- 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 problem solvers of choice...efficiency. How you will create an impact + Complete quality reviews on all files within program guidelines while… more
- Axis (Alpharetta, GA)
- …upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior Claims Specialist ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management...of internal Severity and Coverage resources. + Compliance & Quality Assurance - Comply with best practices… more
- AIG (Atlanta, GA)
- …continuous improvement on claim file handling with feedback and support through the Quality Assurance Review processes + Contribute to maintenance of best ... interpretation What you will need to succeed + Basic specialist knowledge in LoB technical claims topics...+ Basic specialist knowledge in LoB technical claims topics + Policy language skills enabling accurate and… more
- CVS Health (Atlanta, GA)
- …+ 1-2 year of DG Claims systems experience + Experience with quality assurance programs in a healthcare or insurance setting. + Familiarity with ... and every day. **Position Summary** The Senior Claim Benefit Specialist serves as a quality champion and...**Required Qualifications** + 1-2+ years of experience in a quality audit or claims testing environment. +… more
- Sedgwick (Atlanta, GA)
- …: To support Operations Support Services leadership relating to all aspects of quality assurance ; ensure service level agreements are maintained; research and ... + Tracks non-compliance issues and monitors through to resolution; acts as quality assurance by identifying, researching, resolving and responding to technical… more
- AIG (Atlanta, GA)
- …AIG Compliance efforts. Ensure appropriate support is provided to Legal, Vendor Services, Quality Assurance , and other support groups. + Support ongoing ... specialist expertise and experience. Make your mark in Claims . Our Claims teams are the proven...skills with ability to create consistently factual, correct, high quality reports, meeting notes and supporting documentation. + Ability… more
- Elevance Health (Atlanta, GA)
- …at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance , or recovery auditing. + Requires at least one ... responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of.../ Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge… more
- Elevance Health (Atlanta, GA)
- …in applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance , or clinical documentation improvement, and a ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims … more