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BUSINESS OPERATIONS ANALYST I- CLAIMS QUALITY ASSURANCE - PHOENIX, UNITED STATES - USAA

Partners with the business and Information Technology to meet the needs for COSA data reporting, analytics and project deliverables. Performs advanced compilation, analysis and reporting of COSA data; delivers key insights and rec...

CompanyUsaa
AddressUnited States
CategoryInformation Technology
Date Posted 7 days ago See detail

Business Operations Analyst I- Claims Quality Assurance - Phoenix, United States - USAA

Usaa

United States

Partners with the business and Information Technology to meet the needs for COSA data reporting, analytics and project deliverables. Performs advanced compilation, analysis and reporting of COSA data; delivers key insights and rec...

7 days ago seen See more...

Claims Quality Assurance Auditor

Altais

Remote

$80,000 - $95,000 a year

Responsible for reviewing claims transaction audit reports, perform claims adjudication quality review to ensure compliance with health plan audits. Complete daily, weekly, and monthly audits. Perform daily review of focused pre-p...

a month ago seen See more...

Medicare Claims Quality Audit Manager

Great American Insurance Company

Cincinnati, OH

$78.3K - $99.2K a year

Performs tasks involved with Medicare secondary payer claims reimbursement as necessary, including:Notifies Medicare of beneficiary claims and claim settlements;Conducts conditional payment investigations and communicates payment...

a month ago seen See more...

Senior Claims Quality Specialist - Crop

Qbe Insurance Group Limited

Greensboro, NC

Investigate all concerns to ensure compliance with established policies and procedures Participate in analyst/specialist onboarding by sharing technical knowledge, recommending solutions to complex, escalated issues, training on...

a month ago seen See more...

Director of Claims Quality - Managed Care

Tandym

Jersey City, NJ

Managing provider reimbursement and analytics, Claims Quality analysts, claims compliance, training and remediation and user acceptance testing (UAT). Overseeing staffing and implementing and maintaining policies, procedures, and...

a month ago seen See more...

Claims Quality Assurance Analyst

San Joaquin County Health Commission

Modesto, CA

Reviews claims, appeals, refunds, PLOGS, reinsurance cases, correspondence and other documents. Identifies errors and analyzes to determine cause. Documents findings and sends back for correction and adjudication. Provides feedbac...

a month ago seen See more...

Claims Quality Analyst

Versant Health

Remote

$57.1K - $72.3K a year

Responsible for conducting a quality review of functions performed in Client Billing, Enrollment, and Claims. Recommend corrections/changes to the systems, policies, and procedures, as needed, to ensure the highest quality of work...

2 months ago seen See more...

Claims Quality/Audit Representative - Remote in CA

Optum

San Jose, CA

$16.54 - $32.55 an hour

All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.. Responsible for all aspects of quality assurance from a sample of random claims, check run reviews and Health Plan audits. Provide expertis...

2 months ago seen See more...

Claims Quality Specialist

Sagesure

Houston, TX

$86.7K - $110K a year

Perform open and closed claim file audits, analyzing against quality, compliance, and service standards. Perform customer contact phone call audits, analyzing against quality, compliance, and service standards. Synthesize reviews...

2 months ago seen See more...

Claims Quality Assurance - Temp

Corvel Corporation

Folsom, CA

$67,086 - $111,634 a year

Model ethical behavior and executes job responsibilities in accordance with CorVels core values, ethics, and information protection policies. Serve as technical QA lead to assigned offices or various departments within assigned o...

2 months ago seen See more...

Claims Quality Assurance - Temp

Corvel Enterprise Comp, Inc.

Folsom, CA

Model ethical behavior and executes job responsibilities in accordance with CorVels core values, ethics, and information protection policies. Serve as technical QA lead to assigned offices or various departments within assigned o...

2 months ago seen See more...

Quality Assurance Claims Processor II

Pennymac

Moorpark, CA

Reconcile servicing expenses/corporate advances as required by MI, investor, insurer and internal guidelines including: foreclosure fees and costs, eviction requirements, property inspections and preservation, HOAs, taxes, hazard...

2 months ago seen See more...

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What companies are hiring for Claim Quality jobs?

The top companies hiring now for Claim Quality jobs are Uber, UnitedHealth Group, Versant Health,

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