Claims Auditor I - Fairfield

Under the direction of the Quality Systems Manager, provides day-to-day administrative and coordination support to the Patco Brands Quality team. · ...

Under the direction of the Quality Systems Manager, the Quality Coordinator provides day-to-day administrative, coordination and execution support for the Patco Brands Quality team. This role supports core quality activities including finished product review QA holds sample manag ...

The Internal Audit Department is seeking enthusiastic candidates for a staff internal auditor vacancy (Staff Services Management Auditor). A staff internal auditor assists in conducting financial, · compliance and performance audits,data analytics,to ensure that resources are bei ...

The State Fund Internal Audit Department seeks a dynamic individual to join its team as a Senior Internal Auditor Systems. · This role involves leading audits related to information technology including operational financial technical controls. · Possesses a solid understanding o ...

The Brandywine Claim Director is responsible for all aspects of claim handling on a book of complex asbestos long-term exposure environmental claims from first notice through resolution. · ...

The Claims Director works closely with executive leadership and cross-functional partners to align claims operations, · aligning claims operations · adjudicating complex high-volume systems · maintaining regulatory compliance across Medi-Cal Medicare and commercial lines of busin ...

The Claims Director works closely with executive leadership and cross-functional partners to align claims operations.The role ensures claims operations support member access, provider relationships, and the financial integrity of the health plan. · ...

Anticipated End Date: · Position Title: · Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Job Description: · Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)  · Virtual: This role enables associates ...

We are seeking a Director of Claims to provide strategic and operational oversight of our claims function. The successful candidate will have extensive experience leading health plan claims operations and will be responsible for setting departmental strategy, goals, policies, and ...

Job summary · Our client has a need for a contract to hire Claims Director. Top priorities include a large backlog of pending claims which are in jeopardy of pending interest. · ResponsibilitiesProviding leadership and oversight of all CCHP claims operations · Setting departmenta ...

The Claims Director works closely with executive leadership and cross-functional partners to align claims operations with accountability for claims adjudication payment integrity regulatory compliance and vendor oversight across Medi-Cal Medicare and commercial lines of business. ...

We are seeking an experienced Director of Claims to lead our claims operations team in Martinez, CA. · ...

We are looking for an experienced Director of Claims to lead our claims operations team. The successful candidate will have extensive experience in managed care leadership, including responsibility for complex high-volume systems. · ...

We need your help Please let us know how you heard about our position by taking this brief optional survey: SurveyMonkey link. · This position may be eligible for telework up to three days per week and is required to report in-person and site-based a minimum of two days per week. ...

Insurance Administrator Senior Commercial Real Estate is responsible for administering CRE's insurance policy and procedures related to the servicing of Mechanics Bank $3.6B portfolio of 900+/- commercial real estate loans. · Bachelors Degree with an emphasis on risk management, ...

Manages and participates in all activities related to the Authority's accounting function. · ...

The Employer Accounting Analyst interfaces with participating employers to process contributions for health and welfare and pension benefits for covered employees. · ...

+Interfaces with participating employers in order to process contributions for health and welfare and pension benefits for covered employees.+is+a+c~onfidentialid++ealts Fund+,o+f+t+h+job.+We+serve+t+hje+Frodway+iudntry+d+n+r+r+p+h+a+m+m+v+i*e+w*o*r*k+s+l+l*i+i*t+y+y*a*s*s*n*d*d* ...

Redwood Credit Union is seeking a dynamic leader to serve as Vice President of Enterprise Fraud. · Directing all activities related to fraud prevention and mitigation. · Reporting risk assessments to executive management. · ...

Where it all began… · In 1951 SF Fire Credit Union first opened its doors from a modest 10′ × 15′ office space in 17 Engine. It was from those humble beginnings—where everyone pitched in to help one another in their community—that the organization forged its way of business forev ...