Claims Quality & Compliance Auditor
Relation Insurance, Inc.
Relation Insurance, Inc. in Tulsa, OK, is seeking a Claims Auditor to perform operational and quality audits of claims processing. You will review files, document findings, and prepare audit reports, identifying trends and opportunities for improvement. The role requires attention to detail, strong analytical and communication skills, and the ability to manage multiple priorities. This position emphasizes confidentiality and professional conduct, with opportunities to contribute to policy #J-18808-Ljbffr Relation Insurance, Inc.
- ...Management (MIM), the Inpatient Coding Quality Analyst serves as a subject matter expert... ...validating the accuracy, completeness, and compliance of ICD‑10‑CM/PCS coding and MS‑DRG/APR‑... ...coding scenarios, resolves inpatient claim and coding edits, supports denial prevention...ClaimsWork at officeRemote work
$75k - $107k
## Underwriting Quality AuditorApplylocations: US VA - Richmond: US... ...**The **Underwriting Quality Auditor** independently evaluates... ...management, appetite alignment, and compliance with company guidelines and... ...in quality assurance, claims, compliance, specialty lines,...ClaimsWork at officeLocal area$100 per hour
...Creative Quality & Compliance Specialist Remote - United States Who We Are: We are a tech-enabled growth firm–at the intersection of marketing... ...’ll operate hands‑on inside Veeva Vault PromoMats—managing claims, annotations, references, and submission packages—while building...ClaimsFreelanceWork at officeRemote workWork from homeFlexible hours- ...completeness, accuracy, and regulatory compliance. Identifies repairs and assigns responsibility... ...training with employees. Perform quality assurance administrative functions as needed... ...action, etc. Identifies potential claims such as corrosion or loading‑rack damage...ClaimsWork at office
$85k - $110k
...for an accommodation or an alternative application process. Quality Assurance & Compliance Specialist Full-time Regular Technical 6 days ago... ...Range: $85,000.00 To $110,000.00 Annually About the Role K2 Claims Services, LLC (“K2 Claims”) is seeking an experienced Quality...ClaimsFull timeFlexible hours- ...'s you we would love to have you join us! Job Description The Quality Assurance Technician ensures products, processes, and systems... ...will perform production and quality control audits, verifies compliance with company procedures and external standards such as ISO, and...Visa sponsorshipWork visaFlexible hours
$102k - $109k
...insights, products, and services that make quality care more accessible and affordable.... ...Brands Are you passionate about quality, compliance, and building trusted supplier relationships... ...McKesson is seeking a Quality Assurance Auditor to play a critical role in the continued...Contract workWork at officeWork from homeHome office- ## AVP, Claims Vendor ManagementApplylocations: Atlanta, GA: Alpharetta, GA: 399 Park Avenue... ...for optimizing vendor costs, ensuring compliance with service level agreements (SLAs),... ...Performance Indicators (KPIs) to ensure service quality, compliance, and value delivery.*...ClaimsContract workWorldwide
- The Underwriting Quality Auditor role is a fully onsite position with Farm Family, part of Clearbrook Holdings Inc. It requires evaluating underwriting files for quality, accuracy, and regulatory compliance, and partnering with leadership to drive remediation and training...
- Rockwell Automation is seeking a Quality Assurance Technician to ensure products, processes, and systems meet internal quality standards... ...will perform production and quality control audits, verify compliance with procedures and ISO standards, and support continuous...
