Audit Claims - 113+ job offers

Under the direction of the Provider Claims Resolution & Recovery Supervisor , the Provider Recovery Auditor is responsible for auditing and recovering claims overpayments, including Coordination of Benefits (COB) and Third-Party Liability (TPL) . This role plays a key part in ensuring compliance

In this role, you will play a crucial part in safeguarding Sentry’s claims integrity and regulatory compliance. As a Claims Audit & Compliance Specialist – Commercial Liability, you will develop and execute detailed audit plans to evaluate the accuracy of claims processing, compliance with regul

The Supplier Claims Audit Manager is responsible for leading, supervising, and executing supplier cancellation claim audits to ensure that only contractually obligated and substantiated costs are paid, delivering measurable cost avoidance for Stellantis . In addition to performing complex audits, th

Vaya Health

LOCATION :Remote- This is a home based, virtual position that operates within the hours of 8 :30am-5 :00pm on US Eastern Standard time (EST).Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL.GENERAL STATEMENT OF JOBThis position is responsible for identifying and analyzing claims

Vaya Health

LOCATION :Remote- This is a home based, virtual position that operates within the hours of 8 :30am-5 :00pm on US Eastern Standard time (EST).Vaya Health welcomes applications from NC, SC, GA, TN, VA, MD, and FL.GENERAL STATEMENT OF JOBThis position is responsible for identifying and analyzing claims

Located in the heart of Anderson, South Carolina , AnMed is a dynamic, not-for-profit health system dedicated to delivering exceptional care with compassion, innovation, and integrity. At AnMed, our mission is simple yet powerful: To provide exceptional and compassionate care to all we serve. AnMed

Pride Health is hiring a Remote Claims Audit Representative to support our client's healthcare facility. Interested? Apply Today! Job Details: Remote Claims Audit Representative Schedule: Monday - Thursday 5:45 AM - 4:15 PM (10-hour shifts) Must be available to work in PDT time zone. Job Type: Contr

Gallagher Claims And Risk Consulting Team At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they're free to grow, lead, and innovate. You'll be backed by our digital ecosystem: a client-centric suite of consulting tools making it easier fo

Department: Ops - Claims Ops Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation: $115,441 - $148,149 / year Description The Senior Claims Manager, Claims Delegation Oversight, is responsible for the management and oversight of all Claims Delegation Audits, including health pla

Join a diversified health and well-being company dedicated to helping people live healthier lives and making the health system work better for everyone. We are a global leader in clinical expertise, advanced technology, and data-driven insights. Our team operates at the intersection of care and comm

A leading data analytics firm in Maple Grove, Minnesota, is seeking a Sr Analyst I to analyze client data, generate recovery claims, and review contracts. Candidates should possess a bachelor's degree in finance or related fields, advanced Excel skills, and English proficiency at a C1 level. Previou

Stellantis

A leading automotive firm is seeking a Supplier Claims Audit Manager in Auburn Hills, MI, to lead complex supplier audit processes, providing technical leadership and stakeholder engagement. The ideal candidate will have a Bachelor's degree and at least 7 years in relevant fields. The role offers a

Capital Rx

A healthcare technology firm in Denver is seeking an Analyst to enhance audit deliverables and data analysis. The ideal candidate will have a Bachelor's degree in a quantitative field and 2+ years of experience in data analytics or audit, preferably in healthcare. You will be responsible for researc

Stellantis

Overview Supplier Claims Audit Manager – #2016811 Auburn Hills, Michigan, United States Responsibilities Audit Execution & Technical Leadership: Lead and execute complex supplier cancellation claim audits end-to-end, including planning, fieldwork, documentation, and reporting. Perform and review sub

CorVel Corporation

A healthcare solutions provider seeks a Payment Integrity Analyst to conduct pre- and post-pay claim audits based on client policies and industry standards. Key responsibilities include analyzing audits, applying CMS guidelines, and maintaining communication with clients. Candidates must hold a curr

CERIS

A healthcare solutions provider is seeking a Payment Integrity Analyst to conduct pre‑pay and post‑pay claim audits. The ideal candidate will have a current LPN, LVN, or RN licensure, along with strong analytical skills and a background in healthcare revenue cycles. Responsibilities include reviewin

Gallagher

Introduction At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they’re free to grow, lead, and innovate. You’ll be backed by our digital ecosystem: a client-centric suite of consulting tools making it easier for you to meet your clients wh

Sentry Insurance

In this role, you will play a crucial part in safeguarding Sentry’s claims integrity and regulatory compliance. As a Claims Audit & Compliance Specialist – Commercial Liability, you will develop and execute detailed audit plans to evaluate the accuracy of claims processing, compliance with regulatio

The Director, Claim Excellence Quality Audit, Training & Compliance, is responsible for the daily operational execution of the Claim Excellence program. This role oversees claim quality reviews, calibration of manager reviews, compliance monitoring, and training initiatives to ensure consistent,

Stellantis

The Supplier Claims Audit Manager is responsible for leading, supervising, and executing supplier cancellation claim audits to ensure that only contractually obligated and substantiated costs are paid, delivering measurable cost avoidance for Stellantis. In addition to performing complex audits, thi