Claims Quality Auditor — QA & Process Improvement
ManhattanLife Insurance & Annuity Company
ManhattanLife Insurance & Annuity Company in Louisville, KY is hiring a Claims Quality Auditor. The role focuses on QA of processed claims, ensuring accuracy and adherence to policy while supporting internal partners. Located at our Louisville office, the position emphasizes attention to detail and collaborative problem-solving. The role requires 1–3 years of claims experience, familiarity with ICD-9/ICD-10 coding, and strong ability to read policy language. #J-18808-Ljbffr ManhattanLife Insurance & Annuity Company
- ...Insurance and Annuity Company in Louisville, KY seeks a Claims Quality Auditor to provide QA of processed claims. You will audit internal paperwork, ensure... ...with policy provisions, and support process improvements. This role emphasizes accuracy, documentation, and...Process improvementClaims
- ...accommodation or an alternative application process. Claims Quality Auditor FT Hourly Full-Time Clerical... ...in assessing and documenting process improvement areas based on quality review. Provide... ...experience, education, and/or training in QA and claims processes; insurance...Process improvementClaimsHourly payFull timeContract workWork at officeImmediate startFlexible hours
- ...Supplier Quality Specialist IThe Supplier Quality Specialist... ...and drive continuous improvement initiatives. This role... ..., defects, claim, and customer complaints... ...during visits, conduct process/system audits.Track and... ...technical courses completed (Auditor, etc.)Minimum of 1...Process improvementClaims
- ...Specialist - IT Quality AssuranceWe are seeking a talented individual... ..., federate, and continuously improve built-in quality practices, standards... ...needs, and global KPIs.Drive process improvement and innovation to... ...).Provide timely, actionable QA reporting and dashboards (test...Process improvementWork at officeShift work3 days per week
- ...make a difference every day? The Call Quality Assurance Specialist Team is a dynamic... ...representatives that are assisting customers with processing their retirement pensions. Serco and... ...solving, risk mitigation, process improvements, etc., as well as performing a variety...Process improvementFull timeContract workPart timeLocal areaImmediate startFlexible hours
- ...Summary Accountability: The Quality Specialist position has the oversight... ..., compliance, and continuous improvement. The high level objective of... ...continuous improvement in process & product quality through... ...Ensure training for internal auditors and maintains a listing of qualified...Process improvementWork at officeShift work
- The Quality Assurance Associate is responsible for evaluating and auditing quality incidents... ..., and order placement and fulfillment processes to ensure compliance with company... ...identifies opportunities for continuous improvement, and supports the development and implementation...Process improvementWork at office
- ...goal of theClinical Denial Specialist is to successfullymanage claim denials related to referral, authorizations, notifications,... ...coverage guidelines for multiple payers ~ Identify process improvement opportunities ~ Monitor denial and appeal outcomes...Process improvementClaimsContract workLocal area
- ...is responsible for helping to improve logistics services... ...storage costs and facilitating claims. This position works with all... ...improve products, services, or processes. These efforts can seek "incremental... ...resulting in a reduction in quality. Measure Key Performance Indicators...Process improvementClaims
$50k - $55k
...whose mission is to provide high quality yet affordable healthcare to... ...basis to reduce healthcare claims costs, among many other tasks... ...prioritize claims based on processing criteria, timelines, client demands... ...in on-going process improvement to develop efficiencies that...Process improvementClaimsWork at office- ...counsel on litigation, administrative claims, and other dispute matters.Evaluate... ...improvementWork to continually improve organisational systems and processes to maximise employee efficiency, effectiveness... ..., and productivity to deliver quality outcomes.Actively contribute to...Process improvementClaimsContract workWork at officeLocal area
- ...accuracy of inpatient and outpatient claims processing and reviewing denials and write-off assessments... ...billing and charging.Performs quality reviews to ensure that pharmacy charge... ...Participates in committees, work groups, process improvement efforts, and educational initiatives....Process improvementClaimsContract workWork at officeRemote work
- ...contributing to cross-functional initiatives and process improvements. Serves as a Medicare Part B subject... ...requirements. Ensures all claims are submitted accurately and in compliance... ...Revenue Cycle leadership, while balancing quality and compliance expectations. Provides detailed...Process improvementClaimsWeekly payWork at officeLocal area
- ...Position Summary Role Purpose The Project Quality Specialist ensures consistent product quality... ...capability through standardized processes, data-driven insights, consistent issue management, and continuous improvement of product and supplier quality performance...Process improvementWork at officeNight shift
$140k - $160k
