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Insurance Reviewer Jobs

Physician Reviewer/Monitor Jobs
By State of Alabama Personnel Department At , , Al $83.60 - $123.02 a day
An evaluation of Training and Experience as shown on the application.
The term “regionally accredited school” refers to an institution of higher education accredited by one of the six
Apply on-line, by mail, or by fax. Applications will be accepted until further notice. The State Personnel Department is not responsible
State of Alabama Personnel Department
THE STATE OF ALABAMA IS AN EQUAL OPPORTUNITY EMPLOYER
Qa Reviewer Jobs
By ttg Talent Solutions At , Coral Springs, Fl
Accordance with good documentation practices (GDP), product specifications, process parameters and regulatory requirements.
Communicate effectively with cross functional departments to ensure on time delivery of corrections, QA review and disposition responsibilities.
Review of analytical reports to ensure that products, material, components and intermediates meet company standards and regulatory requirements.
4+ years’ experience within the pharmaceutical, biologic, medical device or regulated industry.
2+ years’ experience in a Quality Assurance/Quality Control or Manufacturing function.
1+ year batch record and analytical data review experience required.
Document Reviewer Jobs
By KLDiscovery At Minneapolis, MN, United States
Proficient in the use of modern technology, especially computers and related remote, work from home office equipment
KLDiscovery has a pipeline of upcoming remote projects in Minnesota
Opportunity to practice and expand your legal experience by providing valuable insight into the discovery process in different areas of litigation
Critical thinking skills and ability to retain complex work direction
Excellent verbal and written communication skills
Duration depends on the project; opportunities varies from 1 week to 6 months; possibly longer
Contracts Reviewer - Great For Jds!
By Adams & Martin Group At Los Angeles, CA, United States

This is a great opportunity for a recent law grad or JD with prior contracts experience.

Project is anticipated to begin the week of May 21st, and will run about 3 months.

Reviewer - Therapy Services
By Elevance Health At , , Co
Processes system generated decisions for authorization requests, meeting all contract requirements, processes, and operational unit goals to ensure customer satisfaction.
Documents findings, develops analyses, and submits reports to the appropriate departments in accordance with government regulations and requirements.
Current active unrestricted license or certification as a Physical Therapist, Occupational Therapist, in the state that you reside.
Certification and/or licensure appropriate to field of specialty is required.
Pediatric Developmental Delay and/or Outpatient Orthopedic experience
Job Family: Medical and Clinical
Document Reviewer Jobs
By KLDiscovery At , , Il $30 an hour
Proficient in the use of modern technology, especially computers and related remote, work from home office equipment
KLDiscovery has a pipeline of upcoming remote projects in Illinois
Opportunity to practice and expand your legal experience by providing valuable insight into the discovery process in different areas of litigation
Critical thinking skills and ability to retain complex work direction
Excellent verbal and written communication skills
Duration depends on the project; opportunities varies from 1 week to 6 months; possibly longer
Claim Reviewer - Life
By MetLife At Oriskany, NY, United States
Strong data entry skills required.
Essential Business Experience and Technical Skills:
Answers complex telephone inquiries related to Group Life Claim insurance benefits.
Excellent oral and written communication skills.
Expectation of working a combination of the following shifts: 8:00am-4:30pm EST and/or 11:30am-8:00pm EST
Ability to adjust to multiple demands and shifting priorities.
Document Reviewer Jobs
By Ultimate Staffing At San Diego, CA, United States
• 3+ years of related experience
• Excellent customer service and communication skills
Location: San Diego, CA (Scripps Ranch)
Pay Rate: $24 to $29 per hour DOE
Hours: Full-time, Monday to Friday 8 AM to 5 PM
• Accept assignments for review
Reviewer Specialist Jobs
By TAK Index At United States
Experience in Google Doc applications (Docs, Sheets, Forms) or willingness to take a Udemy course to develop the required skills,
Love for kids and interest to play kid games (preferably five years' experience with kids),
Have a graduate degree (3 or over) from the top ten universities in your country,
Have proficiency in written and verbal communication in English,
Attention to detail when implementing written guidelines such as downloading games from Apple Store, filling out a Google Form etc.,
Able to adapt to teamwork.
Specialist Data Reviewer Jobs
By Moderna Therapeutics At , Norwood, 02062, Ma
Vacation, sick time and holidays
Volunteer time to participate within your community
Paid sabbatical after 5 years; every 3 years thereafter
Here’s What You’ll Bring to the Table:
Generous paid time off, including:
Document Reviewer Jobs
By KLDiscovery At , , Mo $28 an hour
Proficient in the use of modern technology, especially computers and related remote, work from home office equipment
KLDiscovery has a pipeline of upcoming remote projects in Missouri
Opportunity to practice and expand your legal experience by providing valuable insight into the discovery process in different areas of litigation
Critical thinking skills and ability to retain complex work direction
Excellent verbal and written communication skills
Duration depends on the project; opportunities varies from 1 week to 6 months; possibly longer
Compliance Reviewer Jobs
By AIG At Fulton County, GA, United States
Provide oral and written responses to agents, insured’s, and management regarding reviews
Use time management to prioritize assignments
Responsibility for working closely with the Regional Compliance Manager managing compliance reviews at a regional level
Working knowledge of crop insurance regulations, policies, procedures and best practices
Proficient in Microsoft Office and ability to learn other program requirements…i.e.…Aeros
Excellent interpersonal, written, and verbal communication skills
Senior Medical Reviewer Jobs
By BlueCross BlueShield of South Carolina At Nashville, TN, United States
Participate/oversee special projects as requested by management.
A working knowledge of managed care and various forms of healthcare delivery systems.
Maintain working knowledge of unit functions and ability to interpret to new hires, department interworkings and workflow.
Keep managers informed of any problems/issues that need resolving.
Strong clinical experience to include home health, rehabilitation, and/or broad medical surgical experience.
Knowledge of specific criteria/protocol sets and the use of the same.
Medical Reviewer Jobs
By Orion Group At Waukegan, IL, United States
Strong knowledge of clinical trial methodology, statistical concepts, and independent evaluation and interpretation of complex literature.
Excellent oral and written English communication skills.
3+ years of experience in the pharmaceutical industry, medical information experience
Experience in providing innovative and unique solutions for delivery of medical information.
May partner with internal colleagues to ensure creation of relevant core content to meet customer needs.
Assists in providing solutions to deliver medical information to customers in unique and innovative ways.

