Claims Quality Auditor jobs in Colorado Springs, CO

Claims Quality Auditor audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Selects claims through random processes and/or other criteria. Being a Claims Quality Auditor makes recommendations to improve quality, workflow processes, policies and procedures. Typically requires an associate degree. Additionally, Claims Quality Auditor typically reports to a supervisor or a manager. The Claims Quality Auditor gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Quality Auditor typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Security Specialist / Quality Assurance Auditor
  • NANA Regional Corporation
  • Colorado, CO OTHER
  • Work Where it Matters

    Akima Facilities Operations (AFO), an Akima company, is not just another federal facilities contractor. As an Alaska Native Corporation (ANC), our mission and purpose extend beyond our exciting federal projects as we support our shareholder communities in Alaska.

    At AFO, the work you do every day makes a difference in the lives of our 15,000 Iñupiat shareholders, a group of Alaska natives from one of the most remote and harshest environments in the United States.

    For our shareholders , AFO provides support and employment opportunities and contributes to the survival of a culture that has thrived above the Arctic Circle for more than 10,000 years.

    For our government customers , AFO sustains mission readiness and ensures quality of life by maintaining high value assets and operations at peak performance and successfully manages these operations through accurately forecasting, managing, and aggressively controlling costs.

    As an AFO employee , you will be surrounded by a challenging, yet supportive work environment that is committed to innovation and diversity, two of our most important values. You will also have access to our comprehensive benefits and competitive pay in addition to growth opportunities and excellent retirement options.

    Job Summary

    The Quality Assurance Auditor / Security Specialist conducts internal audits IAW ISO 9001:2015. The Auditor understands and applies ISO concepts, principles, and requirements. May also conduct audits and provide other assistance in other functional Departments. Performs Personnel and Physical Security duties.

    Plans and completes work independently. Performs independent analysis, determines scope and course of action required, and develops plans to resolve supply related problems. Monitors and ensures timely resolution of problems. Develops procedures, work instructions, and other documents to enhance supply functions. Provides subject matter expertise and advice in all related functions.

    Job Responsibilities:

    • Uses DoD Publications, Army Regulations (ARs), Army Pamphlets (DA Pams), Technical Manuals, Performance Work Statement (PWS), and other written publications and directives in the performance of required audits and duties.

    • Evaluates the implementation and the effectiveness of the Quality Management System (QMS) IAW ISO 9001:2015 requirements and standards.

    • Conducts internal audits IAW ISO 9001:2015. Evaluates departments performance based on ISO, statutory, regulatory, PWS (contractual), and QMS requirements.

    • Develops and updates internal audit checklists to use when conducting internal audits.

    • Evaluates internal audit findings and results. Prepares and submits audit reports, evaluates responses, and assists with follow-up and corrective actions as directed.

    • Evaluates, investigates, and tracks Government evaluations and findings. Ensures timely response, evaluates responses, and assists with follow-up and corrective actions as directed.

    • Conducts analysis and reviews problems to determine if problems are human error or systemic. Develops and recommends courses of action to correct problems.

    • Identifies areas for improvement. Initiates and monitors Opportunities for Improvement (OFIs) IAW applicable procedures.

    • Coordinates preparation, production and submission of Quality Deficiency Reports and associated documentation.

    • Initiates, monitors, and assists with resolving Corrective Action Requests (CARs) and Preventive Action Requests (PARs) as directed IAW applicable procedures.

    • Conducts process and product measurements and analysis IAW ISO 9001:2015. This may include developing performance measurements and metrics that include charts, graphs, reports, etc. Collects, evaluates, and analyzes data to determine performance trends. Assesses whether the Quality Policy and Quality Objectives are being met.

    • Provides input, develops and updates presentation slides, and participates in Quality Reviews, Management Reviews, Process Improvement Team (PITs), and other events as directed.

    • Uses technical writing skills to prepare reports, technical papers, procedures, work instructions, and other documents and correspondence as directed. Assists with the development, update, and review of procedures, work instructions, flow charts, and other documents as directed.

    • Request duplicates keys, lock repair/change request combination change as required by AR’s. Conducts Semi-annual and Annual key inventories. Issues keys to authorized users.

    • Coordinates with personnel in completing documents for NACI or Secret clearance. Assist with e-QIP entry. Completes fingerprints and forms needed for employees. Processes DA form 7708 and DA Form 2875s.

    • Maintains employee security data base. Issues appointment orders. Adds employees into the ASC G2 Database. Conducts foreign travel briefing and debriefings.

