Claims Quality Auditor III
Claims Quality Auditor III 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 III 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 III ensures compliance with company guidelines, audit standards, and applicable regulations. Requires a bachelor's degree. Typically reports to a manager. The Claims Quality Auditor III work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. To be a Claims Quality Auditor III typically requires 4-7 years of related experience.
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- Claims Quality Auditor III Salaries with No Diploma
- Claims Quality Auditor III Salaries with a High School Diploma or Technical Certificate
- Claims Quality Auditor III Salaries with an Associate's Degree
- Claims Quality Auditor III Salaries with a Bachelor's Degree
- Claims Quality Auditor III Salaries with a Master's Degree or MBA
- Claims Quality Auditor III Salaries with a JD, MD, PhD or Equivalent
