Claims Quality Auditor & Process Improver
Versant Health
Versant Health is seeking a Claims Audit Specialist to lead quality reviews of operations, analyze findings, and drive process improvements across departments. The role emphasizes accuracy, compliance, and collaborative problem solving within a fast-paced environment. Ideal candidates will have a Bachelor's degree and 3+ years in claims, quality assurance, or process improvement, plus proficiency in Microsoft Office and bilingual abilities. #J-18808-Ljbffr Versant Health
- Versant Health in Troy, NY is seeking a Claims Audit Specialist to lead quality reviews of work within Operations, analyze findings, and suggest process improvements where errors are identified. This role focuses on accuracy, completeness, and continuous improvement in...Claims
$82.8k - $165k
...grow your career, Emerson has an exciting Process Tuner Field Engineer opportunity for you... ...resolve customer warranty and policy claims. This requires an in-depth knowledge of... ...automation operate more sustainably while improving productivity, energy security and reliability...ClaimsTemporary workFor subcontractorLocal areaRemote workFlexible hours$75k - $80k
...Quality Improvement Specialist In the Quality Improvement Specialist role, you will be responsible for identifying, implementing, and managing cross-setting quality improvement strategies based within hospital, nursing home, home health, hospice, dialysis and physician...SuggestedHourly payContract workWork at office$21 - $24 per hour
...is responsible for ensuring accurate medical coding, timely claims processing, insurance follow-up, and reimbursement management. The ideal... ...and performance goals. Assist with revenue cycle improvement initiatives and account reconciliation activities. Qualifications...ClaimsFull time- ...functional bridge, coordinating insurance claims, renewals, and safety initiatives while... ...Support*** **Claims Administration:** Process and report Auto, Cyber, Employment, and... ...promoting a culture of safety and continuous improvement.**3. System Administration*** **Database...ClaimsWork at officeShift work
$66.56k - $83.2k
...Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with... ...comprehensive claims inspections, and unparalleled quality and precision. Our established process ensures top-tier claims support, ranging from rapid catastrophe...ClaimsPermanent employmentContract workFor contractors$137.5k - $189.52k
...meet the unique coverage and claims-handling needs of businesses.... ...Business Title(s): AVP, Claims Quality Assurance & Performance... ...Guidewire data, KPI trends, process assessment analytics, adjuster... ...findings into training, process improvements, performance actions, and leadership...ClaimsFull timeLocal area- ...with proprietary assets and platforms, deep process and industry expertise, and leading... ...help P&C carriers reinvent Underwriting and Claims through process redesign, operating model... ...and agentic AI and technology solutions to improve client outcomes. You will also play a key...ClaimsLive inWork at officeLocal area
$62k - $67k
...while collaborating across departments to improve overall supply chain performance.Key... ...teams to align inventory with demandManage claims, discrepancies, and exceptions related... ...ComplianceIdentify opportunities to enhance purchasing processes and operational efficiencyMaintain...Claims$21 per hour
...thousands of individuals across the state, evaluating medical evidence and managing sensitive claims with high precision and care. You will join a dedicated, fast-paced processing team in Albany that thrives on collaboration, efficiency, and helping individuals navigate...ClaimsHourly payWeekly payLong term contractPermanent employmentFull timeWork at officeMonday to Friday$50k - $65k
...liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant... ...Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate...ClaimsFor contractorsFlexible hours- ...Adjuster to evaluate, price, and settle losses on homeowner claims. You will work on property claims including water, theft, vandalism and fire, collaborating with a fast-moving team to improve our processes and culture. The role requires 5-8 years in homeowners adjusting...Claims
- ...POSITION SUMMARY: The Insurance Claims Specialist receives, investigates, negotiates, reports, and documents personal and... ...oriented person. This position requires knowledge of the claims process for all types of commercial and personal insurance claims and the...ClaimsWork at officeRemote work3 days per week
$62.5k - $91k
...POSITION SUMMARY : The Quality Improvement Project Specialist plays a key role in supporting the development, implementation, management... ...for supporting a portfolio of department-level quality and process improvement projects from project scope and design, process...Full timeFixed term contractWork at officeFlexible hours- ...experience with Financial Assistance, Charge Adjustments, Retro Processing, Claims, Statements, and Single Billing Office (SBO).... ...incidents. ~Collaborate with revenue cycle stakeholders to improve billing processes and workflows. ~Participate in system upgrades...ClaimsWork at office
