Claims Quality & Compliance Auditor
CNA Financial
Location: New York, United StatesCompany: CNA FinancialPosted: 2026-09-28Location: New York, United StatesCompany: CNA FinancialPosted: Location: New York, United StatesCompany: CNAPosted: CNA is seeking an experienced Claims Quality Review professional to conduct on-site audits of APD and GL claims, ensuring accuracy, timeliness, and adherence to best practices.Under technical direction, you will support leadership in identifying trends, draft guidelines, and assist in system enhancements to improve claim outcomes. A Bachelor's degree plus five years of related experience is expected.#J-18808-Ljbffr
$75k - $90k
...About the Role: We are seeking a Quality Improvement & Compliance Specialist to lead quality assurance, compliance, and continuous improvement... .... Coordinate Performance Improvement Plan activities, claims lookbacks, and other corrective action initiatives....ClaimsWork from home$150k
...effectiveness of the QMS and project specific Quality Management Plans (QMPs). Verify... ...quality performance. Federal, FTA & BABA Compliance Assess and communicate potential impacts... ...multi location organizations. ISO 9001 Lead Auditor (required or strongly preferred)...SuggestedPart timeFlexible hours- ...Specialist is responsible for reviewing and processing medical claims, verifying billing accuracy and documentation, resolving... ...Guidelines, and Requirements Help Ensure Claims Meet ēlizur’s Quality, Compliance, and Reimbursement Standards YOU’RE GOOD AT Paying Close...Claims
- ...facilitate MRP Solutions Commitments and Effectiveness Checks—initiating, tracking, trending, and closing actions—while keeping the Quality Manager in the loop. You round out your day leading a quick 5S blitz, consulting with a supplier on spec alignment, and performing...SuggestedLocal areaShift workNight shift
- A leading insurance firm is seeking an Underwriting Quality Auditor in New York City. This role involves auditing files for quality and compliance, providing constructive feedback to underwriters, and identifying training opportunities. Ideal candidates have over 5 years...Suggested
- WellSky is seeking a Coding Quality Coach to perform medical coding quality audits and address agency-specific quality concerns. You will support US-based and international coding and audit teams by providing feedback on audited records and revisions. The role emphasizes...Full time
- ...or any basis prohibited by the laws that govern its operations. Senior Manager, Quality Assurance and Audit, North America Claims Reporting to the Head of Quality Assurance and Compliance, Claims Shared Services, this role will lead, oversee, enhance and optimize the North...ClaimsWork at office
- QUALITY COORDINATOR Distinguishing Features of the Class : This is a professional management... ...of Health of all quality standards and compliance within the organization as well as... ...and medical records for proper coding, claim for payments, billing and payment of services...ClaimsFull timeLocal area
$66.3k - $75k
...Overview Quality Improvement Specialist Healthcare staff can work anywhere….The BEST work... ...Staff through training, performs compliance reviews, ensures regulatory requirements... ...billing department in resolving account, claim denial, and charge capture issues. Qualifications...ClaimsWork at office- ...Packaging is seeking a detail‑oriented QA Inspector/Packer to perform in‑process inspection and testing of bottles. You will audit visual quality, assist Inspector Packers, and report non-conformances to supervision. Strong basic English communication is required, and you will...
