4 claims quality assurance analyst jobs found in Detroit

   The Manager is responsible for providing leadership for the team who is involved in analytics in support of conceptualization, design implementation of care management programs including: Design and implementation of epidemiologic studies to understand disease burden in insured populations and health care services being utilized for disease diagnosis and treatment. Monitor/mentor multiple projects simultaneously be ensuring appropriate epidemiologic study designs and statistic methods are adopted. Drive the continuous method improvement in department analytic work. Assist in the planning and implementation of care management programs to prevent and control diseases and to improve quality and efficiency of care delivered to insured populations. Prepare presentations and technical reports in a clear and concise manner to communicate finding from epidemiologic studies to leadership and other interested parties, groups and through publications in scientific and...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Hourly Job Description:   Legal Assistant – The Auto Club Group What you will do: Employ knowledge of company and legal procedures as well as principles of insurance, banking or corporate law.  Work independently while assisting attorneys in the legal process necessary for conducting company business.  Review, analyze and summarize issues involved incoming litigation or administrative actions.  Determine need for file documentation, obtain proofs, and clarify facts and issues.  Organize, assemble and interpret records and documents.  Act as a resource person to all level of company personnel regarding corporate legal matters and departmental procedures.  Support litigation matters and act as a general litigation assistant throughout pendency of lawsuits.  Research medical facts when...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Eligible candidates must reside within the metro Detroit Michigan area for consideration and have a valid state driver's license. Preferred candidates should reside in Oakland, Macomb, or Wayne County. Metro Detroit Field Property Claim Specialist -AAA The Auto Club Group Reports to: Claim Manager as appropriate What you will do: Work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims.  Review assigned claims, Contacting the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system.   Complete complex coverage analysis. Ensure all possible policyholder benefits are identified.  Create...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Eligible candidates for this role must reside within a commutable distance of the Oakland County Detroit, Michigan area for consideration and have a valid state driver's license. Metro Detroit Field Property Claim Specialist -AAA The Auto Club Group Reports to: Claim Manager as appropriate What you will do: Work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims.  Review assigned claims, Contacting the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system.   Complete complex coverage analysis. Ensure all possible policyholder benefits are identified.  Create additional sub-claims if...