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Search Results for ' Claims Auditor in U.S. National Average, USA '

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Claims Auditor
Audits claims to ensure accuracy of claims determinations. Manages and coordinates the reporting, review, and maintenance of data for use in supporting audit functions.

Performs claims audits based on audit program and specified target audits as assigned. Documents audit findings accurately.... [+] More
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Insurance Claims Auditor
Settles benefit claims and processes claims for payment. Assesses and answers inquiries regarding claim adjudication, including method of payment, co-pay or deductible amounts, and/or reason for denial. Requests all information from internal or outside sources to ascertain completeness and validity... [+] More
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Claims Administration Director
Oversees and directs the management of... [+] More
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Top Auditor
Directs, develops, and administers the organization's internal audit program system and procedures to determine the effectiveness of controls, accuracy of records, and efficiency of operations. Reviews company operations and each financial system and evaluates their efficiency, effectiveness, and compliance with... [+] More
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Claims Quality Audit Director
Directs the Claims Quality Audit Department and provides managerial oversight to employees engaged in claims auditing and training. Approves department policies, practices, and procedures to ensure identification of claims processing errors. Provides planning, organizing, and budgeting for the department. Typically... [+] More
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Claims Quality Audit Manager
Supervises and facilitates the coordination and scheduling of all external claims audits conducted by customers, audit firms, external vendors, and regulators. Assists in the preparation of audits and management of the audit process.

Notifies appropriate parties of the audit and schedules... [+] More
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Claims Manager
Oversees claims management to ensure timely, accurate handling of claims, quality claims services, and appropriate resolution of claim discrepancies. Supervises claims staff.

Manages, reviews, and resolves claims, including determining course of action, developing arguments and addressing claimants' rebuttals, conducting preliminary negotiations,... [+] More
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Claims Quality Audit Supervisor
Supervises employees engaged in claims auditing and training. Implements claim auditing department policies, practices, and procedures to ensure identification of claims processing errors. Typically requires prior experience as a Claims Processor or Adjudicator and an in-depth understanding of claims auditing.

Supervises... [+] More
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Claims Supervisor
Supervises and coordinates activities of workers engaged in examining insurance claims for payment in claims division of insurance company. Ensures all claims eligible or ineligible for payment conform to quality, production standards and specifications. A bachelor's degree with four years... [+] More
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Medicare Claims Supervisor
Supervises the Medicare claims processing staff to ensure accurate and timely adjudication of claims. This position typically requires four years of experience in claims processing or auditing.

Supervises the Medicare claims processing staff to ensure accurate and timely adjudication of claims.... [+] More
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