Quality Assurance Auditor - Claims (Heavy Equipment)
Sedgwick
Sedgwick is seeking a Quality Control Representative for Heavy Equipment/Specialty to ensure accuracy, consistency, and regulatory compliance across claim files. You will perform detailed audits and support continuous improvement initiatives within the team. The role requires at least 2 years in claims, auditing, or QA, with preferred experience in appraisal and insurance environments. Strong communication and analytical skills are essential, along with the ability to work independently or with #J-18808-Ljbffr Sedgwick
$97.1k - $114.4k
The Underwriting Quality Auditor ensures the integrity, consistency, and compliance of underwriting... ...continuous improvement of the Quality Assurance framework. Participation in regular... ...Background in quality assurance, claims, compliance, or knowledge of multiple insurance...ClaimsFull timeWork at office$44k - $50k
...built on a foundation of simplicity, integrity, people-centricity, and leadership. You Are UST HealthProof is looking for a Claims Quality Auditor with health plan claims administration operations experience, ideally within Medicaid managed care. This role will report...ClaimsRemote jobPermanent employmentFull timeWork at office- ...We are seeking a Quality Improvement & Compliance Specialist to lead quality assurance, compliance, and continuous improvement across our Health Home programs. This... ...Performance Improvement Plan activities, claims lookbacks, and other corrective action initiatives...ClaimsWork from home
$20 - $30 per hour
...this hourly, remote contractor role, you will work as a Kannada Quality Assurance Lead (QAL) to oversee quality, consistency, and trainer... ...mistranslation, literal phrasing, unnatural tone, hallucinated claims, ambiguity, or inconsistent terminology. ~ Experience leading...ClaimsHourly payFor contractorsRemote work$20 - $30 per hour
...hourly, remote contractor role, you will work as a Gujarati Quality Assurance Lead (QAL) to oversee quality, consistency, and trainer performance... ..., literal phrasing, unnatural tone, hallucinated claims, ambiguity, or inconsistent terminology. Experience leading...ClaimsHourly payFor contractorsRemote work- FuseGlobal in the United States is looking for a Quality Specialist who will coordinate, track, and execute updates to finished product... ...manufactured products to ensure alignment with formulas, label claims, and microbiological standards. You will drive specification...ClaimsContract workRemote work
$50k - $60k
...you’ll feel right at home here. TITLE: Quality Assurance Specialist REPORTS TO: Project Director... ...injured or ill; (f) workers' compensation claims management; (g) employee job... ...employee access to company facilities, equipment, and systems; (6) Conduct internal audits...ClaimsFull timeFor contractorsSecond jobWork at officeLocal areaRemote workFlexible hours$70.2k - $87.7k
Overview Identifies and resolves operational quality problems and inefficiencies within the Grievance & Appeals (G&A) department. Conducts... ...with professionals, health plan departments such as Claims, Medical Management and Legal, and the third party administrator...ClaimsWork experience placementWork at officeFlexible hours$10k - $20k
...with each ad making our system smarter. THE ROLE As a Creative Quality Assurance Specialist, you will be responsible for reviewing video ads... ...for delivery Catch inconsistencies involving logos, product claims, pricing, calls to action, DISCLAIMERS, and other client-specific...ClaimsFull timeRemote work$40 - $55 per hour
...hourly, remote contractor role, you will work as a Japanese Quality Assurance Lead (QAL) to oversee quality, consistency, and trainer performance... ...tone, incorrect keigo, ambiguous references, hallucinated claims, or inconsistent terminology. Experience leading or...ClaimsRemote jobHourly payFor contractorsImmediate start- ...partner is looking for a Food Safety & Quality Specialist based in the United States.... ...safety, regulatory compliance, and quality assurance for a growing food brand specializing in... ...improvement. Complaints, Corrective Actions & Claims: Partner with Customer Experience to...ClaimsFull timeContract workRemote work
- ClaimSorted is seeking a QA & Authorisation Handler to join the Technical Claims Support Team. You will: review settlements at the authorisation stage, verify policy coverage and evidence, and authorise, pass back or elevate decisions. You will also perform QA reviews...ClaimsRemote work
- A leading medical claims company based in the United States is seeking a Clinical Reviewer to evaluate and ensure the accuracy of medical... ...scheduling to align with your own availability while ensuring high-quality service to clients. #J-18808-Ljbffr Dane Street, LLCClaimsRemote jobExtra incomeWork at officeFlexible hours
- ...status updates to the client. Evaluates the Quality of physician’s report and determines if... ...helps you plan for your future. Apple equipment and a media stipend are provided for... ...professionals. We process over 200,000 insurance claims annually for leading national and...ClaimsTemporary workWork at officeRemote workWork from homeNight shift
$69.8k - $125.9k
