Claims QA Specialist: Elevate Accuracy & Compliance
Pacific Life Insurance Co
Pacific Life is seeking an Operations Quality Assurance Specialist to join our Consumer Markets Division, with work in Omaha, NE or Charlotte, NC. You will conduct detailed audits of life insurance in-force processing, identifying trends and root causes to improve performance and reduce risk while strengthening service quality across the organization. You will partner with claims leaders, processors, and trainers to clarify expectations, document findings, and drive corrective action. #J-18808-Ljbffr Pacific Life
$32 - $37 per hour
...talented Operations Quality Assurance Specialists to join our Consumer Markets... ...play a critical part in ensuringthe accuracy, compliance, and quality of... ...Perform detailed quality audits of claims transactions across Pay QA, Set-Up QA, and Follow-Up QA, including...SuggestedHourly payFlexible hours- ...Control Oversight function. You will support independent risk-based assessments of U.S. regulatory reporting processes, focusing on accuracy, conformance with regulations, and control effectiveness. The role involves planning, testing, documentation, and issue validation...Suggested
- ...Quality Assurance (RRQA) team conducts independent risk-based assessments of U.S. regulatory reporting processes to evaluate reporting accuracy, completeness, conformance with regulatory requirements, and the effectiveness of related controls. The RRQA Associate supports...Suggested
- Catholic-Charities-Diocese-of-Charlott seeks a Quality Assurance (QA) Specialist to oversee compliance and data integrity within the SSVF program. The role ensures audits, data accuracy, and CQI initiatives balance regulatory adherence with meaningful participant outcomes...Suggested
- Pacific Life Insurance Company is seeking an Operations Claims professional to join a hybrid team in Omaha, NE or Charlotte, NC, processing life and annuity claims with a focus on accuracy, compliance, and service excellence. The role offers progression from Associate...Suggested
- ...Operations Quality Assurance Specialist to join the Consumer Markets... ...detailed quality audits across Pay QA, Set-Up QA, and Follow-Up QA to ensure payment accuracy and compliance, and you will document... ...actions. You will partner with claims leaders and processors to clarify...
- ...Oversight (FCO) function, conducts independent risk-based assessments of U.S. regulatory reporting processes to evaluate reporting accuracy, completeness, conformance with regulatory requirements, and effectiveness of related controls. The RRQA Associate supports the...Work at officeLocal areaWork from homeWorldwide
- ...perform testing on internal controls, document workpapers, and collaborate with Finance, Risk, Technology, and Operations to ensure accuracy and conformance with regulatory requirements. A Bachelor's in accounting/finance and 3+ years of audit or regulatory experience...
- ...seeking a talented Operations Claims professional to join our... ...Associate, Operations Claims Specialist, Sr. Operations Claims Specialist... ...policy provisions to ensure accuracy and appropriate resolutionProcess... ...adherence to regulatory, compliance, and procedural standardsCustomer...Contract workWork at officeFlexible hours1 day per week
- Fairstead ESC LLC is seeking a Compliance Quality Assurance and Auditing Specialist to ensure our affordable housing portfolio complies with federal, state, and local regulations. You will conduct audits of resident files, lease agreements, income verifications, and perform...Local area
- U.S. Bank seeks a Business Line Quality Assurance Analyst to support risk management and controls through independent assessment of key processes. You’ll evaluate design and operating effectiveness, identify improvements, and promote policy adherence. The role partners ...
- IPEX is seeking a Senior Specialist, Claims to manage end-to-end occupational claims in a cross-border environment, ensuring compliance with U.S. and Canadian regulations. This hybrid role is based in Pineville, NC, with potential locations in Oakville or Montreal, reporting...