...operations in a role focused on claim accuracy, timely reimbursement, and... ...organizational systems and processes, and makes recommendations for improvements in hospital denials, claims submission... ...access scorecards including user quality, productivity and team performance...Process improvementClaimsLocal areaRemote work- ...coordinating best practices and quality professional services,... ..., and guide pursuit processes, based on proven... ..., and supporting the QA/QC program to provide... ...to implement process improvements and leverage work sharing... ...and resolution of claims. Take on Principal in...Process improvementClaimsContract workWork at officeLocal area
- ...receivable) with the goal of improving net revenue and cash flow through... ...Revenue Cycle policies, process flows, & procedures Ensure... ...fashion Oversee management of claim rejections and denials... ...designed to improve efficiency, quality of care, clinical documentation...Process improvementClaimsContract workTemporary workLocum
- ...prescription order entry, insurance processing, and patient outreach to... ...service through high quality performance and care. The Patient... ...organizational objectives, process improvement, and safety standards.... ...caregivers, and resolving issues with claims. Resolves insurance issues...Process improvementClaimsWork experience placementShift work
- ...Essential Functions Follow practices and processes that comply with appropriate laws and... ...a commitment to a process of continuous improvement. Comply with company policies and procedures... ...on the checklist Set up new client claims with the insurance company Schedule legal...Process improvementClaimsFull timeWork at office
$17 - $20 per hour
...Job Description: Claims & Appeals & Grievances (A&G) Specialist... ...operations with expertise in claims processing, appeals, grievances, and... ...efficiently in a fast-paced, quality-driven environment. Key... ...process reviews, and continuous improvement initiatives. ~ Support...Process improvementClaimsFull timeWork at officeRemote work- ...Job Description Manufacturing Quality Specialist ensures the quality and compliance... ...the oligonucleotide manufacturing process per ISO 13485, ISO 9001, and 21 CFR 820.... ...process audits, and supporting process improvements in the production environment. The Manufacturing...Process improvementFull timeContract workWork at officeAfternoon shift
$75k - $90k
...support schedules. Informs management of ideas for continuous process improvement. Supports management on assigned projects from inception... ...or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...Process improvementClaimsTemporary workLocal areaRemote workFlexible hours$80k - $100k
...plant safety compliance, weekly payroll processing, and benefits administration. This... ...reporting, and managing workers' compensation claims and costs. Payroll & Compensation... ...personnel issues and propose process improvements. Skills Human Resources...Process improvementClaimsPermanent employmentFull timeTemporary workWork experience placementWork at officeShift work- ...responsible for driving continuous improvement across all operational areas... ..., production schedules, quality standards, inventory accuracy... ...will establish best-in-class processes, optimize operational performance... ...performance, productivity, claims reduction, and service level...Process improvementClaimsTemporary workWork at officeFlexible hours
$48.35k - $78k
.... We are seeking an IT auditor to assist with our controls... ...to understand processes, gather information, and... ...strategic projects and process improvement initiatives. Participate in department quality assurance and... ...pursuing any discrimination claim, or cooperating in related...Process improvementClaimsWork experience placementH1bWork at officeLocal area1 day per week$26.4 - $39.6 per hour
...is responsible for helping to improve logistics services... ...storage costs and facilitating claims. This position works with all... ...improve products, services, or processes. These efforts can seek improvement... ...resulting in a reduction in quality. Measure Key Performance Indicators...Process improvementClaimsHourly payWork at office- ...maintaining a safe, productive, and quality-focused work environment. The... ...while supporting continuous improvement initiatives across the... ...operations, including returns processing, product inspection, disposition... ...performance, productivity, claims reduction, and service level...Process improvementClaimsTemporary workWork at officeFlexible hours
- ...includes driving continuous improvement in all areas of operation as... ...as monitoring and adjusting processes as needed to meet production... ...will be to provide the highest quality service for our customers by... ...Delivery, Inventory Control, Claims, On Time shipping. Peak Season...Process improvementClaimsTemporary workWork at officeFlexible hours
$5,000 per month
...United States. The 3rd Party Claims Specialist Team Lead is a... ...approval Performs monthly quality assessments on staff to... ...maintain reports and records for processing as well as run and produce miscellaneous... ...make suggestions for process improvement within the department...Process improvementClaimsRemote workFlexible hoursShift work- ...to advancing person-directed care and quality outcomes. Many of our facilities continue... ...Difference Identify and participate in process improvement initiatives that improve the customer... ...hearings for Home Office Unemployment Claims, as well as facilitate facility responses...Process improvementClaimsWork experience placementHome officeMonday to Friday
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