Claims Integrity Auditor & Investigator II
Qlarant
Qlarant is seeking an Auditor/Investigator to ensure the integrity of claims processing, collect data for audits, and identify fraud, waste, and abuse. You will interview witnesses, review documentation, and prepare comprehensive reports for management. Minimum Bachelor's Degree is required; 2–4 years experience is expected, with 5–7 years preferred. A Certified Fraud Examiner is preferred. Qlarant is an Equal Opportunity Employer and drug-free workplace. #J-18808-Ljbffr
Vacancy posted 3 hours ago
Similar jobs that could be interesting for youBased on the Claims Integrity Auditor & Investigator II in California, MO vacancy
- ...the highest standard of professional integrity, and ethics. The Office of the Sheriff... ...may be filled at either the Crime Scene Investigator I or II level. This announcement is for Crime... ...information, propositions, and claims Professional & Technical Expertise: Applying...ClaimsWork at officeLocal areaRemote workNight shift
- ...Unit Ultrasound Technologist II Why Join Contra Costa Health?... ...information, propositions, and claims Delivering Results: Meeting... ...challenge, or adversity Professional Integrity & Ethics: Displaying honesty,... ...Requirements: A background investigation/fingerprint and/or physical...ClaimsFull timeWork at officeLocal area
County of Contra Costa
California, MO1 day ago - ...HOURLY* Mental Health Clinician II: $6,490 - $8,283 APPROXIMATE... ..., children, and families. By integrating both behavioral health and... ...Welfare division of the branch investigates alleged abuse and neglect of... ...and interventions as well as claiming for services provided on a daily...ClaimsHourly payLocal areaImmediate startWeekend work
County Of Shasta
California, MO1 day ago - ...general supervision, the Account Specialist II performs intermediate accounting and... ...support financial record-keeping. Reviews claims and invoices for accuracy and compliance... ...Researches and corrects errors to maintain the integrity of financial records. Accepts payments,...ClaimsFull timePart timeFor contractorsWork at officeLocal area
County of Mendocino, CA
California, MO5 days ago - ...execute multi-year strategies and roadmaps for existing and future integrated partnerships Build business cases and investment... ...partnership models focused on improving outcomes and reducing high-cost claims ~ If working at home occasionally or permanently, internet...ClaimsContract workWork from home
$35 - $50 per hour
...of excellence in the power industry. Job Title Field Technician II Benefits Medical, Dental, and Vision Insurance 401(k) Savings Plan... ...recruiters or third party recruiting agencies, and will not recognize claim to any unsolicited resumes or candidate information....ClaimsHourly payDaily paidTemporary workFlexible hoursElectric Power Systems
California, MO2 days ago- ...pay rates Weekly direct deposit Guaranteed reimbursement for submitted insurance claims Your Foundation Free credentialing with major insurers Complete billing & claims management Integrated EHR, scheduling, and telehealth platform AI scribe that turns sessions into...ClaimsPart timePrivate practice
Prava Therapy
California, MO3 days ago $56.7k - $94.9k
SUMMARY Claim Representative I: This is the entry level professional claim handler. Handles... ...given authority. Claim Representative II: This is the intermediate level of the... ...level of the claim handler career path. Investigates claims and exercises significant discretion...ClaimsRemote jobContract workTraineeshipWork at office- ...an impact on California workers through investigation and enforcement of state laws covering workers... ...Commission orders, as well as group claims involving minimum wage and overtime claims... ...considered for this Deputy Commissioner II job opportunity, applicants must be either...ClaimsMinimum wageFor contractorsWork at officeRemote work
California Department of Industrial Relations
California, MO2 days ago - ...Description Becker & Company is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis. This role is perfect... ...investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability...ClaimsFlexible hours
J T Becker & Co Inc
California, MO5 days ago $23 per hour
All Jobs > Patient Services Representative II Have you ever wanted to be a part of something bigger? Have you ever wanted to make a... ...registration, documentation, and financial workflows to support clean claims and reduce errors. Perform other duties as assigned, supporting...ClaimsHourly pay- ...seeking qualified candidates to fill emergency Medical Examiner Investigator Trainee vacancies related to the homelessness crisis. Underthee... ...a law enforcement or governmental regulatory agency Option II: A Bachelor's degree from an accredited college with specialization...Permanent employmentTraineeshipLocal areaShift workNight shift
County of Los Angeles
California, MO2 days ago $32 - $48 per hour
Field Technician II Overview Job Title: Field Technician II About the Company: Electric Power Systems (EPS) is a NETA-accredited independent... ...or third party recruiting agencies, and will not recognize claim to any unsolicited resumes or candidate information. #J-18808-...ClaimsHourly payDaily paidTemporary workFlexible hours$4,367 - $5,729 per month
PARK MAINTENANCE WORKER II PARK MAINTENANCE WORKER II $4,367.00 - $5,729.00 per Month New to State candidates will be hired into the... .../SURPLUS Applicants: You must check the SROA/Surplus as your claimed method of eligibility and attach your SROA/Surplus letter as an...ClaimsOdd jobPermanent employmentFull timeContract workWork at officeShift workNight shift- ...inputs, and distributing data in the required formats. You will maintain files, prepare spreadsheets, and support the department with confidential handling of information. The position requires integrity and English proficiency in a casino environment. #J-18808-Ljbffr...
