CLAIMS PROCESSING AUDITOR jobs in UNITED STATES, United Kingdom

Under immediate supervision, provides a full range of support to the Lead Claims Processing Auditor and Claims... Processing Manager. Expedites the processing and payment of all claims. Must have the ability to read, analyze, and interpret...

The Claims Auditor is responsible for the daily auditing of health or life claims, across all business lines..., which have been paid or are to be paid and are over the initial examiner’s limit. The Claims Auditor is expected to be an expert in...

The Claims Auditor performs analysis and monitors trends identified through the audit process. This individual... strategies for resolution. Apply claim and/or inquiry processing experience to audit and analyze simple to advanced-level claims...

Oversight Compliance Auditor - Medical Claims is responsible for scheduling, coordinating, and conducting delegated entity... and auditing is preferred. Previous experience in medical claims processing or auditing is strongly preferred Excellent written...

, support and opportunities you'd expect from a Fortune 6 leader. The Claims QA Auditor performs quality assurance functions... Auditor maintains and provides statistical reports to Claims Management as requested. Works cooperatively with the Claims...

! Job Title: SHP Claims Auditor (remote) Cost Center: 682891379 SHP-Claims Scheduled Weekly Hours: 40 Employee Type: Regular... Work Shift: 40 Normal (United States of America) Job Description: JOB SUMMARY The SHP Claims Auditor is responsible...

us to keep moving forward. Job Overview The Claims Auditor will be responsible for the accurate review and auditing of claims... that are adjudicated by the system and the Claims Examiners. The auditor will suggest process improvements to management and act...

with outside medical systems and claims processing/adjudication processes. The Auditor must independently perform comprehensive...We are looking for a Senior Claims Auditor to join our team. Senior Claims Auditor will focus on claims adjudication...

claims processing errors in the auditor Access database program, and report all findings to the Manager. 3. Assist the... degree (GED); or Four (4) or more years with claims processing experience and/or training; or equivalent combination...

processing issues. Set claims reserves and adjusts as needed. Keep the reserves current. Authorize checks for amount... from catastrophic claims, and Medical Stop Loss insurance from Tokio Marine HCC is designed to protect employers from that risk...

processing issues. Set claims reserves and adjusts as needed. Keep the reserves current. Authorize checks for amount... from catastrophic claims, and Medical Stop Loss insurance from Tokio Marine HCC is designed to protect employers from that risk...

from catastrophic claims, and Medical Stop Loss insurance from Tokio Marine HCC is designed to protect employers from that risk.... Position Summary: Under immediate supervision, performs routine clerical tasks associated with the processing of stop loss...

collaboration with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor/Educator. Demonstrate the... insurance companies relative to claim processing and coding denials follow up. Epic Resolute experience helpful...

statements or reports to ensure correct processing of refund claims by the Department. MINIMUM REQUIREMENTS: Currently...Requisition No: 833041 Agency: Department of Revenue Working Title: TAX AUDITOR III - 73001520 Pay Plan: Career...

statements or reports to ensure correct processing of refund claims by the Department. MINIMUM REQUIREMENTS: Currently...Requisition No: 833041 Agency: Department of Revenue Working Title: TAX AUDITOR III - 73001520 Pay Plan: Career...

: Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse...Anticipated End Date: 2024-08-23 Position Title: Clinical Provider Auditor Senior Job Description: Clinical...

(i.e., underwriting, policy processing, claims and accounting) with information to assist in their understanding of audit-related matters... Play to Create Success We are excited to announce our search for Senior Premium Auditor! In this role, you will have the...