Sr Claims Quality Assurance Analyst

To review claims for new hires, experienced Examiners and auto adjudicated claims in a timely and consistent manner. Generate accuracy reports per processor to be reviewed by operations management and senior management staff. Senior Claims Quality As Quality Assurance, Claims, Assurance, Analyst, Quality Analyst, Quality, Technology, Healthcare

Calpine Corporation is America's largest generator of electricity from natural gas and geothermal resources with operations in competitive power markets. Its fleet of 76 power plants in operation and one under construction represents nearly 26,000 megawatts of generation capacity. Through wholesale power operations and its retail businesses, Calpine serves...

OF PROJECT PORTFOLIO COST ANALYST, SR. Responsible to control and monitor project total expenditure including verifying and checking of invoices and claims from suppliers, vendors, and subcontractors to ensure that all project expenditures are captur Analyst, Portfolio, Project Management, Microsoft, Skills, Accounting, Business Services

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs: - Medicaid State of Texas Access Reform (STAR) program for low-income children and...

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs: - Medicaid State of Texas Access Reform (STAR) program for low-income children and...

The Claims Resolutions Analyst supports the review and resolution of payment disputes including indebt research and response to project related disputes; preparing written responses to appeal and reconsideration decisions, receipt of complex sys-aid Solutions Analyst, Claims, Analyst, Solutions, Healthcare, Technology, Skills

Summary Claims Analyst is responsible for accurate and timely research of all providers claim inquiries according to policies, process instructions and system requirements, regulatory reporting, and acts as a liaison between internal stakeholders for associated claims processes. Candidate will respond to all incoming inquiries and coordinate with other...

Summary Claims Analyst is responsible for accurate and timely research of all providers claim inquiries according to policies, process instructions and system requirements, regulatory reporting, and acts as a liaison between internal stakeholders for associated claims processes. Candidate will respond to all incoming inquiries and coordinate with other...

Company: Marsh Description: Marsh's Advisory Claims Solutions group steps in to work with your team, enhancing specialization and increasing your capacity in a time of need. We proactively identify and advocate to improve claim outcomes, working closely with your business and insurers. We collaborate with you to develop strategies that reduce claims exposure...

Dynamic SLR, a professional solar management firm, seeks a qualified and enthusiastic team member for the Quality Assurance Representative role. As a Quality Assurance Representative, you will be responsible for monitoring and enhancing call quality for the organization’s teams through consistent coaching and training in customer interactions. Our culture...

Job DescriptionJob DescriptionSr. Functional SharePoint Analyst (Project Manager/ Business Analyst)Houston TX$130KDUTIES AND RESPONSIBILITIESFacilitate and organize meetings with functional users and business managers to document procedures and to gather functional requirementsPerform analysis and design activities for applications to be deliveredAnalyze...

Job DescriptionJob DescriptionSr. Functional SharePoint Analyst (Project Manager/ Business Analyst)Houston TX$130KDUTIES AND RESPONSIBILITIESFacilitate and organize meetings with functional users and business managers to document procedures and to gather functional requirementsPerform analysis and design activities for applications to be deliveredAnalyze...

Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Quality Assurance Analyst, working in Pharmaceuticals and Medical Products industry in 9965 Buffalo Speedway, Houston, Texas, United States. Responsibilities: Cross-functional support for both sterilization and...

Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Quality Assurance Analyst, working in Pharmaceuticals and Medical Products industry in 9965 Buffalo Speedway, Houston, Texas, United States. Responsibilities: Cross-functional support for both sterilization and...

Job DescriptionJob DescriptionSummaryClaims Analyst is responsible for accurate and timely research of all providers claim inquiries according to policies, process instructions and system requirements, regulatory reporting, and acts as a liaison between internal stakeholders for associated claims processes. Candidate will respond to all incoming inquiries...

Job DescriptionJob DescriptionSummaryClaims Analyst is responsible for accurate and timely research of all providers claim inquiries according to policies, process instructions and system requirements, regulatory reporting, and acts as a liaison between internal stakeholders for associated claims processes. Candidate will respond to all incoming inquiries...

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed...

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs: - Medicaid State of Texas Access Reform (STAR) program for low-income children and...

Job DescriptionJob DescriptionPOSITION:                 Sr. Claims Adjuster - Workers’ Compensation (TEXAS Jurisdiction)REQUIRED:                Texas Workers Compensation License (valid and current)STATUS:                     ExemptPOSITION SUMMARY:  Under minimal supervision manages all aspects of...

Job DescriptionJob DescriptionPOSITION:                 Sr. Claims Adjuster - Workers’ Compensation (TEXAS Jurisdiction)REQUIRED:                Texas Workers Compensation License (valid and current)STATUS:                     ExemptPOSITION SUMMARY:  Under minimal supervision manages all aspects of...