-
USAA Tampa, United States Full timeWhy USAA? · Let's do something that really matters. · At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nation's military, but we all share in the mission to g ...
-
Medical Claims Manager
1 week ago
ImageNetLLC Tampa, United StatesImagenet LLC is a premier healthcare technology company that has taken medical claims processing and document management to new levels of service, security and efficiency. Our core business is helping our clients reduce costs and increase productivity by providing efficient docum ...
-
Esis Claims Assistant Vice President, Wc
1 week ago
Combined Insurance Tampa, United StatesThe Claims Assistant Vice President is a challenging opportunity for a leader to join our Tampa Claims Office servicing Workers Compensation clients in Alabama, Florida, and Georgia as well as DBA (Defense Base Act) claims. This is a critical leadership role in effectively execut ...
-
Claims Manager
3 days ago
Apex Service Partners Tampa, United StatesOverview: · Overview: · Founded in 2019, Apex Service Partners, LLC is the industry and nationwide leader in residential home services. Apex focuses on serving the HVAC, plumbing, and electrical needs of homeowners in over forty states across the country. Apex has grown to 150+ l ...
-
Florida Apd Claim Representative Ii
4 hours ago
AAA The Auto Club Group Tampa, United StatesIt's a great time to join AAA The Auto Club Group · JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD · **Job Type**: · Full time · Exempt/Non Exempt: · Salary · **Job Description**: · Auto Claim Representative II - Florida - The Auto Club Group · What you will do: · The Aut ...
-
Workers Compensation Claims Specialist
1 week ago
Liberty Mutual Tampa, United States**Pay Philosophy** · The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in the ...
-
Customer Service
1 week ago
USAA Tampa, United States Full timeWhy USAA? · Let's do something that really matters. · We have an important mission: serving the members of the military community and their families. It's both a chance to say thank you and the opportunity to put your talents to work in a meaningful way. To do it right, we need t ...
-
Director, Claims Operations
1 week ago
USAA Tampa, United States Full timeWhy USAA? · Let's do something that really matters. · At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nation's military, but we all share in the mission to g ...
-
Customer Service
1 week ago
USAA Tampa, United States Full timeWhy USAA? · Job Description Summary · Let's do something that really matters. · We have an important mission: serving the members of the military community and their families. It's both a chance to say thank you and the opportunity to put your talents to work in a meaningful way. ...
-
Claims Examiner Trainee
1 week ago
Safepoint MGA, LLC Tampa, United States**Job Summary** · Manages a pending caseload of low to moderate severity and complexity homeowners claims in a team environment. Ensures prompt, effective, and courteous handling of all claims to policyholders and claimants with special emphasis on complying with appropriate guid ...
-
Payments Reconciliation Specialist
4 hours ago
United Vein & Vascular Centers Tampa, United StatesOverview: · United Vein & Vascular Centers is a life-changing healthcare innovator that is rapidly expanding access to state-of-the-art, mínimally invasive vein and vascular care as we grow our footprint across the country. The unparalleled outcomes we achieve are made possible b ...
-
Investigator Ii
1 week ago
Elevance Health Tampa, United StatesJob Family: FRD > Investigation · Type: Full time · Date Posted: May 14, 2024 · Anticipated End Date: Jun 04, 2024 · Reference: JR117022 · Description · **Investigator II** · **Supporting the Payment Integrity line of business** · Carelon Payment Integrity is a proud member of th ...
-
Ar Specialist, Revenue Cycle Management
1 day ago
Today's Dental Network Tampa, United States**JOB SUMMARY**: · The position of AR Specialist plays a pivotal role within our Revenue Cycle Management team. Daily responsibilities involve managing billing and collections for both outstanding insurance claims and patient balances. This role encompasses oversight of various c ...
-
Health Claims Advisor
1 week ago
Harmony Health LLC Tampa, United States**Join Our Team at Harmony Health as a Health Claims Advisor** · Are you passionate about helping others secure their health and financial future? Do you have a knack for sales and a desire to excel in a dynamic environment? Look no further Harmony Health is seeking a talented in ...
