A company is looking for a Specialist, Claims Quality Regulatory Operations to join their Claims Quality team.Key ResponsibilitiesCollaborate with team members to identify process gaps and improvementsConduct data analysis to support compliance initiatives and prepare reportsAssist in preparing for regulatory reviews and maintain up-to-date policies and proceduresRequired Qualifications1+ years of relevant experience in operational compliance and data analysis within Healthcare ClaimsDemonstrated understanding of Provider operations in the health payer industryExperience in designing and improving workflows1+ years experience using data software to analyze large data setsKnowledge of regulatory bodies and Market Conduct Exams is a plus
Claims Quality Assurance Specialist
A company is looking for a Claims Quality Assurance Specialist responsible for auditing claims processes and supporting quality assurance for claims adjusting teams. ...
Claims Quality Specialist
A company is looking for a Specialist, Claims Quality Regulatory Operations to join their Claims Quality team. ...
Quality Assurance Specialist
Do you have a keen eye for detail and a passion for ensuring quality? Are you a problem-solver who thrives in a fast-paced environment? If so, join our team as a Biopharma Quality Assurance Specialist and play a vital role in safeguarding the integrity of our life-changing products!. In this role, y...
Claims Research Examiner
A company is looking for a Claims Research Examiner to ensure accurate adjudication of claims for contracted plans. ...
QA Analyst (Remote - NYC)
Job Title: QA Analyst (Remote - NYC). ...
Quality Assurance Specialist
Technical Source is currently in search of a Quality Assurance Specialist for our client located in the Raleigh-Durham, NC area. The qualified candidate will have experience investigating and resolving quality issues, ensuring that products, services, and processes meet industry standards and custom...
Claims Crop Field Adjuster I
Claims Crop Field Adjuster I**. Utilize company software to electronically transmit claims information directly from the field to RCIS to ensure claims are processed timely and accurately. Zurich/RCIS is currently looking for a Crop Adjuster to work out of the state of North Carolina. As a Crop Adju...
Customer Service Representative
Customer Service Representative page is loaded **Customer Service Representative**. As a Customer Service Representative, you will provide exemplary customer service for all internal and external customers by utilizing in-depth knowledge of our products, programs, and team members within the organiz...
Workers Compensation Claims Adjuster
Leverage your industry experience and join our expanding team in this Workers Compensation Claims Adjuster role! We are see king an experienced workers compensation adjuster to provide front-line customer-focused handling of lost time complex claims for an assigned market. Handl e al...
Customer Service Representative - Work From Home
Competitive pay - As a Customer Service Rep you'll: Manage a high volume of incoming calls; Follow prescribed scripts to guide callers through form submissions; Identify and resolve customer issues accurately and efficiently; Provide high quality responses to customer inquiries and needs; Build sust...