Claims Quality Auditor I
Claims Quality Auditor I audits processed claims to evaluate accuracy, compliance, and adherence to policies, procedures, and regulatory requirements. Reviews claim decisions, payments, coding, and documentation against established standards and criteria. Being a Claims Quality Auditor I identifies errors, discrepancies, and trends and documents findings clearly and objectively. Documents accuracy rates and prepares audit reports summarizing results and recommendations. Additionally, Claims Quality Auditor I ensures compliance with company guidelines, audit standards, and applicable regulations. Requires a bachelor's degree. Typically reports to a manager. The Claims Quality Auditor I work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Quality Auditor I typically requires 0-2 years of related experience.
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- Claims Quality Auditor I Salaries with No Diploma
- Claims Quality Auditor I Salaries with a High School Diploma or Technical Certificate
- Claims Quality Auditor I Salaries with an Associate's Degree
- Claims Quality Auditor I Salaries with a Bachelor's Degree
- Claims Quality Auditor I Salaries with a Master's Degree or MBA
- Claims Quality Auditor I Salaries with a JD, MD, PhD or Equivalent