-
Construction Project Scheduler
2 days ago
The Maverick Network Tampa, United StatesSummary: The Construction Project Scheduler is responsible for developing, maintaining, and updating comprehensive schedules for construction projects, including residential and commercial buildings. This role requires effectively communicating schedule status, progress, and pote ...
-
Associate Attorney
1 week ago
Denovo Review Tampa, United StatesTop rated plaintiff personal injury firm based in Tampa, FL providing the highest quality legal services inside and out of the courtroom is seeking a Social Security Disability/Workers' Compensation Attorney to join their team. Associates will have the opportunity to work the pra ...
-
Customer Service Specialist
2 weeks ago
Cabinets Tampa, United States**Duties and responsibilities** · - _Work closely with other team members to ensure all customer needs are being met in a timely and professional manner_ · - _General office and administrative tasks_ · - _Assist customers with technical problems when using our products or service ...
-
2nd Shift-branch Admin Support I
1 week ago
BlueLinx Tampa, United States**BlueLinx (NYSE**: BXC) is a leading wholesale distributor of building and industrial products in the United States with over 50,000 branded and private-label SKUs, and a broad distribution footprint servicing 40 states. BlueLinx has a differentiated distribution platform, value ...
-
Insurance Account Representative
2 days ago
Joyce Coleman - State Farm Agent Tampa, United StatesPosition Overview · Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the career for you State Farm agents market only State Farm insurance and financia ...
-
Customer Service Representative
2 days ago
Joyce Coleman - State Farm Agent Tampa, United StatesPosition Overview · State Farm Insurance Agent located in Tampa, FL is seeking an outgoing, career-oriented professional to join their team. As a State Farm team member for Joyce Coleman - State Farm Agent, you will build and develop customer relationships within the community to ...
Quality Manager, Claims Processing - Tampa, United States - ImageNetLLC
Description
Job Description
Job DescriptionSalary:Imagenet, LLC is seeking an experienced Quality Manager, Claims Processing to join our team. In this role, you will be responsible for overseeing the performance and quality of our claims processing department.
Responsibilities:
Develop and implement quality assurance policies, procedures, and standards for claims processing
Monitor claims processing metrics such as productivity, accuracy, turnaround times, and customer satisfaction
Identify areas for improvement in claims processing and develop solutions
Conduct audits on a sample of processed claims to ensure adherence to regulations, guidelines, and quality standards
Analyze performance data, identify trends and root causes of defects, and suggest process improvements
Coach and mentor claims processing staff on performance, compliance, and career development
Create and manage quality assurance training programs for claims staff
Track quality standards and report on quality goals and progress to senior management
Requirements:
Previous claims processing quality management or related field preferred
5+ years of experience in claims processing, including 3+ years in a quality assurance role
Expert knowledge of claims processing procedures, quality standards, and regulatory requirements
Strong analytical and problem-solving skills
Ability to interpret data and generate detailed reports (daily/weekly/monthly) in graphs & presentations
Experience developing and conducting quality audits
Leadership skills with the ability to influence outcomes and drive change
Excellent communication and presentation abilities
This is an opportunity to oversee quality for a growing claims processing provider . If you have the required claims processing and quality assurance experience, please apply with your resume.
COMPANY OVERVIEW
Imagenet is a leading provider of back-office support technology and tech-enabled outsourced services to healthcare plans nationwide. Imagenet provides claims processing services, including digital transformation, claims adjudication and member and provider engagement services, acting as a mission-critical partner to these plans in enhancing engagement and satisfaction with plans' members and providers.
The company currently serves over 70 health plans, acting as a mission-critical partner to these plans in enhancing overall care, engagement and satisfaction with plans' members and providers. The company processes millions of claims and multiples of related structured and unstructured data elements within these claims annually. The company has also developed an innovative workflow technology platform, JetStreamTM, to help with traceability, governance and automation of claims operations for its clients.
Imagenet is headquartered in Tampa, operates 10 regional offices throughout the U.S. and has a wholly owned global delivery center in the Philippines.
Imagenet LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.