Senior Claims Auditor

A healthcare organization in San Antonio, Chile, seeks a Claims Auditor responsible for developing and maintaining a claims auditing program. The role involves identifying training needs for processors and monitoring service quality. Candidates must have at least five years of experience in an insurance or managed care environment, with two years in claim...

POSITION SUMMARY/RESPONSIBILITIES Responsible for development and maintenance of claims auditing program for all lines of business to improve claims processing standards and to monitor the quality of service delivered to our customers. Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of...

Responsibilities Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Act as consultant to claims staff in complex claim issue resolution. Work cooperatively with Configuration in testing of...

A healthcare organization in Chile is seeking an experienced claims analyst to analyze complex problems related to claim payments and provide consultation to claims staff. The ideal candidate will have at least five years of HMO/PPO claims experience, knowledge of benefit programs, and preferred experience with the Amisys claims processing system. The role...

Overview Syms Strategic Group (SSG) is seeking a talented Systems Engineer (Senior) . Location: Remote. Department: Veterans Affairs (VA). Type: Full Time. Min. Experience: Experienced. Security Clearance Level: Public Trust (MBI). Military Veterans are highly encouraged to apply! Essential Duties and Responsibilities Develop solutions to routine technical...

Importante empresa del rubro de manufactura requiere Contador Senior para la Comuna de Calera de Tango Sus principales funciones serán: Ejecutar tareas de contabilidad avanzadas, asegurando la precisión y el cumplimiento normativo en todos los procesos financieros. Gestión de la facturación será esencial para mantener la integridad financiera y asegurar...

Overview Fuel your passion for patient-centered care and elevate your medical career in our thriving physician office. Join our collaborative team, where every day brings new opportunities to make a meaningful impact on the well-being of our community. At Tenet Physician Resources, we understand that our greatest asset is our dedicated team of professionals....

El Analista Contable Senior asegura la precisión de la información financiera mediante el cierre contable mensual, el análisis de cuentas y el registro correcto de operaciones. Gestiona declaraciones tributarias como el F29 y F50, aplica normativa IFRS y controla el Activo Fijo y materiales. Además, apoya auditorías internas y externas y contribuye a...

Si te consideras una persona comprometida, responsable y con ganas de trabajar en equipo ¡esta oportunidad es para ti! En Eurofirms nos encontramos en búsqueda de un Analista Contable Senior para importante empresa del rubro de manufactura ubicada en San Bernardo: **Responsabilidades**: - Confeccionar y entregar reporte periódicos relacionados al...

Overview Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time...