Claims Auditor/Trainer Position

Why Crawford & Company?At Crawford & Company, we strive to be at the forefront of change, leveraging our unmatched global expertise and industry-leading technology to deliver exceptional results. As a Claims Auditor/Trainer, you will be part of a global network of professionals working together to help people through challenging times.We offer a dynamic work...

Why Crawford & Company?At Crawford & Company, we're dedicated to helping people through difficult times. Our team of passionate and compassionate professionals works together to deliver on our purpose of restoring lives, businesses, and communities. With over 80 years of unmatched global expertise and industry-leading technology, we're at the forefront of...

Pharmacy Claims Auditor Job DescriptionWe are seeking a highly skilled Pharmacy Claims Auditor to join our team at Cigna Health and Life Insurance Company. As a Pharmacy Claims Auditor, you will play a critical role in ensuring the integrity of health claims and maintaining a network of providers through diligent review and education.Key...

Job OverviewWe are seeking a highly experienced Claims Auditor/Trainer to join our team in Waterloo or Mississauga, Canada.

Job Title: Pharmacy Claims AuditorThe Pharmacy Claims Auditor plays a critical role in ensuring the integrity of healthcare claims and maintaining a network of providers. This position requires a strong analytical and investigative mindset, with the ability to identify trends and ensure compliance with benefit plan design and professional practice...

Job Title: Claims Auditor SpecialistCrawford & Company is seeking an experienced Claims Auditor Specialist to join our team in Waterloo or Mississauga, Canada. This role offers flexible working arrangements, including in-office, hybrid, or fully remote options.The successful candidate will play a key role in reviewing and improving our claim handling...

Job Title: Pharmacy Claims AuditorThe Pharmacy Claims Auditor plays a crucial role in ensuring the integrity of health claims and maintaining a network of providers through diligent review and education. This position requires strong analytical and investigative skills, as well as in-depth knowledge of pharmacy benefits, reimbursement, and pharmacy...

Position SummaryWe are seeking a skilled Claims Auditor to review and improve our current claim handling processes. The ideal candidate will have a minimum of 10 years of insurance P&C senior claims handling experience and 5 years of experience performing claims audits.Key ResponsibilitiesReview and analyze claim handling processes to identify gaps and areas...

Job Title: Pharmacy Claims AuditorThe Pharmacy Claims Auditor plays a critical role in ensuring the integrity of healthcare claims and maintaining a network of providers. This position requires a strong analytical and investigative mindset, with the ability to identify trends and ensure compliance with benefit plan design and professional practice...

Job Title: Pharmacy Claims Auditor - Integrity SpecialistJob Summary:The Pharmacy Claims Auditor - Integrity Specialist position is a key role within our organization, responsible for conducting audits and investigations to ensure compliance with our pharmacy benefit management policies and procedures. This individual will work closely with our pharmacy team...

The role of the Business Integrity team at The Cigna Group is to enhance the value proposition for customers by ensuring the integrity of health claims while maintaining a network of providers through diligent review and education. The Auditor is responsible for conducting various types of audits across Canada to validate that providers are compliant with...

Pharmacy Claims Auditor Role OverviewAs a member of the Business Integrity team at Cigna Health and Life Insurance Company, the Pharmacy Claims Auditor will play a critical role in enhancing the value proposition for customers by ensuring the integrity of health claims. The successful candidate will be responsible for conducting various types of audits...

The Pharmacy Claims Auditor role at The Cigna Group is a critical position that requires a strong analytical mindset and attention to detail. As a key member of our Business Integrity team, you will be responsible for conducting audits across Canada to ensure the integrity of health claims and maintain a network of providers.Key Responsibilities:Perform...

The Pharmacy Claims Auditor role is a critical component of the Business Integrity team at The Cigna Group. As a key member of this team, you will be responsible for conducting audits across Canada to ensure that healthcare providers are compliant with benefit plan design and professional practice regulations. Your analytical and investigative skills will be...

About the Role:The Pharmacy Claims Auditor will play a critical role in ensuring the integrity of health claims and maintaining a network of providers through diligent review and education. This position requires strong analytical and investigative skills, as well as in-depth knowledge of pharmacy benefits, reimbursement, and regulations.Key...

About This OpportunityExpress Scripts Canada is seeking a talented Pharmacy Claims Auditor to join our Business Integrity team. As a key member of our team, you will play a crucial role in enhancing our value proposition for customers by ensuring the integrity of health claims and maintaining a network of providers through diligent review and education.Key...

Job SummaryThis position involves performing third-party audits in Canada and the US, as well as reviewing technical information in accordance with SGS Certification procedures and ISO requirements. The Senior Lead Auditor is responsible for collecting and analyzing sufficient information to provide a certification recommendation. They have the authority to...

At SGS, we are seeking an experienced Automotive Quality Assurance Lead Auditor to join our team. This position offers a competitive salary of approximately $110,000 per annum.Job DescriptionThe Senior IATF Lead Auditor will be responsible for conducting third-party audits in Canada and the US, reviewing technical information in accordance with SGS...

Position SummaryWe are seeking a skilled Auto Claims Adjuster to join our team in Ontario, Canada.The successful candidate will investigate, evaluate, negotiate, and settle Auto claims by telephone and correspondence.The candidate will provide excellent customer service and ensure accurate recording, reporting, and presentation of files.As a member of our...

The Business Integrity team at Cigna is responsible for ensuring the integrity of health claims and maintaining a network of providers through diligent review and education. The Auditor plays a crucial role in conducting various types of audits across Canada to validate that providers are compliant with benefit plan design and professional practice...