Claims Auditor Specialist

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...

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...

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...

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...

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...

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...

Position SummaryWe are seeking a Claims Auditor/Trainer to review current claim handling processes, identify gaps, and make recommendations for process improvement. The successful candidate will create documentation and facilitate training sessions for optimal performance and improved audit results.RequirementsMinimum of 10 years of insurance P&C senior...

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...

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...

Compassionate Claims Specialist NeededCrawford & Company is a global leader in claims management, and we're seeking a skilled Claims Specialist to join our team in Canada. As a Claims Specialist, you will play a critical role in investigating and evaluating claims, negotiating settlements, and collaborating with clients and experts to resolve complex...

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

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...

Warranty Claims SpecialistAs a Warranty Claims Specialist at Johnston Equipment, you will be responsible for managing the timely investigation and resolution of warranty claims. This involves working closely with manufacturers and suppliers to ensure that claims are processed accurately and efficiently.Key Responsibilities:Track and investigate incoming...

Warranty Claims SpecialistAs a Warranty Claims Specialist at Johnston Equipment, you will be responsible for managing the timely investigation and resolution of warranty claims. This involves working closely with manufacturers and suppliers to ensure that claims are processed accurately and efficiently.Key Responsibilities:Track and investigate incoming...

Warranty Claims SpecialistAs a Warranty Claims Specialist at Johnston Equipment, you will be responsible for managing the timely investigation and resolution of warranty claims. This involves working closely with manufacturers and suppliers to ensure that claims are processed accurately and efficiently.Key Responsibilities:Track and investigate incoming...

Job OverviewWe are seeking a highly skilled Claims Specialist to join our team at Definity, where you will play a critical role in delivering exceptional claims service to our customers. Salary and BenefitsThe salary for this role is approximately $65,000 - $80,000 per year, depending on location and experience. In addition to base pay, eligible employees...

Position SummaryWe are currently recruiting for a Content Claims Specialist to join our team at Crawford & Company in Canada.The role of Content Claims Specialist is a multi-faceted position, which focuses primarily on the following four key areas of our content claims handling operations:With a high focus on customer service, our Content Claims Specialist...