- A customer experience management company in Charlotte is looking for a Quality Assurance Specialist. The role involves evaluating customer interactions to improve service quality and satisfaction scores. Candidates should have at least six months of customer service experience...Remote jobHourly pay
- Wilson Elser is seeking a Legal Auditor to join its national QA and Client Audit Services team. The role involves reviewing active... ...opportunities across states where we have offices. A strong emphasis on accuracy and discretion is required. #J-18808-Ljbffr Wilson Elser (...Remote jobFull timePart timeFlexible hours
$19 - $23 per hour
...825+ employees nationwide, we deliver industry-leading solutions with speed, accuracy, and expertise. Job Summary Project Resources Group (PRG) is seeking a Claims Recovery Specialist for our Charlotte, NC office. Be part of our expanding team focused on recovering...Base plus commissionHourly payTemporary workWork at office$62.7k - $81.3k
...Are you looking to grow your career in workers' compensation and claims support? Join ESIS, a leader in risk management and insurance... ...workers' compensation claims from inception to resolution, ensuring compliance with applicable laws, regulations, and company policies....Work experience placementWork at officeLocal area- ...capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to...Local area
- ...the quality of lending decisions.Develops a personal program for maintaining an adequate level of knowledge in banking matters, compliance, credit analysis, policies and procedures and personal skills and demonstrates interpersonal behavior, attitude, judgment, communication...Bank staffWork at office
- ...the quality of lending decisions. Develops a personal program for maintaining an adequate level of knowledge in banking matters, compliance, credit analysis, policies and procedures and personal skills and demonstrates interpersonal behavior, attitude, judgment, communication...Work at office
- ...role:Wells Fargo is seeking a Fraud Consultant within Fraud and Claims Operations to support the Commercial & Corporate Banking... ...across Fraud & Claims Operations, Treasury Management, Legal, Risk, Compliance, and other business groups.Support fraud prevention initiatives...Full timeWork experience placementWork at officeRemote workRelocation packageMonday to Friday
$64k - $75k
Walker & Dunlop in Charlotte, NC is seeking an Insurance Associate to manage insurance compliance for commercial loans. You will analyze insurance coverage and educate borrowers about their policies while ensuring alignment with investor guidelines. The ideal candidate...Remote job- ...of risk management data. Own the maintenance of policies and controls related to insurance program administration, policy renewals, claims management, and wire transfer procedures, and monitor key performance indicators and benchmarks to assess program effectiveness....Full timePart timeWork at officeRemote workShift workDay shift
- ...Claims Business AnalystDuration-6 – 12 months ++Hybrid 3 Days a week: Charlotte, NC; Chicago, IL; Colorado Springs, CO; Conshohocken... ...have a clear understanding and experience with the statutory and compliance reporting requirements and best practices for multi-...3 days per week
$39 per hour
Figure Lending is seeking an Underwriter Specialist to enhance underwriting processes. This role requires expertise in various loan products and compliance with regulations. The ideal candidate will analyze financial data and collaborate on product innovation. Offering...- ...Claims Business Analyst - Workers CompLead requirements' definitions for complex projects and multi-year strategic initiatives. Identify... ...a clear understanding and experience with the statutory and compliance reporting requirements and best practices for multi-jurisdictional...
$84.7k - $139.8k
...build a better working world. EY’s Forensics Insurance and Federal Claims Services practice specializes in helping clients achieve their... ...sector entities with insurance recovery, claims preparation, compliance, and financial analysis. The opportunity We are seeking an...Summer holidayWork at officeFlexible hours$18 per hour
...Program Available Job Summary: The QA Associate will be responsible for implementing... ...quality assurance strategies, monitoring compliance, and ensuring that all products and... ...management High attention to detail and accuracy Proficiency with relevant software and...Full timeWork at officeMonday to FridayDay shift$74.49k - $93.11k
...team of Workers' Compensation Specialists committed to helping... ...company's liability concerning Claims and attempt to effect settlement... .... Monitors and maintains accuracy of reserves over the life of... ...protected characteristic. In compliance with California law, we are...Work experience placementFlexible hours- SPC Mechanical is seeking a detail-oriented QA/QC Specialist - CWI to support our construction and fabrication projects. This role is responsible for ensuring welding quality and compliance by reviewing weld maps, certifications, logs, and conducting onsite visual inspections...Contract workWork at officeLocal area
- ...departments and payers to ensure billing accuracy and adherence to processes. Analyze... ...payer requirements to ensure continued compliance and operational readiness. Licensure, Registration... ...benefits. The Quality Assurance Specialist plays a vital role in upholding quality...Daily paidFull timeTemporary workPart timeWork at officeRemote workFlexible hoursShift work
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