Claims Quality Assurance Specialist - Operations
Pacific Asset Management, LLC
Pacific Life Insurance Company is seeking an Operations Quality Assurance Specialist to join the Consumer Markets Division in Omaha, NE or Charlotte, NC. You will perform detailed quality audits across Pay QA, Set-Up QA, and Follow-Up QA to ensure payment accuracy and compliance, and you will document findings with actionable corrective actions. You will partner with claims leaders and processors to clarify expectations, reinforce procedures, and drive continuous improvement in claim quality and #J-18808-Ljbffr Pacific Asset Management, LLC
$80k - $100k
...Quality Assurance Specialist Auto Warehousing (AWC) has been family-owned and operated for more than 50 years and is North America's leader in finished vehicle logistics. Our... ...findings, transportation and warranty claims). Work with locations requiring support and...OperationsClaimsWeekly payWork experience placementWork at office3 days per week$32 - $37 per hour
Job Description:Pacific Life is seeking talented Operations Quality Assurance Specialists to join our Consumer Markets Division in Omaha, NE or Charlotte... ...’ll Make an Impact:Perform detailed quality audits of claims transactions across Pay QA, Set-Up QA, and Follow-Up QA...OperationsClaimsHourly payFlexible hours- Pacific Life is seeking an Operations Quality Assurance Specialist to join our Consumer Markets Division, with work in Omaha, NE or Charlotte, NC. You... ...quality across the organization. You will partner with claims leaders, processors, and trainers to clarify expectations...OperationsClaims
- ...CLASS TITLE: QA Specialist LOCATION: Charlotte, NC FLSA STATUS... ...Tech Support and Warehouse Operations CHARACTERISTICS OF THE... ...and generates reports for the Quality Manager and manufacturing... ...Experience working in a Quality Assurance or Returns department is...OperationsWork at officeMonday to FridayWeekend work
- Pacific Life in Charlotte is hiring an Operations Claims professional for their Consumer Markets Division. The role follows a hybrid schedule and involves processing insurance claims accurately and delivering excellent service. This position is flexible with regards to...OperationsClaimsFlexible hours
- ...Senior Vice President, Head of Claims Intake About the Company Insurance claims operations leader focused on efficient intake, reporting, and client relations. Industry Insurance Type Privately Held About the Role The Company is seeking an SVP,...OperationsClaims
- Advocate Health, headquartered in Charlotte, NC, is seeking a Quality Assurance Specialist I in the Enterprise Revenue Cycle. The role focuses on... ...high school diploma or GED, at least 3 years in billing operations QA, and strong analytical skills. This position is remote...OperationsRemote jobFull time
$14 per hour
Job Description - Quality Assurance Specialist (04AYJ) Quality Assurance Specialist Your potential has a place here with TTEC’s award-winning... ...Manager in auditing Key Performance Indicators (KPIs) for TTEC Operations, like outgoing correspondence and external survey results...OperationsHourly payRemote work- ...Revenue Cycle - Enterprise PB Quality and Training Support Status... ...Conduct quality assurance reviews across departments and... ...ensure continued compliance and operational readiness. Licensure, Registration... .... The Quality Assurance Specialist plays a vital role in upholding...OperationsDaily paidFull timeTemporary workPart timeWork at officeRemote workFlexible hoursShift work
- ...sales strategy to adoption, optimization, and expansion. Key responsibilities include serving as a thought leader in casualty operations, claims modernization, and AI-enabled business processes, as well as positioning the organization as a trusted advisor to customer...OperationsClaims
$50k - $80k
...Grant - State Farm Agent, you are vital to our daily business operations and customers' success. You grow our agency through meaningful... ...customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate...OperationsClaimsFor contractorsWork at office$50k - $100k
...Genant - State Farm Agent, you are vital to our daily business operations and customers' success. You help grow our office through meaningful... ...customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with...OperationsClaimsFor contractorsWork at office$24 - $28 per hour
...seeking an experienced Office Manager to oversee front-office operations and support a busy clinical team. This role is essential to maintaining... ...to treatment Prepare, review, and submit dental insurance claims accurately and in a timely manner Reconcile EOBs and insurance...OperationsClaimsHourly payWork at officeMonday to FridayFlexible hoursShift work$21.5 - $23.5 per hour
