- 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)
- **Job Description:** **Essential Job Functions:** Perform quality control and assurance tasks, by reviewing Life and Annuity Death Claims payment and ... experience in Life and Annuity** Proven experience in Life/Annuity Death Claims processing and Quality review** Proficiencies in quality assurance and risk… more
- Elevance Health (Houston, TX)
- …**External Audit Facilitator** is responsible for managing the process for claims and customer service audits/ quality control reviews, including ... **External Audit Facilitator** **Location:** This role requires associates to...by external auditor. + For implementation audits, ensures the claims system is coded accurately by independently developing and… 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
- WelbeHealth (Los Angeles, CA)
- **Plan Operation Audit Specialist** WelbeHealth is a value-based healthcare organization that's transforming the future of senior care by providing an all-inclusive ... the healthcare and social services needed to thrive. The Plan Operations Audit Specialist will be accountable for validating various system configurations to ensure… more
- Axis (Red Bank, NJ)
- …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
- Access Dubuque (Dubuque, IA)
- …reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... Workforce Absence Team Lead - Claims Assistant Team **Sedgwick** 1 Positions ID: R61333...several technical operations colleagues for a wide span of control ; may delegate some duties to others within the… more
- Sedgwick (Riverside, CA)
- …reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead (Supervisor) - Workers Compensation **PRIMARY PURPOSE:** To supervise the… more
- Sedgwick (Brea, 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 General Liability Claims Team Lead - Public Entity Are you looking...seven) technical operations colleagues for a wide span of control ; may delegate some duties to others within the… more
- Sedgwick (Seven Hills, OH)
- …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 | OH Jurisdictions (potential for MI,...seven) technical operations colleagues for a wide span of control ; may delegate some duties to others within the… more
- Sedgwick (Dubuque, IA)
- …reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... Financial Services & Insurance Workforce Absence Team Lead - Claims Assistant Team All eligible candidates must live near...several technical operations colleagues for a wide span of control ; may delegate some duties to others within the… more
- Molina Healthcare (Sterling Heights, MI)
- …unit + Internal Audit Certification a plus for manager overseeing Regulatory Quality Audit unit To all current Molina employees: If you are interested ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage… more
- Sedgwick (Rochester, NY)
- …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 | New York Jurisdiction Job Description...seven) technical operations colleagues for a wide span of control ; may delegate some duties to others within the… more
- Henry Ford Health System (Detroit, MI)
- …and general liability, workers compensation and employers liability claims review, investigation, management and disposition, including financial mitigation ... and management of System reputation Will work under the guidance of Senior Claims Managers, Senior Claims Consultant, Director of Insurance, and Vice President,… more
- Commonwealth Care Alliance (Boston, MA)
- …Level Agreements to support organizational decision-making, and identify opportunities to improve quality and control costs. Supervision Exercised: * No, this ... 011250 CCA- Claims Position Summary: Working under the direction of...claim retraction valuation and viability, support payment policies, support audit requests, assist in the development of a claim… more
- Molina Healthcare (MI)
- …unit + Internal Audit Certification a plus for manager overseeing Regulatory Quality Audit unit all current Molina employees: If you are interested in ... **Job Summary** Within a Contact Center setting, responsible for administering claims payments, maintaining claim records, and providing counsel to claimants… more
- AIG (Atlanta, GA)
- …Management (ERM), Internal Audit Group (IAG), Compliance, External Auditors and the Claims organization. How you will create an impact + Drive a strong ... from changes in technology or process. + Monitor existing Claims operational control structure and ensure necessary...ensure necessary changes to controls are made based upon audit feedback (self-audits, internal audits, PwC audits). + Drive… more
- Gerber Plumbing Fixtures LLC (Woodridge, IL)
- …to activities of the team and role are as follows: + Test product. + Process claims product. + Process returns product. + Maintain test equipment. + Assist audit ... process on Mexico factory or other distribution centers. + Responsible for the picking, assembly, and packing of all customer display orders and show orders. + Operate power tools example saws, drills. + Operate basic hand tools examples screw drivers, pliers,… more
- Zimmer Biomet (Norfolk, VA)
- …to + Assist with the compilation and analysis of QMS metrics in support of quality objectives for Management Review + Audit Support + Support Quality ... respected, empowered and recognised. **What You Can Expect** The Document Control Coordinator responsibilities include batch record review and release, documentation… more
- 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. ... configurations and changes. Primary Responsibilities + Establishes controls and defines quality program (process and objectives) for end-to-end claims core… more