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Confidential
A company is looking for a Quality Examiner. Key Responsibilities: Disseminating quality information to keep staff informed of guidelines, policies, and procedures Proactively identifying error trends and recognizing when procedures need to be...
Confidential
A company is looking for a Claims Examiner. Key Responsibilities: Adjudicate healthcare claims based on specific policies and procedures Review claims processing system data and compare it with corresponding UB04 or CMS1500 Review adjudication...
Confidential
A health plan is looking for a Claims Examiner to process hospital and medical claims, resolve claims of moderate complexity, as well as research, resolve and respond to inquiries. Key Responsibilities: Process hospital and medical claims...
Confidential
A company is looking for a Claims Examiner II. Key Responsibilities: Adjudicate healthcare claims based on employer and payer-specific policies and procedures Review claims processing system data and compare it with corresponding UB04 or...
Confidential
A company is looking for a Leave & Disability Examiner to secure and analyze information for short-term disability and/or state disability insurance claims, and their concurrent leave claims. Key Responsibilities: Secure and analyze...
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A company is looking for a Sr. Claims Examiner III. Key Responsibilities: Adjudicate healthcare claims based on specific policies and procedures Review claims attachments to determine medical appropriateness and benefit coverage criteria...
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A company is looking for a Regulatory Mortgage Lending Licensing Paralegal. Key Responsibilities: Support license renewals and annual reporting Assist with new license applications Coordinate and manage examination requests for information and...
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A company is looking for a Bank Controller. Key Responsibilities: Lead all accounting and reporting activities at the Bank Ensure compliance with financial and regulatory requirements Elevate controllership standards through digital...
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A company is looking for a Compliance Manager. Key Responsibilities: Assist in developing and implementing the bank?s Compliance program Coordinate audits, examinations, and compliance reviews Provide training on compliance matters and...
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A company is looking for a Senior Risk Assurance Supervisor. Key Responsibilities: Supervise SOC examinations, HITRUST certifications, ISO assessments, and ITGC support Lead a team of staff members Analyze control activities, evaluate controls...
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A company is looking for a Technical Implementations Consultant, SaaS. Key Responsibilities: Run partner and client-facing conversations about technical integrations Call external APIs to perform data review, examine data structures, and...
Confidential
A company is looking for a STEM Academic Instructor to teach and mentor students in subjects such as Math, Chemistry, Physics, Biology, and Standardized Test Prep. Position Responsibilities: Teach and mentor students one-on-one and in classes...
Confidential
An organization is seeking an Entry-Level IT Audit Staff Consultant (Campus hire) to work remotely in the United States. Key Responsibilities: Successfully execute SOC 1/SOC 2 examinations, PCI DSS assessments, HIPAA assessments, and potentially...
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A company is looking for a Premium Audit Specialist. Key Responsibilities: Review and process vendor audits and resolve any audit disputes Utilize commercial insurance expertise to create a best-in-class experience for clients Examine...
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A company is looking for a Compliance Director. Key Responsibilities: Manage vendor oversight, contract administration, security audits, licensing exams, and other legal, corporate, and regulatory functions Coordinate annual reviews of security...
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A company is looking for a Compliance Manager to support the compliance function. Key Responsibilities: Manage and administer policies and procedures to ensure compliance with applicable laws, regulations, and standards Conduct compliance tests...
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A company is looking for a California Licensed Telephonic Case Manager. Key Responsibilities: Provide medical case management services to injured individuals, coordinating and assessing medical services frequently Explore vocational options...
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A company is looking for a Customer Account Protection Investigator. Key Responsibilities: Conduct comprehensive investigations to identify fraud patterns and typologies Collaborate with internal and external stakeholders to develop...
Confidential
A company is looking for a Telephonic Case Manager - CCM and Compact + NY License Required. Key Responsibilities: Provide medical case management services to injured individuals, coordinating and assessing medical services frequently Explore...
Confidential
A company is looking for a Senior Subject Matter Expert in Cyber Risk on the West Coast. Key Responsibilities: Examine and analyze data feeds, annotate and edit signals in real time, and contribute to algorithm training process Define new...