Black Oak Casino Resort
California, MO4 hours ago $90k - $110k
...modernizing systems or safeguarding critical programs. The Investigator III will support the integrity and effectiveness of federal healthcare programs... ...compliance objectives. Collaborate with data analysts, auditors, compliance officers, legal experts, and other stakeholders...Live in- Investigative Services Background Investigator Heyward, CA Number of Positions Available in this Location: 2 Date Posted: December 1, 20... ...with CACI. Our experienced staff demonstrate proven leadership, integrity, and professionalism with the mission of National Security...Contract workFor contractorsWork experience placement
- ...Manager of Benefits and Enrollment, the Patient Services Specialist II will be responsible for providing direct enrollment, navigation... ...Medi-Cal, to re-establish eligibility. Assist with out-of-pocket claim filing for medical care that meet ADAP guidelines as needed....ClaimsHourly payFull timeLocal areaTrial periodShift work
- ...psychosocial, spiritual and family histories; integrates patients' values and beliefs when... ...Angeles County classification Registered Nurse II**. LICENSE AND CERTIFICATION INFORMATION... ...-related essential functions. Applicants claiming experience in a state other than...ClaimsFull timeTemporary workWork at officeImmediate start
County of Los Angeles
California, MO1 day ago $52.69 - $69.82 per hour
...including, but not limited to HIM, Resolute, and Claims. In addition to Epic skills, the... ...Overview The Clinical Associate Systems Analyst II supports core functions of the health... ...teams including Infrastructure, Integration, Reporting, and the help desk Assist in the...ClaimsHourly payFull timeWork experience placementWork at officeStanford Health Care
California, MO3 days ago- ...IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth...Claims
MileHigh Adjusters Houston
California, MO4 hours ago - A leading claims adjusting firm is seeking Licensed Insurance Claims Adjusters in California, MO. The role involves aiding individuals and businesses in recovering from disasters while enjoying flexible working conditions. Candidates will receive comprehensive training...ClaimsFlexible hours
- A leading insurance claims organization is seeking Independent Insurance Claims Adjusters in California, MO. This role offers the chance to make a significant impact on clients' lives while enjoying a flexible career path and competitive compensation. Candidates should...ClaimsFlexible hours
- A national insurance adjuster company is seeking Independent Insurance Claims Adjusters to join their team in California, MO. This role offers a dynamic career path with flexibility and competitive compensation. The company provides comprehensive training to equip new...ClaimsFlexible hours
- A claims adjusting company is looking for Independent Insurance Claims Adjusters in California. This role offers the opportunity to make a positive impact in people's lives by assisting with recovery from disasters. Ideal candidates will be licensed adjusters or willing...ClaimsFlexible hours
- ...which includes Scheduling, Cost Controls, Document Management and Controls, Budget tracking and monitoring, Estimating, Risk Analysis, Claims avoidance and Mitigation, Change Management and Earned Value Management. The position is located in Pomona, CA. Hybrid-Remote (...ClaimsWork at officeRemote workRelocation
- A leading claims adjusting training provider in California is looking for Independent Insurance Claims Adjusters. Join this rewarding career where you can make a difference while enjoying flexibility and competitive compensation. You'll receive comprehensive training to...ClaimsImmediate startFlexible hours
- ...strategies to unify disparate data streams from EHRs, HIEs, and claims sources. Act as the subject matter expert for clinical... ...to ensure the clinical accuracy, consistency, and longitudinal integrity of our data assets. Develop clear and concise documentation that...Claims
Jobtailor
California, MO5 days ago $125k - $150k
...1980, we have specialized in construction defect and casualty claims, successfully representing developers and general contractors in... ...occasional onsite work may be required in San Diego.) You will be integral to our civil litigation defense efforts, managing various...ClaimsFull timeFor contractorsCasual workWork at officeLocal areaRemote workLorber, Greenfield & Olsen, LLP
California, MO3 days ago- Job Description We are seeking an experienced Internal Auditor (Qualified CA) with a minimum of 7 years of post-qualification experience... ...and provide insights at the leadership level. High integrity, ethical standards, and attention to detail. #J-18808-Ljbffr W...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Integrity Auditor & Investigator II. Be the first to apply!
Related searches
- auditor California, MO
- remote nurse auditor California, MO
- inventory auditor California, MO
- safety auditor California, MO
- coding auditor California, MO
- energy auditor California, MO
- sales auditor California, MO
- compliance auditor California, MO
- medical claims auditor California, MO
- security auditor California, MO