Claims Audit Manager

Job Title: Claims Audit ManagerJob Summary:Advanced Medical Manage is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will be responsible for ensuring that incoming claims are processed in accordance with policies, procedures, and guidelines, as outlined by Advanced Medical Manage and contractual agreements.Key...

Job Description**Role Overview**The Claims Examiner III is a critical position within the Advanced Medical Manage organization, playing a vital role in the Claims Department. This role requires collaboration with the Claims Team to meet productivity goals and ensure quality. The ideal candidate will possess claims knowledge, prioritization skills, and the...

Job Description**Role Overview**The Claims Examiner III is a critical position within the Advanced Medical Manage organization, playing a vital role in the Claims Department. This role requires collaboration with the Claims Team to meet productivity goals and ensure quality. The ideal candidate will possess claims knowledge, prioritization skills, and the...

Job OverviewPosition SummaryThe Claims Processing Associate is an entry-level role within the Claims Division at Advanced Medical Manage. This position is essential in supporting the Claims Team through various tasks such as data management, investigation, and organization. The ideal candidate will demonstrate strong multitasking abilities, a commitment to...

Job Summary:As a Warranty Claims Manager at DENSO International America, Inc., you will be responsible for overseeing the daily work of warranty claims administrators and analysts. Your primary goal will be to maintain, control, and improve the daily operations of the Warranty Claims department activities, processes, and systems.Key Responsibilities:Develop...

Job OverviewAs a Clinical Review Nurse, you will leverage your clinical expertise to assess documentation for medical necessity and the appropriate level of care. Your role will involve utilizing MCG/InterQual guidelines, state and federal regulations, billing and coding standards, and Molina policies to validate medical records and claims submitted,...

About the RoleSedgwick is seeking a highly skilled Claims Examiner to join our team. As a Claims Examiner, you will play a critical role in analyzing and processing workers' compensation claims to ensure timely and accurate resolution.Key ResponsibilitiesAnalyze and process claims through well-developed action plans to achieve timely resolution.Negotiate...

About JobotJobot is a dynamic and expanding accountancy firm with a strong presence across the United States. We are committed to growth and innovation in the financial sector.Why Work With Us? Attractive salary with the potential for an annual performance bonus. Comprehensive health benefits including medical, dental, and vision coverage. Generous Paid Time...

Opportunity for a Warranty AdministratorAudi Long Beach is in search of a dedicated Warranty Administrator to enhance our operations. In this pivotal role, you will be responsible for managing warranty claims, ensuring adherence to manufacturer standards, and processing claims with precision.What We Offer:Comprehensive health, dental, and vision...

Opportunity for a Warranty AdministratorAudi Long Beach is in search of a dedicated Warranty Administrator to manage warranty claims effectively. This role is essential in ensuring that all claims are processed in accordance with manufacturer standards and submitted without delay.Employee Benefits:Comprehensive health, dental, and vision coverageGenerous...

Insurance Claims Support SpecialistAt Automobile Club of Southern California, we take pride in being a leader in the insurance sector, renowned for our commitment to exceptional customer service and the welfare of our members. We are currently looking for an entry-level Insurance Claims Support Specialist to assist in our auto claims operations. This...

At Sedgwick, we prioritize the well-being of our team members, recognizing that our colleagues are our most valuable asset. A career with us embodies a culture of compassion and support, offering you the flexibility to balance your professional and personal life. Here, you have the chance to engage in meaningful work every day, with resources available to...

Warranty Administrator Position at Audi Long BeachWe are in search of a proficient Warranty Administrator to become an integral part of our team at Audi Long Beach. In this role, you will be responsible for managing warranty claims, ensuring adherence to manufacturer standards, and processing claims with efficiency.Employee Benefits:Comprehensive health,...

Job SummaryWe are seeking a highly skilled Medical Biller to join our team at JOSEPH VARDAYO MD INC. As a Medical Biller, you will play a crucial role in ensuring the smooth processing of medical claims and maintaining accurate patient records.ResponsibilitiesClaims Processing: Assist clients with processing insurance claims through private insurance and...

About JobotJobot is a dynamic and expanding accountancy firm committed to excellence and innovation in the financial sector. We are focused on growth and development, aiming to enhance our team with skilled professionals.Why Work with Us? Attractive compensation package with opportunities for performance-based bonuses. Comprehensive health benefits including...

Senior Claims Operations ManagerVERDA HEALTHCARE, INC. is dedicated to enhancing the healthcare landscape across the nation. Our organization prioritizes excellence, integrity, and innovation in serving our Medicare beneficiaries. Become a part of a diverse team that fosters your professional development.Key ResponsibilitiesOversee the identification of...

About Morgan StephensMorgan Stephens is a leading healthcare organization dedicated to providing exceptional service to our members. We are seeking a highly skilled Appeals Specialist I to join our team.Job SummaryThe Appeals Specialist I will be responsible for reviewing and resolving member and provider complaints in accordance with CMS standards. This...

Job Summary:We are seeking a highly skilled Claims Loss Reporting Specialist to join our team at AAA - The Automobile Club. As a leader in the insurance industry, we pride ourselves on our dedication to legendary customer service and our commitment to the well-being of our members.About the Role:As a Claims Loss Reporting Specialist, you will be responsible...

PRIMARY FUNCTION: This role is essential for supporting the Board in overseeing the effectiveness of school programs and internal controls through comprehensive audits and evaluations. REPORTS TO: Senior Director, Internal Audit SALARY SCHEDULE: A-5 WORK DAYS: 250 REQUIREMENTS: Education Level: Bachelor's degree in business administration, accounting,...

About JobotJobot is a dynamic and expanding accountancy firm with a strong presence across the United States. We are committed to growth and innovation, aiming to enhance our team with new talent.Why Work with Us? Attractive salary with the potential for an annual performance bonus. Comprehensive health benefits including medical, dental, and vision...