- ## Quality Auditor - 1st ShiftApplylocations: OH - West Jeffersontime type: Full timeposted on: Posted Yesterdayjob requisition id: REQ-... ...of total eligible compensation*\* Benefits are provided in compliance with applicable plans and policies.***Job Description:**At Ace...Hourly payWeekly payFull timeTemporary workLocal areaWeekend workDay shift
- Stanley Black & Decker, Inc. is seeking a 1st Shift Quality Auditor to perform daily inbound and outbound quality audits and ensure compliance with quality standards at the Northlake, TX site. The role requires attention to detail, experience with WMS and SAP, and the...Day shift
$67.9k - $182.55k
...purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger -... ...organization. This role ensures operational excellence, regulatory compliance, and audit readiness across Medicare, Medicaid, and Duals...Hourly payFull timeTemporary workWork at officeLocal areaRemote work- K2 Claims Services, LLC seeks a Quality Assurance & Compliance Specialist to strengthen our QA program across homeowners/personal property and liability claim teams. This role reports to senior leadership and offers ownership of the program. You will administer audit scorecards...Claims
- ...Clinical Services and Program Innovation, the Quality Assurance Specialist is responsible for supporting the integrity, accuracy, compliance, and timely billing of Drug Medi-Cal (DMC)... ...issues, and supports timely and accurate claims submission. The Quality Assurance...ClaimsWork at officeImmediate start
$27 per hour
...improve financial performance, maintain compliance, and enhance the patient experience. Recognized... ...by upholding the highest standards of quality, information security, and compliance.... .... Coders will review member and claim data validation aspects, which include:...ClaimsHourly payRemote workFlexible hoursNight shiftWeekend work- As part of our Compliance & Product Services Commercial Auto team, you will help shape the... ...keeping customer satisfaction, product quality, and compliance at the forefront.For over... ...precisionClaims Solutions — supports end-to-end claims handling with analytic and automation...ClaimsRemote work
- ...and supervision role. You’ll provide high-quality assessments for children, adolescents,... ...and leadership responsibilities. Quality, Compliance & Collaboration Maintain compliance with... ...60/40 revenue split based on reimbursed claims for eligible psychological evaluations....ClaimsTraineeship
$68k - $90k
...under payments that the Medical Center has claimed and ensures those encounters are... ...specialists and, in collaboration with Compliance, to physicians. In conjunction with Department... ...and departmental policies and procedures, quality assurance program, compliance program,...Claims- ...Job Description Job Description:\n\nPOSITION SUMMARY The Quality Assurance Specialist is responsible for assisting in the development... ...and evaluation of the Agency's Quality Assurance, Regulatory Compliance, Risk Management, and Continuous Quality Improvement programs...Work at officeImmediate startFlexible hoursWeekend workAfternoon shift
- ...of a high-performing team. Learn more about us at Job Title: Quality Assurance (QA) Specialist– Fabrication Location: On-site (Fabrication... ...inspection of welds to verify quality, workmanship, and code compliance Verify weld preparation, joint fit-up, alignment, and weld...Full timeLocal areaDay shift
- Versant Health in Troy, NY is seeking a Claims Audit Specialist to lead quality reviews of work within Operations, analyze findings, and suggest process... ...assist with routine audits for SSAE 16 and financial compliance, and participate in department or #J-18808-Ljbffr...Claims
- ...Position Summary: Develop, implement and oversee quality assurance and regulatory compliance strategies with regard to program-related licensing standards... ...program licensing audits, obtain information for auditors as requested, and attend exit conferences. # Answer...Work experience placement
- ...our world. This position will check the implementation of the quality system, conduct quality assurance audits, and monitor and record... ...stability data to support product quality, regulatory compliance, and lifecycle management. Own and oversee the site Product Stability...Work at officeShift work
- ...talk about your future at Systems Plus today. Position Title Quality Assurance Specialist Position Type Full-Time, Remote Position... ...Responsible for all activities involving quality assurance and compliance with applicable regulatory requirements. Complete test cases to...Full timeContract workFor contractorsRemote workWorldwide
- ...product strategies Ensuring meticulous planning and execution of product roadmaps You will bring deep and broad understanding of claim handling processes, a creative mindset towards identification of the right problems, and the ability to solve them across technology...Claims
$17 - $18 per hour
...is vital in ensuring accurate and timely processing of medical claims, supporting our commitment to efficient patient care and revenue... ...and submit insurance claims in a timely manner, ensuring compliance with payer requirements. Verify patient insurance coverage and...ClaimsFull timeTemporary workFlexible hours- ...A leading insurance claims adjusting firm in Elmont, New York, is seeking Independent Insurance Claims Adjusters. This role offers a rewarding career with comprehensive training programs to help adjusters excel. Be part of a growing industry, responding to the increasing...ClaimsFlexible hours
- ...A leading claims adjusting firm is seeking Independent Insurance Claims Adjusters to help individuals and businesses recover from disasters. This role offers significant growth opportunities, competitive compensation, and training programs to enhance your skills. Join...ClaimsFlexible hours
- Path Light Pro is seeking a Safety Quality Specialist to join our client-focused team. This role emphasizes outdoor work, meticulous site evaluations, and ensuring OSHA and stormwater compliance across markets. The ideal candidate will travel 25-30% overnight and up to...Night shift
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