management Assists with other QA-related functions and responsibilities as needed to meet department and company goals... ability. Knowledge Solid working knowledge of quality-orientated services such as accuracy management, performance metrics...
-- including, but not limited to, AP claim life cycle, provider contracts, Optum PPS Pricing, fee schedules, responsibility mapping.... Ability to prioritize all work deliverables effectively and independently. Excellent time management, organizational...
clinical departments to resolve claim issues and ensure claim integrity. Provide updates to management regarding errors, payer... is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national...
. This role involves evaluating internal management and operational controls, verifying adherence to policies, procedures... management. Responsibilities: Objectively and effectively manage and control the execution of activities and tasks associated...
clinical departments to resolve claim issues and ensure claim integrity. Provide updates to management regarding errors, payer... is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national...
Industry: Insurance --- About the Role Our client, a leading organization in the insurance and risk management industry... and proper documentation in accordance with regulations Develop and execute claim action plans to drive timely and effective...
cause analysis, failure investigations, claim validation, and product purges. Managed corrective action tracking systems... improvement opportunities. Supported ISO 9001 quality management system, internal audits, customer audits, and served as primary...
on invoices submitted by HomeServe contractors using our invoicing platform. Review, validate, create claim, and make... decisions and invoicing requirements. Work cross functionally with Supplier Management, Contractor Management, and Contact...
, claim validation, and product purges. Managed corrective action tracking systems and quality databases;prepared.... Supported ISO 9001 quality management system, internal audits, customer audits, and served as primary liaison for customer SQEs...
' Compensation & Safety ClaimManagement: Efficiently open and track worker’s compensation claims directly with The Hartford. Injury... recruitment process, including job postings, screening resumes, interviewing, and onboarding new talent. Systems Management...