Workers Compensation Client Performance Manager | Dedicated Client | Remote PRIMARY PURPOSE: To be responsible for the quality aspects of a specific client including client service instructions and reserves; to conduct client specific audits; to monitor client audit compliance; to resolve client issues by working with the company Quality and Operations staff. ESSENTIAL FUNCTIONS and RESPONSIBILITIES: Ensures adherence to client service instructions. Monitors client reserves for accurate reflection of client's book of claims; ensures reserves are within an appropriate range. Tracks and trends performance guarantee and gain share agreements at the client level. Ensures client's claims reports are properly and timely prepared and distributed. Monitors client's average cost of claims; identifies trends and excessive cost factors. Conducts client specific operational audits; monitors client audit compliance. Works with company Quality and Operations staff to resolve client issues including results of client Compass audits. Manages client specific internal control report issues. Ensures timely payment of TTD, medical and vendor bills; ensures appropriate vendor utilization. Reviews aging claims for file closure ensuring claims do not age beyond appropriate time frames. ADDITIONAL FUNCTIONS and RESPONSIBILITIES: Performs other duties as assigned. Supports the organization's quality program(s).
Home Care Aid (HCA), Certified Nursing Assistant (CNA), Home Health Aid (HHA)in Orange & Surrounding AreasDiscover a CNA career with variety, challenge and growth potential. As a CNA for Interim HealthCare Staffing, youll have the opportunity to work in different...
Job Description Job Description General Functions The Radio Engineer has primary responsibility for the technical operation of Televicentro de PR, LLC Radio network of stations and translators, maintaining all its equipment, always ensuring compliance with Federal...
...you to apply on our Indeed job posting so our recruitment team can manage your rescruitmewnt process seamlesssly. Thank you for your understanding!Apply here:https://www.indeed.com/job/coffee-shop-manager-0a14ae181d41ccd5Are you a passionate leader looking to make...
Job Description Join a locally owned Great Clips salon, the worlds largest salon brand, and be one of the GREATS! Whether youre new to the industry or have years behind the chairgreat opportunities await!! Are you a stylist looking to build your career and make...
Native English speaker with neutral accent Bachelors degree or above Must be a holder of TEFL/TESOL/CELTA or a valid State/provincial teaching license Minimum 1-year teaching experience in K-12 Wired, high speed and stable internet connection Punctual, responsible...