Claims Quality Auditor & Compliance Champion
Relation Insurance Inc
Relation Insurance Inc. in Tulsa, OK, is seeking a Claims Auditor to ensure claims processing aligns with contracts, regulations, and internal standards. You will audit activities, document findings, and support continuous improvement across operations. Key responsibilities include reviewing claims files, preparing audit reports, tracking outcomes, and collaborating with teams to drive compliant, accurate processing. Strong attention to detail and proficient Word/Excel skills are essential. #J-18808-Ljbffr Relation Insurance Inc
- Relation Insurance, Inc. in Tulsa, OK, is seeking a Claims Auditor to perform operational and quality audits of claims processing. You will review files, document findings, and prepare audit reports, identifying trends and opportunities for improvement. The role requires...Claims
- Relation Insurance Services is seeking a Claims Auditor in Tulsa, OK to ensure claims processing meets contractual, regulatory, and internal... ...opportunities to utilize AI-enabled tools and contribute to quality initiatives. #J-18808-Ljbffr Edison Health Solutions, LLCClaims
- CommunityCare HMO, Inc. in Tulsa, OK is seeking an Operational Support - Claims Review Analyst to perform quality reviews of claims, enrollment, and customer service output. You will audit daily, complete forms for feedback, and collaborate with trainers to address training...Claims
- CommunityCare HMO Inc. is seeking a quality reviewer to audit claims, enrollment, and customer service outputs against management criteria to ensure accuracy and compliance across processes. Daily audits will require completing feedback forms for managers, coordinating...Claims
- PFS TECO, part of NFPA Global Solutions, is seeking an experienced ICC-certified Quality Auditor. This position involves conducting audits for quality assurance, ensuring compliance with building codes, while supporting manufacturers across your territory. You'll primarily...SuggestedRemote jobLocal areaNight shift
$86k - $130k
...reviews and evaluates procedures and processes related to Product Quality to ensure efficiency and that internal and external... ...Leads the mitigation and remediation of product quality, product compliance, and additive related events. Provides expertise, data, and guidance...Full timeWork experience placementSummer work- ...A claims adjusting firm is seeking Independent Insurance Claims Adjusters to join their team in Tulsa, Oklahoma. This role provides a chance to help individuals and businesses recover from disasters while enjoying flexibility and competitive compensation. Comprehensive...ClaimsFlexible hours
- ...remediation services, engineering/design, compliance, and professional services to... ...problem-solvers, we are dedicated to high quality delivery to our clients. A & M is committed... ...preparation of change order documentation and claim analysis, including any supporting...ClaimsFull timeContract workFor subcontractorLocal areaRemote work
- The Boeing Company, via Spirit AeroSystems in Tulsa, seeks a seasoned quality professional to develop and maintain quality systems and procedures for aerospace manufacturing. You will ensure compliance with contractual and regulatory requirements and support continuous...
- ...clients in motor vehicle accidents, premises liability, wrongful death, catastrophic injury, and other personal injury matters Evaluate claims, liability, damages, medical records, insurance coverage, and potential case value Develop case strategy and oversee matters...Claims
- Relation Insurance Services seeks a Claims Specialist to manage COE-related healthcare claims with precision. You will investigate discrepancies, handle member inquiries, and collaborate with COE and clinical teams to ensure accurate adjudication and timely payments. The...ClaimsWork at office
- ...bonuses available in addition to base pay. Responsibilities Assist in the evaluation, investigation, & management of personal injury claims up to litigation; Work closely with senior attorneys and paralegals to develop and negotiate cases; Regularly communicate with...ClaimsImmediate start
$19 - $21 per hour
...Responsibilities Follow up on outstanding patient balances and insurance claims Contact patients regarding overdue accounts and establish... ...of all collection activities in EMR systems Ensure compliance with HIPAA and all applicable healthcare regulations Provide professional...ClaimsFull timeWork at officeMonday to Friday- A claims adjusting firm is seeking Independent Insurance Claims Adjusters to join their team in Tulsa, Oklahoma. This role provides a chance to help individuals and businesses recover from disasters while enjoying flexibility and competitive compensation. Comprehensive...ClaimsFlexible hours
- A staffing agency is seeking Claims Examiners in Tulsa, OK. The role involves processing insurance claims with a strong focus on attendance and performance during a 16-week training program. Candidates are required to have a High School Diploma or GED and demonstrate skills...ClaimsFull timeFlexible hours
- Boeing in Tulsa, OK, seeks a Quality professional to develop and maintain quality systems, inspect processes and ensure compliance with contractual and regulatory requirements. The role emphasizes process improvement, data analysis and participation in design reviews to...
