Claims Integrity Auditor & Investigator II
Qlarant
Qlarant in California seeks an experienced auditor to ensure the accuracy of claims processes and protocols. You will conduct audits/investigations, analyzing data and documenting findings while adhering to regulatory standards. A Bachelor's Degree and relevant experience are required. The ideal candidate will have strong analytical skills and be able to communicate effectively with stakeholders. Experience in fraud prevention is preferred, along with a Certified Fraud Examiner qualification. This is a critical role in safeguarding the integrity of claims. #J-18808-Ljbffr
- ...Summary: Serves as an entry level professional who develops baseline plans for ensuring the integrity and accuracy of claims processes and protocols. Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail,...ClaimsWork experience placement
- ...Qlarant is seeking an entry-level professional in Los Alamitos, California, to conduct audits and investigations of customer claims. The role requires attention to detail and analytical skills to assess claims validity and identify fraud opportunities. A Bachelor's Degree...Claims
- 30% Supervise a group of professional auditors engaged in regulatory audits of entities participating in the various programs that receive... ...paperwork, such as travel and timekeeping forms, training forms, work status report and expense claims. #J-18808-Ljbffr...ClaimsWork at officeLocal area
- Workers’ Compensation Surveillance Investigator (Part-Time / On-Call) We are seeking experienced Surveillance Investigators for part‑time... ...surveillance editing software. Knowledge of workers’ compensation claims processes. Bilingual abilities are a plus. Employment Type...ClaimsHourly payPart timeFlexible hoursWeekend workAfternoon shiftEarly shift
$25 - $29 per hour
...Inspector II Job Category: Quality Requisition Number: INSPE006513 Posted: July 20, 2026 Full-Time RBC Lubron Bearing Santa... .... Assist with inspection of returned goods to verify customer claims of failure or rejection. Qualifications: Education/...ClaimsPermanent employmentFull time- ...A leading claims adjusting company in California is seeking Licensed Claims Adjusters to join their team. As an Independent Insurance Claims Adjuster, you will help individuals and businesses recover from disasters while enjoying flexible work and competitive compensation...ClaimsFlexible hours
- ...A prominent claims adjusting firm in California is seeking Licensed Claims Adjusters to join their team. This role is not just about the job; it's a rewarding career path that offers flexibility, autonomy, and competitive compensation. Successful candidates will assist...Claims
- ...A nationwide claims adjusting firm is actively recruiting Independent Insurance Claims Adjusters to join their dynamic team in California. This role offers a chance to assist individuals and businesses in recovery efforts after unforeseen events. As part of our team,...ClaimsFlexible hours
- A leading claims adjusting company in California is seeking Licensed Claims Adjusters to join their team. As an Independent Insurance Claims Adjuster, you will help individuals and businesses recover from disasters while enjoying flexible work and competitive compensation...ClaimsFlexible hours
- A prominent claims adjusting firm in California is seeking Licensed Claims Adjusters to join their team. This role is not just about the job; it's a rewarding career path that offers flexibility, autonomy, and competitive compensation. Successful candidates will assist...Claims
$105k - $175k
...Altasciences in Cypress, California is seeking a Sub-Investigator I to supervise clinical activities for assigned trials. You will ensure subject safety and protocol adherence, while also documenting events in compliance with Good Clinical Practices. The ideal candidate...$72.8k - $80k
...Job Summary The Risk Adjustment Coding Auditor is responsible for conducting retrospective... ...coding accuracy, documentation integrity, and risk score accuracy. Functions & Responsibilities... ...practices. Strong analytical, investigative, and critical‑thinking skills with the...Work at officeRemote work- ...enterprise-wide risk adjustment, medical record review, and government audit activities that help ensure accurate documentation, coding integrity, and compliance with federal and state requirements. Job Description Seeking two experienced Senior Medical Review Coders to...Work at officeImmediate startRemote work
$720 per week
