• Head of Vendor & Litigation Management Services,…

    Axis (Alpharetta, GA)
    …in collaboration with key AXIS stakeholders + Collaborating and coordinating with Claims Quality Assurance and Compliance to implement appropriate ... Services, the successful candidate should possess the ability to lead and develop the AXIS Claims Vendor...a particular focus on Lawyers and Vendors to ensure quality and appropriate claims service results. +… more
    Axis (11/08/24)
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  • Claims Analyst III

    Randstad US (Phoenix, AZ)
    …The Claims Analyst III (CAIII) works on the full range of claims , correspondence, quality assurance and escalations to ensure the satisfaction ... claims analyst iii. + phoenix , arizona (remote)...years + Experience level: Experienced Randstad is a world leader in matching great people with great companies. Our… more
    Randstad US (11/04/24)
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  • Claims Filling Specialist (Hybrid)

    TEKsystems (Tempe, AZ)
    …* Minimum 4+ years of experience in the mortgage industry conducting Default Servicing, claims filing, quality assurance or compliance filing * Minimum 4+ ... MS Excel (Vlookup, Pivot Tables) * 3+ years' experience in filing investor/insurer claims * Thorough Knowledge of MI and/or Insurer guidelines and requirements *… more
    TEKsystems (11/02/24)
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  • Quality Assurance Manager, Customer…

    GAF (Parsippany, NJ)
    …and maintenance of standardized claims evaluation protocols. Coordinate review with Plant Quality personnel and Quality Assurance leaders to ensure that ... Sales regarding claims evaluation. + Job-In-Progress (JIP) Claims - Lead the investigation and coordinate...network of factory-certified contractors. GAF continues to be the leader in quality and offers comprehensive warranty… more
    GAF (10/18/24)
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  • DRG Coding Auditor

    Elevance Health (Chicago, IL)
    …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 (11/09/24)
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  • RCIS Crop Claims Specialist

    Zurich NA (Topeka, KS)
    …by the local manager or area + Completes Crop Hail re-inspections when requested for quality assurance purposes + Works claims of 508H (Risk Management ... in identifying trends or issues that could affect the quality assurance of the Crop Claims...with claims that may require subrogation and/or claims that may lead to litigation +… more
    Zurich NA (09/12/24)
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  • Claim Analyst IV (Lexington)

    AIG (Boston, MA)
    …referral point for colleagues. + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ... internal and external stakeholders in your role as our Financial Lines technical claims expert and thought leader . + As a senior member of the team, you will act… more
    AIG (08/13/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Denver, CO)
    …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
    Elevance Health (11/08/24)
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  • Executive Director, Claim Platform Quality

    CVS Health (Hartford, CT)
    …exciting ways every day. Aetna is recruiting for an Executive Director, Claim Platform Quality Assurance for the Claims Center of Excellence Automation team ... You'll make an impact by: + Lead area processes for the organization's Quality Assurance area, and ensures methods align with the overall business strategy.… more
    CVS Health (11/03/24)
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  • Performance Assurance Analyst - Property…

    Sedgwick (Dallas, TX)
    …training opportunities that exist. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Executes the quality assurance program by completing quality reviews of ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Performance Assurance Analyst - Property Claims (Part Time...severity (up to approximately $300,000) to ensure the highest quality of work product is delivered to our clients;… more
    Sedgwick (08/30/24)
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