- CEC in Tulsa, OK is seeking an Electrical Quality Control Specialist to ensure quality, safety, and compliance of electrical systems across projects and manufacturing processes. This safety‑sensitive role focuses on inspecting, testing, and evaluating components to meet...
- ...Job Description Job Description Responsibilities The Temporary Claims Examiner/Tester is responsible for auditing, processing, and validating claims data within the QNXT system. This role focuses heavily on testing new configuration updates to ensure the system...ClaimsTemporary workLocal area
$18 - $23 per hour
...position will be responsible for accurate payment posting, insurance claim follow-up, billing support, and patient account management. The... ...expectations. Knowledge of HIPAA and healthcare billing compliance requirements. Preferred Experience Revenue cycle or healthcare...ClaimsPermanent employmentFull timeTemporary workMonday to Friday- ...Scientist Job Responsibilities Lead the design and development of advanced statistical and machine learning models that improve claims outcomes, operational efficiency, and risk management. Serve as the technical authority for complex modeling initiatives...ClaimsRemote work
$102.15k - $120.18k
...Senior Claims Specialist – Commercial Auto BI Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation...ClaimsWork at officeRemote work$55k - $80k
...customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications...ClaimsFor contractorsWork at officeFlexible hours$17 - $19 per hour
...Duties & Responsibilities Manage patient self-pay balances and outstanding account collections Perform insurance follow-up on ASC claims, including denials and underpayments Investigate and resolve billing discrepancies and payment delays Contact patients regarding balances...ClaimsPermanent employmentTemporary workWork at officeMonday to Friday- ...Obtains all necessary information to evaluate auto total loss claims and expedite settlement. Essential Duties and Responsibilities... ...Reacts well under pressure; Accepts responsibility for own actions. Quality - Demonstrates accuracy and thoroughness; Looks for ways to...Claims
$40k - $55k
...matters most. Before becoming an agent, I built my career as a claim representative and manager and also spent time in the banking industry... ...awards including: Ambassador Travel, Legion of Honor, National Quality Award, Golden Triangle, and Bronze Tablet If you want a...ClaimsFor contractorsWork at officeFlexible hours$50k - $70k
...matters most. Before becoming an agent, I built my career as a claim representative and manager and also spent time in the banking industry... ...awards including: Ambassador Travel, Legion of Honor, National Quality Award, Golden Triangle, and Bronze Tablet If you want a...ClaimsFor contractorsWork at officeFlexible hours$18 - $20 per hour
...incoming calls; assists other departments while relieving the Receptionist.Assists with the administration and coordination of insurance claims, including gathering and submitting documentation, communicating with insurance representatives and departments, maintaining claim...ClaimsHourly payFull timeSeasonal workWork at office$80k - $90k
...requests, policy administration, billing, claims, and coverage analysis. Policy... ...quickly to service requests. Policy Compliance: Stay updated on company policies and procedures... ...individual and team performance. Champion IOA Values: Demonstrate integrity and leadership...ClaimsFull timeRemote work- ...production area(s) to meet production goals, quality and cost objectivesSupervises daily... ...company we are today, few companies can lay claim to a history like International. Based in... ...Truck & Bus in TRATON GROUP, a global champion of the truck and transport services industry...ClaimsPermanent employmentH1bVisa sponsorshipMonday to FridayDay shift
$17 - $22 per hour
...Responsibilities Follow up on unpaid, denied, or underpaid insurance claims with commercial, government, and managed care payers.... ...clinical staff to resolve claim issues. Maintain productivity and quality standards while meeting collection goals. Stay current on...ClaimsContract workLocal area
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