$158k - $227.56k
...products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned... ...how different policy wordings impact the claims reserving process. Identifying, assigning, and coordinating the assignment and...ClaimsFull timeLocal area- ...Albany, NY is seeking a Senior Triage Specialist to manage FNOL, claims intake, and fast-track claims within the Commercial Claims... ..., with opportunities to participate in AI/LLM-enhanced processes and improved operations. Reports to the Director of Triage (based in Colorado...ClaimsTraineeshipWork at office
$70.4k - $116.2k
...objectives. As the Wholesale/E&S Senior Quality Assurance Consultant, you will be responsible... ...trends, and surface opportunities for improvement; present findings to business leaders as... ...implementation tools to drive ongoing process improvements to employees on a monthly...Local area$70.07k - $108.61k
...108,605.00 Position: Internal Auditor The Internal Auditor will work... ...supports or refutes the System's claim of compliance. This role may... ...business practices and processes. Assist with implementing and maintaining audit tools to improve audit tracking and efficiency....ClaimsWork at officeShift work- ...applications. ~Maintain charge capture, pricing, billing, claims processing, and CDM workflows. ~Troubleshoot production issues and provide... .... ~Collaborate with revenue cycle and clinical teams to improve billing processes. ~Assist with reporting and data analysis...Claims
- ...Quality SpecialistThe Quality Specialist is responsible for providing guidance to department managers, teams and staff in the analysis, management and improvement of the processes and systems of the organization using continuous quality improvement (CQI) and Plan, Do,...Work at office
$94.96k - $147.18k
...Job Overview Department/Unit: Quality Management Work Shift: Day (United States of America) Salary Range: $94,957.0... ...managers, teams, and staff in the analysis, management, and improvement of the organization’s processes and systems using continuous quality improvement (CQI)...Full timeWork at officeShift work$29 - $31 per hour
...and work from home! The Loss Mitigation Underwriting Quality Control Specialist primary responsibilities consist of... ...Provide error reporting to management to assess potential process changes to streamline and improve results. Provide training to incoming new hires....Hourly payExtra incomeWork from home- ...functionality. Build and maintain billing workflows, charge capture, claims processing, reimbursement, and collections functionality. Configure... ...with revenue cycle, operational, and technical teams to improve system performance and workflow efficiency. Perform...Claims
- ...insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The... ...claim handling techniques so that others involved in the claim process are understanding of issues. Benefits Auto-Owners offers a wide...ClaimsWork at officeLocal areaWork from home3 days per week
$21 - $26 per hour
...including charge entry, payment posting, claims submission and follow up, coding and... ...written reports. Identify opportunities to improve services to individual clients and develop... .... Solid understanding of revenue cycle processes. Must be willing to travel within New...ClaimsHourly paySummer workWork at officeMonday to ThursdayNight shift- ...powertrain systems. Our name stands for quality, environmental consciousness,... ...alignment with Magna Powertrain processes, standards, and strategic... ...Series Production phase, including claims management, change execution, continuous improvement initiatives, VA/VE activities,...ClaimsContract work
- ...key operational resource for law firms, claims professionals and internal business... ...across legal operations systems, supports process improvements and helps ensure adherence to company guidelines... ...Perform data validation, auditing, and quality assurance activities to ensure system...ClaimsFull timeWork at officeFlexible hours
$18 per hour
...outstanding receivables in a timely fashion. Processes and corrects external entries.... ...assigned. Supports the organization's quality program(s). QUALIFICATIONS Education... ...Expert knowledge of insurance programs, claims and implications to outstanding...ClaimsPart timeWork at officeLocal areaShift work$269.18k - $389k
...across underwriting, pricing, claims, and distribution—then... ...consistency, referral patterns, talent quality) Pricing (rating plans,... ...capabilities and demonstrate measurable improvement Execute approved... ...: Straight-through processing (STP) Simplified workflows...ClaimsFull timeLocal areaFlexible hours
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