Are you looking for an exciting new career opportunity in the insurance industry? We are looking for an experienced Insurance Reviewer to join our team! As an Insurance Reviewer, you will be responsible for reviewing and analyzing insurance policies to ensure compliance with state and federal regulations. You will also be responsible for providing recommendations to improve policy coverage and customer service. If you have a passion for the insurance industry and are looking for a challenging and rewarding career, this is the job for you!

Overview:

Insurance Reviewers are responsible for reviewing insurance policies and claims to ensure that they are accurate and compliant with applicable laws and regulations. They must have a thorough understanding of the insurance industry, its laws and regulations, and the various types of insurance policies. They must be able to analyze and interpret complex documents and make decisions based on their findings.

Detailed Job Description:

Insurance Reviewers are responsible for reviewing insurance policies and claims to ensure that they are accurate and compliant with applicable laws and regulations. They must have a thorough understanding of the insurance industry, its laws and regulations, and the various types of insurance policies. They must be able to analyze and interpret complex documents and make decisions based on their findings. They must also be able to communicate effectively with clients, insurance companies, and other stakeholders.

What is Insurance Reviewer Job Skills Required?

• Knowledge of insurance industry laws and regulations
• Ability to analyze and interpret complex documents
• Excellent communication and interpersonal skills
• Ability to make decisions based on findings
• Proficiency in computer software programs
• Ability to work independently and as part of a team

What is Insurance Reviewer Job Qualifications?

• Bachelor’s degree in a related field
• Relevant work experience in the insurance industry
• Professional certification in insurance review

What is Insurance Reviewer Job Knowledge?

• Knowledge of insurance industry laws and regulations
• Knowledge of various types of insurance policies
• Knowledge of the claims process
• Knowledge of risk management principles

What is Insurance Reviewer Job Experience?

• Previous experience in the insurance industry
• Previous experience in claims processing
• Previous experience in risk management

What is Insurance Reviewer Job Responsibilities?

• Review insurance policies and claims to ensure accuracy and compliance with applicable laws and regulations
• Analyze and interpret complex documents
• Communicate effectively with clients, insurance companies, and other stakeholders
• Make decisions based on findings
• Update and maintain records
• Monitor changes in the insurance industry