- Aston Carter (Chicago, IL)
- …handler at the plant, you will focus on delivering excellent customer service, quality claims handling, and effective loss cost management. This plant-based role ... Job Title: Workers Compensation Claims Rep Job Description As the primary Workers'...Analyze and process complex or technically difficult workers' compensation claims by investigating and gathering information to determine exposure.… more
- Marriott (Bethesda, MD)
- …requirements and the complexity of workers' compensation and general liability claims , ensuring high- quality , timely, and cost-effective claim outcomes. ... Full Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** The Claims Unit Manager is responsible for overseeing the adjustment and resolution of… more
- AIG (Atlanta, GA)
- …point for colleagues . + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes , ensuring ... Join us as a Senior Claims Adjuster to take on key responsibilities within a world - class claims function. Make your mark in Claims Our Claims teams are… more
- Sedgwick (Toledo, OH)
- …Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead, Auto (BI + Liability) **PRIMARY PURPOSE**...contract requirements, and quality standards. + Acts as second level of appeal… more
- Sedgwick (Irving, TX)
- …Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Liability - Irving, TX **ARE...contract requirements, and quality standards. + Acts as second level of appeal… more
- Sedgwick (Concord, CA)
- …Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | CA Jurisdiction Knowledge | Concord,...contract requirements, and quality standards. + Acts as second level of appeal… more
- Sedgwick (New Orleans, LA)
- …Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Liability (MUST RESIDE IN LOUISIANA)...contract requirements, and quality standards. + Acts as second level of appeal… more
- CareFirst (Baltimore, MD)
- …of procedures. Applies training materials, correspondence and medical policies to ensure claims are processed accurately. Partners with Quality team for clarity ... & Qualifications** **PURPOSE:** Under direct supervision, reviews and adjudicates paper/electronic claims . Determines proper handling and adjudication of claims … more