- ...experienced Certified Medical Coder to support a 90-day coding quality and claims optimization project. This role will review and validate... ...Qualifications Experience with coding quality assurance or compliance auditing Experience training or coaching medical billing/coding...ClaimsContract workMonday to Friday
- ...Excellence: Achieve and maintain the highest quality Service: Innovate to meet evolving... ...for borough forensic operations. Assures compliance with mortuary decedent case intake and... ...remains, including medical examiner cases and claim only cases. Supervises decedent case...ClaimsFull timeWork at officeShift workWeekend workAfternoon shift
- ...analytics, supporting pricing, reserving, underwriting, and claims initiatives. You will partner with Reserving, Pricing, Insurance Analytics, and Technology to ensure data quality and regulatory compliance across platforms like Guidewire and Solartis, driving reporting...Claims
- ...completed with careful attention to detail while maintaining high quality work. Review appeals or complaints that relate to medical... ...include utilization reviews, quality‑assurance services compliance, and claims analysis. Must have knowledge of federal and/or state...ClaimsFull timeRemote workMonday to FridayWeekend work
- ...QVC Group is looking for a QA Performance Claims Specialist to review and approve product... ...to ensure accuracy and regulatory compliance. The role is remote for candidates in... ...and driving CAPA to improve substantiation quality and speed to market. #J-18808-LjbffrClaimsRemote work
- ...integrity of internal controls, the full-time remote Quality Assurance Specialist III will conduct in-depth audits of claims processes, identify transaction errors, and... ...regular audits of claims for accuracy, compliance, and contract interpretation, documenting errors...ClaimsFull timeContract workWork at officeRemote work
- ...a remote-first healthcare company, is hiring a Remote Clinical Quality Improvement Coordinator to drive quality initiatives and patient... ...across payers and providers. You will access EMR data, claims, and outreach to close quality gaps while collaborating with a...ClaimsRemote job
$45k - $51k
Quality Assurance Specialist Cobalt Benefits Group is seeking a detail-oriented Quality Assurance Specialist to support our healthcare vertical clients through comprehensive claims auditing and quality oversight. This role is primarily responsible for conducting daily...ClaimsDaily paidFull timeContract workTemporary workSummer workWork at officeFlexible hours- ...200 executive chefs, and serves more than 600M meals annually. Job Summary This position provides quality assurance, food safety, and regulatory compliance support for healthcare food service operations. The role partners with operational leadership to ensure compliance...Work at officeLocal areaRemote workFlexible hours
- ...nutritional ingredients and dietary supplement sector to recruit a Quality & Regulatory Specialist.This is a broad, hands on role covering quality assurance, quality control and regulatory compliance. The successful candidate will support day to day quality activities...
$26 - $28 per hour
...forward to what lies ahead. Job Title: QA Specialist Report to: Quality Assurance Coordinator Location: Bronx, NY Job Classification:... ...responsible for supporting the agency's Quality Assurance and Compliance Program by conducting audits, monitoring documentation,...Hourly payFull timeTemporary workWork at officeLocal areaMonday to FridayShift work$66.3k - $75k
...Quality Assurance Specialist The Quality Assurance (QA) Specialist at Fedcap Inc is responsible for ensuring the integrity and continuous... ...The QA Specialist plays a critical role in ensuring ongoing compliance with contract requirements, responding to external audit...Ongoing contractFull timeContract workShift work- ...across the United States. We have an exciting opportunity for a Quality Assurance Specialist – Mission Assurance Office to join our... ...critical hardware is processed, inspected, and released in full compliance with NASA, JETS, and Amentum quality requirements. It is...Hourly payPermanent employmentContract workWork at officeLocal area
- ...enterprise-level expert who integrates regulatory strategy, product quality, CMC science, and manufacturing risk across the development... ...pathways, submission and inspection strategy, quality and compliance risks, and technically defensible decision-making. Working through...
- Description Overview: The Quality Improvement (QI) Associate supports Damian Family Care Centers' mission by assisting with quality improvement initiatives, regulatory compliance, data analysis, transition care management, referral coordination, and administrative functions...Contract workWork at officeImmediate start
$88k - $121.5k
...pride. Your role at Baxter The Compliance & Records Management, QAII is... ...Review processes, QA site Model, and other Quality System items as assigned. Main responsibilities... ...include qualification of Site internal auditors. Write, review, analyze and revise Standard...Temporary workWork at officeLocal areaWork visaFlexible hoursWeekday work- Senior Quality Specialist Overview LabConnect improves lives by partnering with pharmaceutical and biotech companies, and clinical research... ...is responsible for assisting Quality Leadership with ensuring compliance and quality processes are maintained in support of clinical...Temporary workLive outWork at officeFlexible hours
- ...contract documents, budget, timeline, and quality control plan. Collaborates with... ...specifications for constructability and compliance. ? Lead all communication with the Owners... ...compliance with contractual terms and manage claims or disputes as necessary. ? Facilitate...ClaimsContract workFor subcontractorLocal area
- ...Regulatory Affairs Manager ensures regulatory compliance of The client / LG H&H US cosmetic, OTC, dietary... ...information including formulas, specifications, and quality/regulatory compliance documentation, and for approving claims, labeling, and advertising. Communicate...ClaimsFixed term contractLocal areaFlexible hours
- ...Independent Insurance Claims Adjuster Join MileHigh Adjusters Houston as an Independent Insurance Claims Adjuster. This role offers flexibility, autonomy, and competitive compensation. Why This Opportunity Matters Demand for claims adjusters is growing due to increased...Claims
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