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Q.B.E North America
- Houston, TX / Fort Worth, TX / Plano, TX / 1 more...
Conduct loss control surveys on new and renewal business and provide loss control services to complex, large sized accounts, evaluating adequacy of hazard controls present and suggesting improvements where needed, and solicit new business form agents to support achievement of regional and business objectives Provide risk analysis and consultative services for complex, large accounts within assigne
Posted Today
Analyzes and investigates Provides explanations and interpretations within area of expertise Required Qualifications Bachelor's Degree (or higher) OR High School Diploma / GED (or higher) with 5+ years of corporate work experience 3+ years working in health care industry 3+ years of customer service / provider support experience 3+ years of problem solving experience Preferred qualifications Exper
Posted 16 days ago
Under general direction of Claims Manager or Senior Claims Investigator, responsible to conduct investigations for routine to moderately complex public claims and company damage claims. Determine liability and negotiate settlements within assigned approval authority with input from Claims Manager as well as management and/or legal counsel, as directed or required. Assist with major incident invest
Posted Today
Responsible to conduct professional investigations and to maintain site control for routine to complex major incidents, public claims, and ligation support where company facilities may be involved resulting in loss of life, personal injury and/or property damage. As subject matter expert, determine liability and negotiate settlements within assigned approval authority, with input from management a
Posted Today
Understand Anti Kickback Statute and other compliance risks and be able to apply the concepts globally. Interpret and apply aspects of DaVita's Corporate Integrity Agreement (CIA) to our referral source agreements, such as medical director agreements, personal services agreements, transactions, and leases. Holistically review all documentation and background information for potential agreements wi
Posted Today
Risk Control Specialist Property Focused (RIS0000H1) Job Summary Under broad supervision conducts risk control assessment evaluation consulting and technical support for prospective new and renewal business. Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines Performs workplace/work site risk evaluation and consultative risk improvement s
Posted 2 days ago
Claims Quality Auditor Intermediate Location Englewood, CO Additional Locations Job Number 736589 Date posted 10/05/2018 Description Quality Claims Auditor This position exists to ensure the integrity of medical payments for the organization through verification of the accuracy of data entered information and by auditing service related information and invoice adjudication/payment for compliance
Posted 3 months ago
Conducts quality assurance audits for all Lines of Business. Conducts quality assurance audits for claim adjustments and refunds. Performs routine claim audits for payment accuracy in accordance with regulatory standards and business policies. Participates in the appropriate and approved training classes during year (in accordance with goals). Demonstrates awareness of work required at next level
Posted 3 months ago
Hospital Claims Billing Representative II (18008459) You. You bring your body, mind, heart and spirit to your workas a Claims Billing Representative. You're equally comfortable with customer service andtechnology. You're great at what you do, but you want to be part ofsomething even greater. Because you believe that while individuals can bestrong, the right team is invincible. Us. is ourCorporate
Posted 8 days ago
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