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 Qlarant
- ...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
- ...Warehouse Inventory Auditor Maintains accurate warehouse inventory. Corrects discrepancies in stock status and book inventory. Audits... ...in stock without sales, item markdowns, and vendor service claims. Researches and audits accrued merchandise payables, receiving...ClaimsWork at office
$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 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 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 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 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 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
$93.8k
...Job Description Position Summary The CDI Specialist Level II is responsible for conducting clinically based concurrent and retrospective... ...and Accountability Act (HIPAA). Reviews/audits patient claims with medical necessity denials looking for patterns by services or...ClaimsFull timeLocal area$85 per hour
...buyer stands at… Hourly: $25.00 Full-time Claims Examiner We are seeking an experienced... ...industry. This role is responsible for investigating, evaluating, negotiating, and res…... ...team responsible for the development, integration, fielding, and ope… Job Status: Full-time...ClaimsHourly payFull timeTemporary work- ...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
$64k - $92.6k
...Senior Claims Resolution Analyst Founded in 1977 as the Senior Care Action Network... ...Our work spans Medicare Advantage, fully integrated care models, primary care, care for the... ...Analysts are responsible for investigating and resolving complex insurance claims....ClaimsRemote work$720 per week
...Warehouse Auditor Compton, CA 1st Shift - 2am Start Time 2nd Shift - 10am Start Time 3rd Shift - 6pm Start Time $720/Weekly... ..., supply chain analytics, and optimization, and more. Our integrated, end-to-end logistics solutions uniquely position us to help partners...Weekly payShift workNight shiftDay shiftAfternoon shift$72.8k - $80k
...Summary The Risk Adjustment Coding Auditor is responsible for conducting... ...enhancing coding accuracy, documentation integrity, and risk score accuracy. Functions... ...monitoring practices. • Strong analytical, investigative, and critical-thinking skills with the...Work at officeRemote work$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...- ...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, reviewing...ClaimsAfternoon shift
- ...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
- ...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
- ...A leading claims adjusting firm is seeking Independent Insurance Claims Adjusters in California. This opportunity involves assisting clients through the claims process after disasters. Ideal candidates will be licensed adjusters with experience handling multiple claims...Claims
$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
$105k - $175k
Altasciences Co. is seeking a Sub-Investigator I in Cypress, California, responsible for supervising clinical activities in clinical trials. You will promote Good Clinical Practices (GCP) and ensure the safety and eligibility of trial subjects while adhering to protocols...- ...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
- ...Description: Becker & Company is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis. This role is perfect... ...investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability...ClaimsFlexible hours
- ...A leading claims adjusting company is seeking Independent Insurance Claims Adjusters in California. This rewarding career path offers flexibility, autonomy, and comprehensive training programs to ensure your success. You'll play a vital role in helping clients recover...ClaimsFlexible hours
- ...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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