...include Microsoft Word, Access, and Excel. PREFERRED JOB REQUIREMENTS: Bachelor’s degree. Utilization management experience. Health claims and mainframe system experience. Experience with internal/external customer relations. Knowledge and familiarity of national...ClaimsRemote workWork from homeMonday to FridayRotating shiftAfternoon shift$45k - $70k
...healthcare delivery, control costs, and maintain quality care. \3>Key Responsibilities Conduct... ...; 401k plan with company match; Apple equipment and a media stipend for remote workspace... .... We process over 200,000 insurance claims annually for leading national and...ClaimsRemote jobTemporary workWork at officeWork from home- ...the world. Job Summary Evaluates business unit performance and quality of contact, processing and/or file handling. Consults with business... ...’s degree preferred. 1-3 years of experience working in claims or contact center Prior Quality and Call Center experience Fluent...ClaimsLocal area
- ...Workers' Compensation Report Reviewer / Quality Analyst Job Summary The New York Workers... ...match helps you plan for your future. Apple equipment and a media stipend are provided for... ...professionals. We process over 200,000 insurance claims annually for leading national and...ClaimsTemporary workRemote workWork from home
$61.29k - $84.66k
...patient outcomes through a rigorous focus on quality that has resulted in some of the lowest... ...to join our team as a Quality Assurance Analyst. In this role, the successful candidate... ...authorizations, coding, correspondence, claims, accounts receivable, and credits....Claims$27.02 - $48.55 per hour
...provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education... ...performance in areas of Quality, Risk Adjustment and Operations (claims and encounters). Identifies specific practice needs where...ClaimsHourly payFull timePart timeWork at officeRemote workFlexible hours- CorVel Corporation is seeking a Repricing Quality Assurance Analyst I in Fort Worth, Texas. The role covers monitoring repricing audit data... ...The ideal candidate will have strong knowledge in repricing claims processing and a minimum of 5 years in relevant fields. The position...ClaimsRemote job
- ...collaborative work environment Chance to significantly impact coding quality and accuracy in healthcare What To Expect (Job Responsibilities... ...health information management Experience with 3M APC Software claim edits Familiarity with CMS' National Correct Coding Initiative...ClaimsImmediate startRemote work
- ...About MechMaxx MechMaxx is a fast-growing heavy equipment brand offering pressure washers, woodchippers, log splitters, mini excavators,... ...and compliance deductions; maintain documentation to support claims • Maintain accurate item data, order records, and shipment...ClaimsHeavy equipmentFull time
- ...management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000... .... The purpose of this role is to promote excellent call quality, contact handling and documentation by providing an additional...ClaimsImmediate startRemote workWork from home
- ...This is a remote position. As third-party auditors, we assist clients of all sizes in... ...recognized certifications to guarantee the quality of their products. Perform 3rd party REMOTE... ...in upstream oil/gas project Quality Assurance and Quality Control methods and systems....Work experience placementRemote work
- ...emergency department, and all OhioHealth Physician Group (OPG) clinic service lines. The Education and Quality Analyst provides education to physicians, coders, failed claims specialists, and clinical documentation specialists regarding coding, billing, clinical...ClaimsLocal areaRemote workShift work
$99.86k - $110.95k
Thank you for considering opportunities with us!Job TitleHomeowner Claims Quality Assurance Senior Analyst - RemoteRequisition NumberR7978 Homeowner Claims Quality Assurance Senior Analyst - Remote (Open)LocationArizona - Home TeleworkersAdditional LocationsAlabama - Home...ClaimsRemote jobHourly payTemporary workWork experience placementH1bWork at officeWork from homeFlexible hours- ...opportunity to contribute to the company’s success. As a Production Quality Analyst, within PNC’s Dealer Floorplan Operations... ...with consist of Commercial and Auto. Commercial is typically heavy equipment, and Auto is typically the inventory that is at auto dealerships...Heavy equipmentFull timeTemporary workWork experience placementWork at officeRemote workWork from homeMonday to FridayDay shift
- ...company focuses on delivering durable, high-quality solutions that protect buildings from... ...scaffolding, rigging, silica exposure, heavy equipment, fall protection, trenching/excavation,... ...' compensation representatives on claims and safety audits. Equipment & Site...ClaimsHeavy equipmentFull timeFor subcontractorWork at officeLocal area
$19 - $24 per hour
...What you´ll do Perform quality inspections on incoming materials and production products... ...while supporting overall quality assurance activities. What makes you a good fit... ...callipers Experience with lab or measurement equipment is a plus. Prefer 1-3 years previous...Hourly payLocal areaShift workAfternoon shift
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