Reviewer

• Use rubrics and supplemental information to provide fair and consistent evaluations with encouraging, specific, and actionable feedback
• Maintain an in-depth knowledge of every component of curriculum within assigned workload
• Swiftly respond to student outreach and return evaluations to students within 48 hours of submission
• Work with Goal Lead to provide proactive outreach to students in need of academic assistance
• Participate in Reviewer online community
• Support academic integrity validation and processing potential violations
• Participate in quality assurance processes and project improvement activities, as needed

Reviewer evaluating student projects at Southern New Hampshire University

Reviewer responsible for evaluating student project submissions at Southern New Hampshire University. Provide actionable feedback and ensure academic integrity in evaluations.

• conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines
• collaborating with healthcare providers, and members to promote the most appropriate, highest quality and effective use of diagnostic imaging to ensure quality member outcomes, and to optimize member benefits
• working on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management
• partnering with more senior colleagues to complete non-routine reviews
• conducting medical necessity clinical screenings of preauthorization requests to assess the medical necessity of diagnostic imaging procedures, out of network services, and appropriateness of treatment

Nurse Reviewer 1 conducting preauthorization reviews for diagnostic imaging services

Nurse Reviewer

Nurse Reviewer 1 responsible for conducting preauthorization reviews for diagnostic imaging services. Collaborating with healthcare providers to ensure quality member outcomes and optimize benefits.

• In-person interview may be required during the hiring process
• Manage relationships with internal and external customers/vendors

MD Appraisal Reviewer managing automobile appraisals at Mercury Insurance

MD Appraisal Reviewer

MD Appraisal Reviewer managing automobile appraisals at Mercury Insurance. Collaborating with internal and external teams to ensure efficient processes and accurate valuations.

• Responsible for utilization review calls within BHS, including precertification, continued stay review, discharge reviews, and retrospective reviews and appeals.
• Works closely with business office staff, clinical staff, and physicians to advocate for BHS patients with insurance and managed care companies.
• Communicates insurance input to physicians and clinical staff making discharge plans for patients.
• Assists clinical staff with assessments as needed, primarily as in a back-up capacity.
• Communicates daily with Utilization Review Coordinator, and as needed with business office and admissions staff to understand admissions and transfers, patient benefit information, and precertification status.
• Understands health care benefit plan provisions and managed care contracting.
• Communicates and coordinates efforts at appealing unfavorable utilization review decisions.

Utilization Reviewer managing behavioral health utilization within Northwestern Medicine

Utilization Reviewer, Behavioral Health

Utilization Reviewer managing behavioral health utilization reviews at Northwestern Medicine. Focused on precertification, discharge reviews, and advocating for patients with insurance companies.

• Conduct comprehensive estimate reviews for services including water mitigation, mold remediation, reconstruction, contents, board-up, abatement, biohazard, and fire damage.
• Evaluate estimate documentation in Xactimate, XactAnalysis, Claims Connect, Validate, CMS, and related systems.
• Ensure compliance with carrier requirements, internal standards, and industry best practices.
• Provide professional and constructive feedback to franchise teams to improve estimating consistency and accuracy.
• Communicate with both franchise locations and carrier representatives through various digital platforms.
• Monitor trends and performance indicators to help identify training opportunities or process improvements.
• Support surge needs during catastrophe events or times of increased volume.

Full-Service Reviewer reviewing restoration service estimates for national company.

Restoration Reviewer

Full-Service Reviewer performing estimate reviews for a national restoration company. Ensuring accuracy and compliance in various restoration service estimates while supporting franchise teams.

• Testing online sweepstakes registration processes and user journeys
• Reviewing sign-up flows, KYC requirements, deposit methods, and bonus activation
• Evaluating platform usability, features, and overall user experience
• Producing clear, well-structured reviews and editorial content in alignment with standardized templates and guidelines
• Ensuring all content aligns with regulatory guidelines
• Documenting findings accurately and submitting deliverables on time
• Representing Signup Expert and our publishing partners professionally

Online Sweepstakes Reviewer for a leading online sweepstakes review publisher

Online Sweepstakes Reviewer – Paid Contract Position

Online Sweepstakes Reviewer producing high-quality written reviews and evaluating online sweepstakes platforms for a leading iGaming publisher. This remote, flexible role is perfect for gaining digital publishing experience.

Online Sweepstakes Reviewer supporting digital content creation in iGaming industry

Online Sweepstakes Reviewer – Paid Contract

Online Sweepstakes Reviewer creating high-quality written reviews for a leading iGaming publisher. Ideal for those interested in writing and digital content in a fast-growing industry.

Reviewer jobs in Florida

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