Claims Quality & Training Lead (AI-Enabled)
$58.62k - $96.3kThe Guardian Life Insurance Company of America
The Guardian Life Insurance Company of America is seeking a Quality & Training Specialist in Bethlehem, NY. In this hybrid role, you will lead quality assurance functions across Individual Life Claims, enhancing training and quality review processes. Your experience with Individual Claims and strong analytical skills are essential to ensure quality outcomes. The salary range for this position is $58,620.00 - $96,300.00 based on qualifications. #J-18808-Ljbffr The Guardian Life Insurance Company of America
- ...at CGS, we are seeking a Program Manager/Training Lead to assist with the design, development,... ...Substantive training for VCF staff on end‑to‑end claims lifecycle processes. Substantive... ...for claim review, claim administration, quality control, and payment. The content for...QualityClaimsFull timeFlexible hours
$140k - $150k
...digital innovation and AI. Together, we’re transforming... ...change orders and claims, ensuring that all... ...to cost, schedule, and quality, ensuring project objectives... ...ll provide leadership, training, and technical guidance... ...and partners to enable delivery and cultivate...QualityClaimsContract workFor contractorsLive inWork at officeLocal areaFlexible hours$85.2k - $159.3k
..., as well as dealing with claims and any queries regarding... ...Artificial Intelligence (AI) solutions in order to enable EY compliance with legal/regulatory... ...Management, Service Line Quality, Talent, and members of... .../personal information. Leading and supporting cross‑functional...QualityClaimsWork experience placementSummer holidayLocal areaFlexible hours$100k - $122.6k
...at a journeyman level, the analyst leads configuration audits, data quality improvement efforts, and governance... ...implement governance, standards, and training that sustain data integrity.... ...Reasonable accommodations may be made to enable individuals with qualifying...QualityContract workWork at office$58.62k - $96.3k
Job Overview As the Quality & Training Specialist, Claims, you will play a critical leadership role in strengthening... ...training. Responsibilities Own and lead the quality review function across... ...teams. Evaluate and implement AI‑enabled solutions to streamline and modernize...QualityClaimsWork at office3 days per week$74k - $98k
...brokers to provide insurance solutions that enable businesses to manage risks with... ...contribute to data-driven reporting, improve data quality, and support ongoing enhancements to... .... Partner with internal teams (e.g., IT, Claims, U/W, Finance & Accounting) to gather required...QualityClaimsWork at office$94.9k - $130.5k
...Encounter Data Management Lead is responsible for leading AI-driven reconciliation and... ...to improve encounter data quality and reduce manual work. In... ...technologies Familiarity with claims adjudication systems (CAS)... ...to Humana's offices for training or meetings may be...QualityClaimsFull timeTemporary workFor contractorsApprenticeshipRemote workWork from homeHome office$83.43k - $203.94k
...accountable and prioritize safety and quality in everything we do. Join us... ...systems that power clinical AI models, ML inference pipelines... ...closely with engineering leads, ML engineers, and product teams... ...: clinical notes, EHR data, claims, pharmacy, member, and/or provider...QualityClaimsHourly payFull timeTemporary workLocal area$18 - $23 per hour
...File patient insurance claims and follow up on outstanding... ...loaded education and training, providing you the... ...20+ years of industry leading experience that provides... ...accommodations may be made to enable individuals with... ...delivering the highest quality dental care and experiences...QualityClaimsDaily paidFull timeWork at officeLocal areaMonday to Friday$117.6k - $161.7k
...community This role leads the architecture,... ...enterprise-grade data quality, lineage, monitoring,... ...enterprise reporting enablement. ~ Experience designing... ...financial data domains (claims, membership, RCM) Experience... ...Humana's offices for training or meetings may be...QualityClaimsBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$16 - $23.71 per hour
...File patient insurance claims and follow up on outstanding... ...loaded education and training, providing you the... ...20+ years of industry leading experience that provides... ...accommodations may be made to enable individuals with... ...delivering the highest quality dental care and experiences...QualityClaimsHourly payDaily paidFull timeWork at officeLocal area$58k - $68k
...guidance and direction in the areas of quality, graphics, coverage, format and... ...as AMA, APA and CSE styles. Lead development and delivery of program‑wide training, communications, and stakeholder ‑... ...accommodations may be made to enable individuals with qualifying disabilities...QualityContract workWork at office$120.1k - $251.6k
...against approved budgets. Lead contract administration... ..., change orders, and claims management. Identify... ...while maintaining quality and project requirements... ...predictive insights. Ensure AI outputs are explainable... ..., playbooks, and training for scale and...QualityClaimsContract workTemporary workFor contractorsFlexible hoursShift work$185.76k - $334.32k
