Claims Auditor & Quality Assurance Analyst
Edison Health Solutions, LLC
Edison Health Solutions, LLC is seeking a Claims Auditor to ensure claims are processed in line with contractual, regulatory, and internal performance requirements. Responsibilities include performing audits, documenting findings, and supporting quality assurance initiatives. The ideal candidate will have at least 2 years of auditing experience, strong attention to detail, and proficiency in Microsoft Word and Excel. Offers competitive pay and robust benefits including 401K, paid time off, and a safe work environment. #J-18808-Ljbffr Edison Health Solutions, LLC
$23.56 - $29.33 per hour
...growth and success. WHAT WE'RE LOOKING FOR The Funding Auditor supports the financial integrity of traditional self-funded and... ...funded employer groups by validating funding activity, reconciling claim payments to expected funding, and partnering with internal teams...ClaimsLocal area- Edison Health Solutions, LLC is seeking a Funding Auditor to oversee and audit funding processes, ensuring accurate reconciliation of transactions and claims. This role involves reviewing stop-loss recoveries, coordinating fund transfers, and conducting detailed audits...Claims
$15 - $25 per hour
...WHAT WE'RE LOOKING FOR The Claims Auditor ensures claims are processed in accordance with contractual, regulatory, and internal... ...performance requirements. The individual in this role supports quality assurance efforts by auditing claims processing activity, documenting...ClaimsLocal area$64.45k
...Job Posting Title Bankruptcy Auditor Agency 695 OKLAHOMA TAX COMMISSION Supervisory Organization Administration... ...attorneys and other support personnel to estimate, prepare and file claims for various tax types on behalf of the OTC; updates and...ClaimsFull timePart timeWork at officeRemote workMonday to FridayFlexible hours- Relation Insurance Inc. is seeking a Funding Auditor in Tulsa, OK. This full-time role involves validating funding activities, reconciling claims payments, and auditing accounts for compliance with plan terms. Ideal candidates should have a high school diploma or equivalent...ClaimsFull time
- Funding Auditor - Responsibilities Partner with the Stop‑Loss team to obtain, review, and reconcile transaction detail, claim reimbursement reports, and payment files ensuring accurate reflection of stop‑loss recoveries. Coordinate and execute timely transfer of funds from...ClaimsLocal area
- A leading claims adjusting firm in Oklahoma is seeking Independent Insurance Claims Adjusters to join their dynamic team. This is an excellent opportunity for individuals passionate about helping others recover from disasters. The company offers comprehensive training...ClaimsFlexible hours
- ...A prominent insurance adjusting firm in Sand Springs, Oklahoma is looking for Independent Claims Adjusters. This opportunity allows you to play a vital role in helping clients recover from disasters while offering flexible hours and competitive pay. Ideal for both seasoned...ClaimsFlexible hours
$80k - $200k
...work in the fast-growing storm restoration and roofing industry . Our team specializes in storm damage restoration and property claims assistance , helping homeowners navigate the process of replacing their roofs through insurance. With severe weather events...ClaimsFor contractors$18 per day
...seeking an experienced Medical Billing Specialist to join their team in a long-term role. This position focuses heavily on insurance claims, appeals, and denials, and is ideal for someone with recent hands-on billing experience who is detail-oriented and dependable....ClaimsFull timeWork at officeShift workDay shift- ...IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth...Claims
- ...IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth...Claims
- A claims adjusting firm is seeking Independent Insurance Claims Adjusters to join their team in Tulsa, Oklahoma. This role provides a chance to help individuals and businesses recover from disasters while enjoying flexibility and competitive compensation. Comprehensive...ClaimsFlexible hours
- ...The Assistant Vice President of Claims provides leadership and strategic oversight for Mid‑Continent Group’s most complex and highest exposure casualty claims. This role leads a team of experienced claims professionals handling sophisticated General Liability, Commercial...Claims
- ...and enhance customer relationships. The role involves managing customer accounts, assisting with inquiries, and processing insurance claims. Ideal candidates will have strong organizational, customer service, and communication skills. Previous experience in insurance is...ClaimsFlexible hours
