Underwriting Quality Assurance Analyst has strong communication skills, a high degree of self-discipline, and is motivated to dive... Insurance Carrier, MGA, Brokerage, or Agency experience. Background in company operations, underwriting, or claims is preferred...
Senior Analyst, Quality Operations Data Millennium Physician Group Full Time (Monday - Friday 8am - 5pm) Remote... position The Senior Quality Operations Data Analyst is responsible for supporting all healthcare analytical efforts of the...
Payers. Analyst is responsible for assisting Lead and Manager of Special Projects in problem solving, reconciling..., Excel, written and verbal communication. Analyst serves as the liaison between Business Groups, UF Health Managed Care...
Summary Under direct supervision, performs quality control audits, reviews, or monitoring of departmental operations... functions including, but not limited to, claims, membership, customer service/call center, workflow, processing support systems...
Job Description Summary Provides advanced professional input to complex Quality Assurance/Audit assignments/projects... professional knowledge and acumen to develop models and procedures, and monitor trends, within Quality Review and Audit. Using...
. Job Description Summary Provides advanced professional input to complex Quality Assurance/Audit assignments... in-depth professional knowledge and acumen to develop models and procedures, and monitor trends, within Quality Review...
Summary Perform quality control audits to evaluate the accuracy and effectiveness of departmental operations functions..., including claims, membership, customer service/call center, workflow, processing support systems, procedures, documentation...
. Job Description Summary Provides advanced professional input to complex Quality Assurance/Audit assignments... in-depth professional knowledge and acumen to develop models and procedures, and monitor trends, within Quality Review...
business challenges with MetLife. This role will conduct quality reviews of Long Term Disability claims (LTD), collecting... quality reviews of LTD claims of various complexity Identify trends, root causes and quality gaps from the analysis of data...
of various clinical (EHR and other clinical applications) and operational data sets (ex: claims, CMS/TJC, eCQMs, NSQIP, GWTG..., RHIA, CHDA preferred. Quality improvement or patient safety knowledge and experience preferred. Basic statistical...
! Description Job Purpose: As a member of our Quality Assurance team, you will be under direct supervision and will perform quality control... audits, reviews, or monitoring of departmental operations functions including, but not limited to, claims, membership...
and conducting detailed audits, analyzing programs, conducting training, coaching and managing projects related to quality. Review... new business, changes, terminations, claims, customer telephone calls, billing, premium application, and commission...
associates. We deliver meaningful experiences in various internship areas like Product Development, Claims, Operations, Finance..., revise, and approve quality-related documents. Provides feedback to the training team when additional training opportunities...
Summary Performs quality control audits to evaluate the accuracy and effectiveness of departmental operations... functions, including claims, membership, benefit files, customer service/call center, workflow, processing support systems...
Summary Performs quality control audits to evaluate accuracy and effectiveness of departmental operations functions... including, but not limited to, claims, membership, benefit files, customer service/call center, workflow, processing support...
Job Description: The Claims Analyst position responsible for processing medical, dental and vision claims. Review... to assure system is coded correctly Review claims for legitimacy and accuracy Meet production and quality standards set...
best claims and underwriting minds in the industry with segmenting new excess and specialty lines claim files and helping... Claims In this entry level role, you’ll deal with sophisticated excess casualty claims, as well as environmental and toxic...
and if there are system changes within Trustmark. Responsible for supervising a group of Financial Crimes Card Claims Analyst... a team first environment while supervising the work flow within the Financial Crimes Card Claims area in order to ensure the...
and if there are system changes within Trustmark. Responsible for supervising a group of Financial Crimes Card Claims Analyst... a team first environment while supervising the work flow within the Financial Crimes Card Claims area in order to ensure the...
customer-focused professionals for two Claims Assistant positions. We are a self-insured employer looking for motivated... and eager individuals to work in our Workers' Compensation Claims unit. This recruitment will be used to fill two Term-Limited...