...critical business lines through AI‑driven transformation. Sector... ...of Business (Underwriting, Claims, Operations) and IT organizations... ...Value Proposition Ability to lead with and sell Agentic AI‑... ...initiatives, delivering high‑quality outcomes alongside senior stakeholders...QualityClaimsMinimum wageFull timePart timeLocal areaImmediate startRemote work- ...Need only local candidates) Get AI-powered advice on this job and... ...data processing and claims analytics. This role requires... ...to assess and communicate data quality nuances effectively. Required... ...vendors and continually develops leading-edge offerings in service areas...QualityClaimsRemote jobContract workLocal area
$55.9k - $83.84k
...AHA Training Center Lead Instructor page is loaded## AHA Training Center Lead Instructorlocations: 43 New Scotland Avenue Albany, NY 12208time... ...classes. + Monitors and supports instructor group for quality, conduct and certification.* **MANAGEMENT OF EQUIPMENT** + Maintains...QualityShift work$133.5k - $274.1k
...benefits and service solutions that enable employees at our client... ...documentation for disability claims in a collaborative, team-oriented... .... The incumbent provides high quality, timely, and efficient medical... ..., a Fortune 500 company and leading provider of employee benefits...QualityClaimsTemporary workWorldwideFlexible hours$25 per hour
...in‑force illustrations, and claims support. Knowledge of, and adherence... ...team environment. Extensive training will be provided. Perform... ...growth focused and digitally enabled financial services company... ...protection needs, and developing quality products to meet those needs....QualityClaimsWork at officeLocal areaShift work- ...depth of service, and our unique approach enables us to help clients stay resilient and... ...book of business; Ensures team prepares claims experience and utilization reports and reviews... ...are proud to provide comprehensive, high quality employee programs to meet employees'...QualityClaimsWork experience placementWork at officeLocal areaImmediate startRemote work
- ...Roof Field Inspector Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly... ..., swift and comprehensive claims inspections, and unparalleled quality and precision. Our established process ensures top-tier claims...QualityClaimsPermanent employmentFor contractors
- ...behavioral health. Our commitment to quality means providers follow consistent... ...~ We handle credentialing, billing, claims, EHR, and tech support—so you can focus your... ...of your care. And we provide the tools, training, and guidance to make it seamless....QualityClaimsLive inWork at officeRemote work
- ...customers-driving awareness, leads, and conversion across... ..., content, and sales enablement Create the visual... ...will rank for SEO and AI Search while being held... ...meaningful and viable claims that demonstrate the value... ...built on trust and quality. By combining our proprietary...QualityClaimsFull timeLocal areaRemote workHome officeWork visa
- ...Company facilities. This role leads projects from Basic Engineering... ...criteria, and decision-quality requirements. Enforce design freeze... ...Manage contracts, change orders, claims, and commercial performance.... ...Operations, including documentation, training, and asset registration. Drive...QualityClaimsFor contractors
$17 - $34.15 per hour
...purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger –... ...responsible for accurate data entry, including entering shell claims into the DG system. Performance & Reliability Expectations...QualityClaimsHourly payFull timeTemporary workLocal area$50k
...Altimeter Solutions Group is a leading provider of managed repair... ...policyholders, ensuring high-quality, efficient property restoration... ...accommodations may be made to enable individuals with disabilities... ...· Property insurance/property claims adjusting experience preferred...QualityClaimsFor contractorsWork experience placementInterim roleWork at officeRemote workHome officeNight shift$50k - $70k
...PURPOSE : To handle losses and claims for property and casualty... ...Supports the organization's quality program(s). Travels as required... .... Sedgwick is the world’s leading risk and claims... ...combined with the most advanced AI-enabled technology available, sets the...QualityClaimsWork at officeLocal areaFlexible hours$71.1k - $112.5k
...a Veeva Vault RIM Test & Validation Lead (CSV / QEA) , you will make an impact... ...with regulatory affairs, quality, and IT stakeholders. In this role,... ...will help you stand out Exposure to AI assurance or validation of AI-enabled systems Experience estimating testing...QualityTemporary workWork at office2 days per week3 days per week- ...property damage, personal injury claims, unusual occurrences,... ...Regulations. Participates in Total Quality Management programs, Goal... ...may be made to enable individuals with disabilities... ...exceed the required security training and performance criteria as mandated...QualityClaimsWork at officeLocal area
$73k - $111k
...resolution of service quality issues, pest infestation... ...Operations leaders to enable development and coaching... ...Performance Indicators ESR Rate Claims Rate Escalation Rate,... ...incorporates industry‑leading practices and develops... ..., Qualifications or Training Board Certified...QualityClaimsFull timeLocal areaFlexible hours$113k - $132k
Cognizant is looking for a Healthcare Claims Test Manager in Albany, New York. You will lead the end-to-end testing strategy for healthcare claims, ensuring quality outcomes and reliable validation processes. The ideal candidate will have experience in healthcare IT, a...QualityClaimsRemote jobFlexible hours
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