...management, warehouse and distribution center support, last-mile delivery, supply chain analytics, and optimization, and more. Our integrated, end-to-end logistics solutions uniquely position us to help partners reduce warehousing and transportation costs. #J-18808-...Weekly payShift workNight shiftDay shiftAfternoon shift- ...from occurring. Tests electrical systems and equipment for the integrity and proper function. Works from blueprints, drawings, and... ...shareholders of other corporations created pursuant to the Alaska Native Claims Settlement Act, in accordance with Title 43 U.S. Code 1626(g)....ClaimsContract workLocal area
- ...Healthcare Business Analyst to support eligibility, benefits, claims, and provider data exchange initiatives. The ideal candidate... ...skills, hands‑on experience with Availity portal and clearinghouse integrations, and the ability to collaborate effectively with business,...Claims
- ...customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications:...ClaimsFor contractorsWork at officeRelocation packageFlexible hours
$100k
...designed to meet the unique coverage and claims-handling needs of businesses. The Argo... ...outcomes Conduct in-depth investigation, analysis, and information gathering to... ...Values At Clearbrook our Core Values are Integrity, Collaboration, Pursuit of Excellence and...ClaimsFor contractorsWork at officeLocal area$110k
...experienced, customer-focused staff is dedicated to processing claims efficiently while ensuring the highest level of service for our... ...attention to detail. • High level of personal and professional integrity. • Computer literacy with a willingness to learn new programs...ClaimsLocal areaImmediate start- ...A leading claims adjusting firm is seeking Independent Insurance Claims Adjusters due to increased demand in storm recovery. The role offers comprehensive training, flexibility, and competitive compensation. Candidates should be Licensed Claims Adjusters with prior experience...Claims
- ...records to identify unauthorized transactions and fraudulent accounts. Ensure confidentiality of all information collected during investigations. Maintain all Fraud Logs up to date for management and accounting purposes. Track and retain return data for future reference...
- ...Dental Auditor The Dental Auditor ensures clinical quality, regulatory compliance. This role conducts clinical audits and reviews, identifies risks and trends, and partners with internal teams and providers to drive corrective actions and continuous improvement....Full timeWork at office
- ...re looking to grow your career with an organization that values integrity, collaboration, and community involvement, we\'d love to hear... ..., email, and other communication channels. Assist clients with claims reporting and coordinate with carriers to support the claims process...ClaimsWork at office
- ...A prominent insurance adjuster training firm is seeking individuals to join as Independent Insurance Claims Adjusters. This role offers a chance to assist clients recovering from unforeseen disasters while enjoying a rewarding career. With comprehensive training and guidance...Claims
- ...A dynamic insurance claims adjusting firm in California is seeking Independent Insurance Claims Adjusters to join their team. This fulfilling career offers extensive training for both seasoned professionals and newcomers, allowing you to make a meaningful impact while...ClaimsFlexible hours
- ...A leading insurance claims company in California seeks Licensed Claims Adjusters to join their team. This role enables you to provide crucial assistance to clients recovering from disasters. Candidates with 100 claims or more experience are preferred, but training is...ClaimsFlexible hours
- A leading claims adjusting company in California is actively seeking Independent Insurance Claims Adjusters. This role offers a dynamic career opportunity with the chance to make a significant impact on people's lives by assisting them in recovering from disasters. The...ClaimsFlexible hours
- ...A leading claims adjustment firm is seeking Independent Insurance Claims Adjusters in California. You will play a crucial role in aiding individuals and businesses post-disaster, offering essential training and support for newcomers and seasoned adjusters alike. This...ClaimsFlexible hours
- ...collaboration with Risk Management to research and resolve fraud claims arising from account takeover in digital channels. Develops... ...leadership and expects that partners will have a commitment to integrity and uncompromising values. EDUCATION/EXPERIENCE: One-...ClaimsRemote work
- ...A professional claims adjusting company is seeking Licensed Claims Adjusters to meet the rising demand. This role offers significant growth opportunities while helping individuals recover from disasters. Candidates can benefit from comprehensive training programs, whether...Claims
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