5 quality control intern jobs found

Bring your drive for excellence, team orientation, and customer commitment to Independence; help us renew and reimagine our business and shape the future of health care.   The A ctuarial Data Integrity Manager ensures actuarial teams have access to accurate, well‑controlled, and operationally efficient data assets that directly support financial performance, regulatory compliance, and strategic decision‑making. This role strengthens the connection between actuarial analytics and business outcomes by improving data quality, standardizing processes, automating workflows, and overseeing reliable production execution of actuarial data pipelines and reports. The ideal candidate combines technical aptitude with strong business acumen—understanding how data flows into financial results, operational metrics, and enterprise strategy. Key Responsibilities: Data Governance & Integrity Represent the actuarial organization in corporate data...

The Supervisor of Claims Operations supervises daily activities within the Claims/COB unit and ensures accurate and timely processing of all claims and post payment adjustments. Oversees review of claims for benefit determination, other party and subscriber liability. Supervises examiners/analysts in providing prompt and accurate information and courteous service to all internal and external customers. Responsibilities Plans, controls, coordinates daily workflow, maintaining high rate of quality and productivity without excessive overtime Supervises examiners/analysts in the accurate and timely processing of medical claims and all related procedures. Supervises processing of necessary adjustments on paid claims. Maintains an effective, on-going quality control program and ensures that all operational standards of performance established by the account, our Plan, Blue Cross and Blue Shield Association, etc., are met. Ensures that prompt, accurate information...

JOB DESCRIPTION This individual contributor is responsible for investigating/settling more complex and higher exposure/high frequency claims while providing an exceptional level of customer service and maintaining a high-quality claim file. This position reports directly to the Builders Risk Specialty Claim Leader in Major Accounts and Specialty. Responsibilities may include, but are not limited to: Confirm coverage of claims by reviewing policies and documents submitted in support of claims. Analyze coverage and communicate coverage positions under direction of manager and coverage unit. Conduct, coordinate, and direct investigation of builders risk claims. Direct and monitor assignments to experts and underlying defense counsel. Evaluate information on coverage and damage to determine the extent of the loss exposure. Promptly and appropriately develop the file to provide accurate and timely investigation and loss analysis. Set reserves within authority and/or...

JOB DESCRIPTION The Brandywine Assistant Vice President- Claim Audit Manager is responsible for the management of the claim audit staff. The manager oversees the claim audit process to ensure compliance with industry regulations, company policies, and best practices. This role involves analyzing claims data, leading audit processes, managing a team of auditors, and implementing improvements to enhance operational efficiencies. JOB RESPONSIBILITIES Staff Management Regular review of the work of the audit team and the Medicare reporting process. Set objectives for claim professionals and track progress throughout the year. Provide positive and constructive feedback and strive to identify growth opportunities. Clearly communicate company's policies, requirements, and expectations. Identify and address performance issues. Conduct quarterly and year-end performance reviews. Foster a positive work environment. Core Responsibilities: Oversee the claim audit process to...

JOB DESCRIPTION Job Summary: Chubb Global Credit Management is primarily responsible for the assessment and mitigation of direct and indirect credit risk to the Chubb organization across a broad range of credit counterparties within various industries and geographies which involve contractual payment or reimbursement obligations to Chubb, namely - Insureds with Large Deductibles/Retained Risk, Captive Reinsurers, Brokers, Agents, Managing General Agents, Vendors, Third-Party Administrators (TPAs), Network Partners, and Collateral-Issuing Providers. The Director - Global Credit Management will broadly support the primary objectives of the Global Credit Management function, including but not limited to direct management of a portfolio of counterparty credit exposures as well as oversight of select staff portfolios of counterparty credit exposures. Critical attributes to succeed include excellent communication and interpersonal skills, with the ability to work effectively both...