...individual will be responsible for the submission of and follow-up on claims to insurance companies including commercial payors and Medicaid... ...supportive environment. Work/Life Balance: Our hours of operation are 8 am-6 pm...NO NIGHTS NO WEEKENDS! Comprehensive...OperationsClaimsFull timeTemporary workWork at office- ...medical office dedicated to providing top-quality healthcare in a supportive and... ...plays a crucial role in our billing office operations. This individual is responsible for verifying... ...obtaining prior authorizations, assisting with claim submissions, contacting insurance...OperationsClaimsWork at office
$120k - $150k
...Make Your Mark In Claims Technology At AIG, technology is at the heart of everything... ...solutions are grounded in business need, operational efficiency, and aligned to our Claims... ...to translate business intent into high-quality, execution-ready solutions. Core Duties...OperationsClaims$40k - $60k
...Archbold - State Farm Agent, you are vital to our daily business operations and customers' success. You grow our agency through meaningful... ...with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with...OperationsClaimsFor contractorsWork at officeFlexible hours- ...Cycle Manager to oversee billing, collections, and reimbursement operations. This role is ideal for a strategic, detail-oriented... ...will lead the revenue cycle team, overseeing patient billing, claims management, and accounts receivable. This role will ensure accurate...OperationsClaims
- Maersk seeks a Claims Team Lead to guide a claims team while handling core claims work and coaching newer colleagues. You will prioritize workloads, ensure consistent claim handling, and elevate complex issues to leadership. You will review and resolve transportation claims...OperationsClaims
- Maersk is seeking an experienced Claims Team Lead in the United States to manage core claims... ...work and guide a team in day-to-day operations. The role bridges senior individual... ...subrogation where appropriate, and ensure quality through governance of documentation and...OperationsClaims
$60k - $79.8k
...Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we're looking for extraordinary... ...and grow. Build your future with us Our Field Claims department is currently seeking field claims representatives to...OperationsClaims- ...What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance... ...reimbursement, supporting the financial operations of healthcare facilities. Highlights...OperationsClaims
- ...escalate disputes within our TPA team. You will support daily operations of the TPA, including appeals, root cause analysis, IDR, and more... ...best practices. The ideal candidate has 3+ years in claims adjudication or appeals, strong attention to detail, and excellent...OperationsClaims
- Judi Health is seeking a Data Exchange Analyst to ensure the accuracy, reliability, and smooth operation of data feeds supporting JUDI Rx’s pharmacy benefit services. You will execute and monitor outbound feeds, support data configurations, and assist with client data loads...OperationsClaims
- ...insurance and reinsurance, with a preference for a background in claims. The role requires a high level of autonomy, strong... ...significant deals. Composure under pressure, the ability to develop operational plans, and a proven track record of leading projects and mentoring...OperationsClaims
- Judi Health, a health technology company delivering Unified Claims Processing for Medicare enrollment operations, seeks a Government Programs Enrollment Manager. You will oversee Medicare enrollment and eligibility operations for the EGWP line, ensuring CMS compliance...OperationsClaims
$24 - $26 per hour
...Purchasing Assistant supports daily procurement and inventory operations. This position tracks purchase orders, manages supplier relationships... ...for defective or incorrect products and manage freight damage claims.Request product pricing and freight rate quotes from suppliers...OperationsClaimsHourly pay$32.77 per hour
...procedures; and submission of insurance claims.Understands and has experience with all functions... ...when they arise to support department operations.Demonstrate the Business Office Core Values of integrity, teamwork, dedication, quality, decision-making, communication, and...OperationsClaimsWork at officeLocal area- ...Chief Operating Officer (COO) About the Company Third-party administrator focused on self-funded healthcare operations and continued... ...in self-funded healthcare operations, stop-loss programs, and claims management. The successful candidate will be responsible for a...OperationsClaimsRemote work
- ...against chronic diseases. Our client operates a pioneering disease management platform,... ...experience handling healthcare data, including claims, prior authorizations, and electronic... ...charge of developing utilization and quality metrics, becoming the primary contact for...OperationsClaims
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