Quality Assurance Specialist II
Responsibilities · Review and authorize pension benefits for retired 1199SEIU members, surviving spouses...
Responsibilities · Review and authorize pension benefits for retired 1199SEIU members, surviving spouses...
Responsibilities Train new employees and retraining of current staff when required Review eligibility control report daily for discrepancies/inconsistencies and update of COBRA event status Research and update COBRA based on member por...
Responsibilities: Retrieve from DBL voicemail detailed messages for processors;provide status of disability claims and processing procedures to the members and their representatives Prepare and submit daily attendance report to manageme...
Responsibilities: · Review suspense reason of medical claims and determine actions to be taken to handle edit · Verify information entered in medical claims system (QNXT) is correct, including patient’s name, provider tax identification...
Responsibilities Facilitate collaboration between labor and management to achieve shared goals and support TEF’s workforce development initiatives. Leads and develops joint labor management training work to identify needs and resources ...
Strategic Consultation & Advisory · Serve as an advisor to organizational leaders and staff by offering consultative services in the following areas: change management, leadership development (including coaching, assessments, and developm...
environment required Working knowledge of Benefit and Pension Funds Benefits Knowledge of Retiree Health Pension Benefits...
Responsibilities · Manage the operations of the organization's Telephone Quality Monitoring program to ensure proper quality assurance policies and procedures are met · Oversee all quality assurance for the Member Services operations in...
Responsibilities Measure individual, system and performance of the Medical Claims Departments;ensure operating standards are met and implement operational objective of the department Review and correspond with vendors and Aetna partner...
Responsibilities: · Review suspense reason of medical claims and determine actions to be taken to handle edit · Verify information entered in Medical claims system (QNXT) is correct, including patient’s name, provider tax identification...