Insurance and Claims

Job Title	Location	Date Posted
Job Title	Location		Go Reset
Claims Quality Auditor Int	Oakland, California	05/08/2013
Underwriting Consultant Large Group (Oakland)	Oakland, California	04/17/2013

Claims Quality Auditor Int - Oakland, CA: Description: This position exists to ensure the integrity of outside 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 with contract terms and Department/Regional policy and procedures. The auditor must be thoroughly familiar with outside medical systems and claims processing/adjudication pro...
Reference Code: 176908
Underwriting Consultant Large Group (Oakland) - Oakland, CA: Description: Underwriting's overarching function is to anticipate key business, marketplace & competitor dynamics in developing & implementing strategies to optimize business results which include retention & growth targets while mitigating risk. Primary focus is on establishing the approp rate & conditions of offering to achieve revenue, membership & margin goals. Additionally, processes & policies are managed to support optimal cust...
Reference Code: 168226