- Manhattan Construction Group is seeking a Claims Analyst in Tulsa, Oklahoma, responsible for managing insurance and surety bond claims. This position will coordinate communication among insurance carriers, project teams, and subcontractors to ensure claims are handled...ClaimsFor subcontractor
- ...records. Scan paper medical records into EHR system. Conduct quality checks to ensure all scanned records are in the correct... ...startup documents, and monthly maintenance long-term care insurance claims for residents receiving benefits. Log and track claims in the appropriate...ClaimsWork at office
- ...through check out by verifying chart documentation and insurance information, accepting and posting payments, preparing and filing clean claims, authorizing insurance and billing, scheduling referrals, and accurately entering corresponding data into EHR Perform end of day...ClaimsPart timeWork at office
- ...and collection agency payments. Apply and manage GAP & Warranty refunds. Obtain status on pending insurance and protection claims and administer paperwork to recover deficient gaps. Prepare repossession paperwork and files and all subsequent documents for repossession...ClaimsPart timeMonday to FridayFlexible hours
- A leading insurance firm in Oklahoma is seeking a Claims Specialist - Auto to investigate, evaluate, and settle complex first and third party commercial insurance auto claims. The ideal candidate will have over 10 years of related experience, a high school diploma (bachelor...Claims
- ...bonuses available in addition to base pay. Responsibilities Assist in the evaluation, investigation, & management of personal injury claims up to litigation; Work closely with senior attorneys and paralegals to develop and negotiate cases; Regularly communicate with...ClaimsImmediate start
$82.8k - $97.3k
...operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best. We a re looking for a Claims Specialist - Auto to join our team! JOB SUMMARY Investigate, evaluate and settle more complex first and third party commercial...Claims- ...Product Manager / Product Owner – AI is responsible for end-to-end ownership of AI initiatives for a specific Line of Business or claims domain. This role partners directly with business stakeholders to define AI-enabled improvements to claims operations, cost control...ClaimsRemote work
$15.38 - $32.21 per hour
...Claims Examiner Relation Insurance is a leading, innovative company with a strong commitment to excellence and a passion for delivering... ...and coordinates resolution as needed. Supports quality, accuracy, and consistency in claims processing through adherence...ClaimsLocal area- ...Position Summary The Claims Analyst is responsible for coordinating, tracking, and supporting the management of insurance claims and surety bond claims for the company. This role serves as the primary liaison between the company, insurance carriers, third-party administrators...ClaimsFor subcontractorWork at office
- ...Job Description Job Description Join Davies Risk Services as a Premium Auditor — No Experience Required! Are you a self-starter who thrives on independence, loves working with numbers, and enjoys meeting new people? Do you have a curious mind, strong communication...Full timeFor contractors
- ...seamless, high-touch service to partners and guests alike. Learn more: ParkingMgt.com Position Summary The Lot Attendant / Lot Auditor helps ensure a smooth, safe, and organized parking experience for guests. This role includes directing traffic, assisting customers...Hourly payMinimum wageFull timePart timeLocal areaShift workNight shift
- ...Work At Home Vintage Experts is looking for candidates with significant insurance experience to join their remote team as a premium auditor. Candidates will conduct audits of insurance policies and engage with internal and external customers regarding audit procedures....Full timePart timeWork experience placementRemote workWork from homeFlexible hours
- ...A leading risk services provider is hiring Premium Auditors in Tulsa, Oklahoma. This role offers flexibility to set your schedule and earn based on your output. Conduct onsite audits by meeting with policyholders and reviewing their records. Ideal candidates possess strong...Work at officeFlexible hours
- ...for ensuring timely and accurate follow-up on medical insurance claims. Your primary goal is to identify and resolve issues that... ...billing and patient privacy. Meet department productivity and quality standards. Job Qualifications: Education: High school...ClaimsWork at officeRemote workWork from homeShift work
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