- Unknown (Webster, MA)
- …and operational priorities and lead cross-functional teams responsible for delivering high- quality , consistent claims outcomes across both personal and ... Vice President of Property Claims & Material Damage About the Company Diverse...Held About the Role The Vice President of Property Claims & Material Damage will be responsible for leading… more
- Unknown (San Francisco, CA)
- …goals. This role is pivotal in driving operational excellence across contact center, claims administration, and quality assurance departments, with a focus on ... various operational functions, including omni-channel inbound customer service and sales, claims intake and adjudication, quality assurance programs, and… more
- Unknown (Dallas, TX)
- Assistant Vice President, Workers Compensation Claims About the Company Prestigious provider of risk & claims management services Industry Insurance Type ... Risk Management Non-Profit & Philanthropy Consulting & Professional Services Claims Guard. Go Beyond Guide Home Provider Services Specialties property/casualty… more
- Unknown (Bowie, MD)
- …Technology & Services Healthcare Hospitals & Clinics Insurance Specialties clinical and quality outcomes claims and payment integrity healthcare data insights ... predictive analytics data-driven intervention platforms quality improvement cms star ratings qrs ncqa hedis risk score accuracy ehr interoperability big data… more
- WALGREENS (Oroville, CA)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. Strictly adheres to the Walgreen Co. policy regarding Good ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- WALGREENS (Traverse City, MI)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. Strictly adheres to the Walgreen Co. policy regarding Good ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- Unknown (Houston, TX)
- …compliance, and performance optimization in core MSO functions, including claims administration, medical management, provider network operations, quality /STAR ... CMS Part C operations and compliance, utilization and care management programs, claims and encounter data integrity, quality /STARs performance improvement, and… more
- The Computer Merchant, LTD. (West Mclean, VA)
- …of Facets and their integration within payer systems. Proven expertise in Claims Adjudication and Processing. JOB DESCRIPTION: As an QNXT/Facets Developer at Client, ... and motivating a team of product development experts to meet deadlines and deliver high- quality products to clients What we're looking for 8+ years of experience in… more
- Unknown (New Haven, CT)
- …team of Workers' Compensation professionals to ensure the delivery of the highest quality claim work product while adhering to all internal and external compliance ... minimum of 5 years' experience in handling Workers' Compensation claims , with a strong proficiency in all areas of..., with a strong proficiency in all areas of claims adjusting. In-depth knowledge of New York jurisdictional nuances… more
- Unknown (Wilmington, DE)
- …strategic leadership in enterprise risk management, clinical risk mitigation, claims management, and the organization's insurance portfolio. The successful candidate ... exposure, protect organizational assets, and foster a culture of safety and high- quality care delivery. This executive will lead a sophisticated, integrated risk… more
- Unknown (Port Huron, MI)
- …reporting, claims verification processes, healthcare integration projects, and various quality improvement and work plan activities. This role also involves the ... is seeking a Chief Information Officer (CIO) to oversee its Data and Quality Management Departments, as well as the Information Technology and Computer Systems. The… more
- Unknown (Houston, TX)
- …product propositions, as well as leading cross-functional teams to ensure high- quality , compliant, and timely product launches. The Head of Product Development ... A deep understanding of scientific formulation, regulatory guidelines, and product claims within the US market is essential. The role demands exceptional… more
- Unknown (San Francisco, CA)
- …provide mentoring to pro bono attorneys, and ensure the delivery of high- quality legal services to clients. Essential functions include monitoring changes in ... of 7 years' experience in immigration law, particularly in humanitarian immigration claims . A background in working with children, especially immigrant and refugee… more
- Unknown (San Francisco, CA)
- …the Role The Company is in search of a Managing Attorney to oversee the quality representation of clients in the defense of workers' compensation claims . The ... successful candidate will be tasked with supervising a legal team, maintaining a caseload, and handling various management responsibilities, including client development, recruiting, and providing coaching and feedback. The role demands a senior-level attorney… more
- Unknown (White House Station, NJ)
- …and integration activities, utilizing data governance frameworks to maintain the highest quality of data, and ensuring that financial data meets standards of ... involves acting as the business product owner for the North America claims data warehouse, coordinating with cross-functional business and operational groups, and… more
- Unknown (Rancho Cucamonga, CA)
- …This role also involves overseeing non-financial departments such as claims , property management, facilities, business continuity, medical economics, and risk ... for ensuring the financial sustainability of the organization, providing quality financial analyses for decision-making, and actively participating in strategic… more
- AIG (Atlanta, GA)
- Claims , Quality Assurance Specialist - Worker's Compensation Join us as a Claims QA Specialist to make more of your specialist expertise and experience. Make ... your mark in Claims . Our Claims teams are the proven...efficiency. How you will create an impact + Complete quality reviews on all files within program guidelines while… 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
- PennyMac (Moorpark, CA)
- …aspirations of homeownership through the complete mortgage journey. A Typical Day The Quality Assurance (QA) Claims Processor will perform QA reviews in ... required by the applicable investor and insurer servicing guidelines. The QA Claims Processor will : + Reconcile servicing expenses/corporate advances as required by… more
- AIG (Atlanta, GA)
- …are reimagining the way we help customers to manage risk. Join us as a Global Quality Assurance Reviewer - Claims to play your part in that transformation. It's ... valued member of the team. Make your mark in Claims Stewardship Our Claims professionals support AIG...environment. How you will create an impact The Global Quality Assurance team is looking to recruit a talented… more