    • Conducts physical security inspections.

    • Maintains the Quality Document System database, reviews and updates publications as needed.

    • Develops training plans and other related programs to enhance operations. Conducts training when required.

    • Other duties as assigned.

    Minimum Qualifications:

    • High School graduate or equivalent. Formal civilian or formal military training in transportation operations and management are desirable although on-the-job experience may be considered as a substituted for formal training. ISO 9001:2015 training highly desired.

    • A minimum of five years experience that includes professional management, investigative skills, technical skills, and other responsible work that demonstrates sound judgment and analytical ability which has provided a wide-ranging knowledge of the transportation field.

    • Knowledge and experience with analysis of transportation functions, BBPCT operations, hub and spoke operations, and related AISs are very desirable.

    • Working knowledge of ISO 9001:2015 highly preferred.

    • A minimum of three years’ experience on physical and personnel security.

    • Must possess and continuously maintain a current State of Colorado Driver’s License prior to start date or by 30 days after employment.

    Pay and Benefits

    • $70,000 – $75,000 – The salary offered to the successful candidate will be determined based on the candidate’s qualifications, work experience, and their ability to meet the known requirements of the position as determined at the time of hire. Job location will also be a factor in determining the salary offered.

    • The company offers a comprehensive benefits program, including medical, dental, vision, life insurance, 401(k) and a range of other voluntary benefits.

    • Paid Leave: Paid Time Off (PTO) is offered to regular full-time and part-time employees.

    We are an equal opportunity employer. All applicants will receive consideration for employment, without regard to race, color, religion, creed, national origin, gender or gender-identity, age, marital status, sexual orientation, veteran statu, disability, pregnancy or parental status, or any other basis prohibited by law. If you are an individual with a disability, and would like to request a reasonable accommodation for any part of the employment process, please contact us at job-assist@akima.com or 571-353-7053 (information about job applications status is not available at this contract information).

    Job: Security, Intelligence & Defense Analysis

    Travel: No

    Organization: AFO

    Clearance: Able to Obtain Secret

    Shift: Day Job

    Work Type: On-Site

    Req ID: AFO00286

  • 10 Days Ago

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Registered Nurse Labor and Delivery
  • Quality Clinicians
  • Cortez, CO FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $1300 - $2300/week Multiple shift openings Job Description/Responsibiliti...
  • Just Posted

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Night Auditor
  • Madeline Hotel and Residences
  • Mountain Village, CO FULL_TIME
  • Company Description Unveiling Madeline’s complete transformation... A refreshed palette of earthen hues and artful details inspired by the texture and topography of the surrounding Colorado landscape ...
  • 13 Days Ago

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Night Auditor
  • Courtyard Colorado Springs North / Air Force...
  • Colorado, CO FULL_TIME
  • The Courtyard by Marriott North Colorado Springs is currently looking for hardworking, energetic and passionate people to join our team in the role of Night Auditor. This is a Full Time opportunity, w...
  • 16 Days Ago

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Revenue Auditor
  • Full House Resorts
  • Cripple Creek, CO FULL_TIME
  • ESSENTIAL JOB DUTIES AND RESPONSIBILITIES: Verifies all money transactions handled by the Cage and Black Jack, Roulette and Craps Tables. Audits transactions for accuracy, theft and account variances....
  • Just Posted

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Night Auditor
  • Comfort Inn & Suites Durango
  • Durango, CO PART_TIME
  • The Comfort Inn & Suites Durango is looking for a Front Desk Agent to work the Night Audit shift. The shift is 11pm to 7am. The Night Audit works alone and is responsible for checking in and taking ca...
  • 1 Day Ago

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0 Claims Quality Auditor jobs found in Colorado Springs, CO area

Colorado Springs is a home rule municipality that is the largest city by area in Colorado as well as the county seat and the most populous municipality of El Paso County, Colorado, United States. Colorado Springs is located in the east central portion of the state. It is situated on Fountain Creek and is located 60 miles (97 km) south of the Colorado State Capitol in Denver. At 6,035 feet (1,839 m) the city stands over 1 mile (1.6 km) above sea level, though some areas of the city are significantly higher and lower. Colorado Springs is situated near the base of Pikes Peak, which rises 14,115 f...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$45,749 to $56,074
Colorado Springs, Colorado area prices
were up 2.3% from a year ago

Claims Quality Auditor in Bloomington, IN
Evaluates claims activities of other departments and / or companies.
December 05, 2019