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Claims Analyst - REMOTE The Claims Analyst handles complex and high exposure bodily injury and property damage claims under Ryders self-administered liability program. This position investigates and adjusts claims, as well as directs defense counsel, independent
Essential Duties and Responsibilities: - Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements. - Issue approvals, denials or recommendations based on contract requirements.
Essential Duties and Responsibilities: - Facilitate and prepare all planning activities and artifacts for complex initiatives including project scope statements, work breakdown structure, and detailed project schedule. - Monitor schedule progress, and implement corrective measures as
Essential Duties and Responsibilities: - Supervise the workforce management team and workflow to support management in all aspects of the workforce function within the project. - Create and maintain workforce monitoring schedules for team members to
Essential Duties and Responsibilities: - Assess and evaluate staff performance based on established goals and standards. - Identify and develop areas of opportunity for direct reports. - Manage QC supervisors performance management and tracking methods. -
Essential Duties and Responsibilities: - Supervise the work of call center staff to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems as needed - Interview and recommend hiring and promotion of
Essential Duties and Responsibilities: - Conduct Monthly 1x1 meetings with staff and evaluate employee performance and make recommendations on employee Bonus and Merit incentives. - Identify and set monthly individual/team goals. - Develop Quality Checklist, based
Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organizations coding procedures and standards. - Accurately enter coded data in a system and validate data entered.