- AIG (Atlanta, GA)
- …+ You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes , ensuring mitigation of ... 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
- DXC Technology (Richmond, VA)
- …cross-functional teams to address and resolve process deficiencies. + Document and maintain quality assurance reports, records, and audit trails. + Support ... of experience in Life and Annuity insurance, specifically in Death Claims processing and quality assurance . + Strong understanding of insurance regulations, … more
- AIG (Boston, MA)
- …You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ensuring mitigation of indemnity ... Join us as a Claims Analyst IV to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim Analyst IV, you will… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role The Director of Application Support and Quality Assurance will oversee initiatives that align with the strategic goals of the ASG department. This ... to drive business growth, with a strong emphasis on quality control and improvements to enhance claims ... core platform strategic roadmap. + Establishes processes to audit configuration before deployment to production to streamline timeline… more
- CHS (Clearwater, FL)
- …for Claims Department strategy, planning, staffing projection, budgeting and quality assurance and improvement. * Responsibility for final hiring decisions ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...Quality to implement appropriate standards for accuracy and audit procedures intended to validate those standards are met.… more
- Commonwealth Care Alliance (Boston, MA)
- …states will not be considered at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance , the Claims Sr. ... Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance ,...claims systems (eg, Salesforce, Facets) in compliance with audit standards and MassHealth requirements. + Maintain awareness of… more
- Air National Guard Units (Fairchild AFB, WA)
- …Washington Air National Guard Title 32 Excepted Service Unit Technician position: QUALITY ASSURANCE SPECIALIST Location: 141st Maintenance Group Fairchild AFB, ... in its entirety and complete all application requirements. Responsibilities A GS-1910-11, QUALITY ASSURANCE SPECIALIST: Serves as the Office of Primary… more
- Wells Fargo (Charlotte, NC)
- …and better serving customers. **The Role** The Global Operations Head of Quality Assurance , Business Accountability Executive will manage and develop multiple ... Operations, Wholesale Operations, Shared Services Operations, and Fraud and Claims Management. Operations goal is to build a more...internal and external partners associated with the area of Quality Assurance and who are affected by… more
- AIG (Charlotte, NC)
- …delivery management capabilities is required to have a deep understanding of Quality Assurance and Engineering (QA&E) practices and principles, solutions, ... of everything we do, from underwriting risks to processing claims . The Information Technology team equips our employees with...you will create an impact The Director GI International Quality Engineering & Assurance is critical to… more
- Prime Therapeutics (Denver, CO)
- …Pharmacy Benefit Management experience to include 1 year of work experience in an operations, audit or quality assurance environment + Must be eligible to ... for error; utilize analytics and professional knowledge to select claims or pharmacies for audit in alignment...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Axis (Red Bank, NJ)
- …& Quality Assurance - Comply with best practices measured by monthly Quality Assurance and Management Initiated Audit scores as well as the ... Plans for all claims groups in Axis Claims . + Responsible for Cycle time, Severity, Quality... Claims . + Responsible for Cycle time, Severity, Quality of claims , Customer Satisfaction level, Professional… more
- Adecco US, Inc. (Los Angeles, CA)
- **Job Summary** We are seeking a ** Quality Assurance Specialist** to ensure our products and operations comply with all applicable US federal, state, and local ... quality and regulatory standards **Qualifications** + 5-10 years of experience in quality assurance , preferably in a US-based beauty or personal care platform… more
- Axis (Alpharetta, GA)
- …& Quality Assurance - Comply with best practices measured by monthly Quality Assurance and Management Initiated Audit scores as well as the ... taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a Senior Claims... Claims Specialist** AXIS is seeking a Senior Claims Specialist to join our North America Claims… more
- CHS (Clearwater, FL)
- …diploma or equivalent is required + Experience in medical customer service, quality assurance , or insurance training is preferred. **Certificates, Licenses, ... **Overview** ** ** ** Claims and Call Auditor (Call Center QC) -...are in excess of payment authority limits in assigned audit queues. + Listen to and view all recorded… more
- The Raymond Corporation (Muscatine, IA)
- …9001, and internal audit expectations. * Support production teams in quality assurance , problem resolution, and process capability improvements. * Manage ... Join our Raymond Team as a Quality Assurance Manager! The Role: We’re...indicators (KPIs) including scrap, rework, customer complaints, and warranty claims . Use data to drive improvement. * Work with… more
- Houston Methodist (Houston, TX)
- …risk and identify and capture potential revenue opportunities. This position performs quality assurance , detailed claims analysis and medical record ... are being billed to patients and third-party payers. Performs quality assurance . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Proactively stays up-to-date… more
- Walmart (Bentonville, AR)
- …Monitor the team's phone queue to ensure that customer needs are addressed timely. ** Quality Assurance & Compliance** + Conduct claim reviews to ensure accurate ... **Position Summary ** **What you'll do ** The ** Claims Manager** is responsible for **leading** a team...coding, claim quality , accuracy, compliance with jurisdictional requirements, timeliness of benefits,… more
- Insight Global (Nashville, TN)
- …and ICD-10, Appeals Processes . Proven experience in a leadership, supervisory or quality assurance role. . Working knowledge of Medicare medical insurance ... Teams, phone, and email. . Maintain documentation and reporting for claims activities and quality metrics. Communicate to Claims Leadership any issues that… more
- CareFirst (Baltimore, MD)
- …regulations. **ESSENTIAL FUNCTIONS:** Perform BlueCard Plan to Plan and General Inquiry quality assurance audits to investigate all aspects of the systems ... of BlueCard-related transactions in a specific area of operations (ie, claims , customer service) within the organization. Incumbent conducts a variety of… more
- Sysco (Las Vegas, NV)
- **SUMMARY** : Implement Food Safety & Quality Assurance (FSQA) raw material audit support/evaluation program and inspection/ audit process to ensure ... of meat, poultry and/or seafood products including product specifications. Experience as a Quality Assurance or Quality Control Technician in a meat… more