Claims Quality Auditor jobs in Fort Myers, FL

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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FL - Fort Myers - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Fort Myers, FL FULL_TIME
  • 1099 Property Claims Adjuster

    Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA.

    Copper Claims Services excels in providing custom claims solutions for Property and Casualty, Transportation and High Net Worth, with an emphasis on Specialized Programs.

    We are currently looking for licensed adjusters (or individuals who will obtain their license upon onboarding) to assist with daily claims handling for the Florida area. In this role, you will manage, investigate and resolve homeowner and commercial property losses of moderate to severe complexity with minimal supervision to include completing field investigations, evaluating and analyzing coverage, completing property damage estimates, reporting findings to various clients, and handling files to the conclusion of the claim.

    In this role, you will:

    • Handle claims during local catastrophes
    • Complete field investigations including inspections, interviews, preparing diagrams, taking photographs, and various other tasks
    • Analyze insurance coverage issues on specific claims and make appropriate recommendations to our clients
    • Prepare detailed estimates in Xactimate based on our client’s specifications and parameters
    • Prepare clear, concise, and timely narrative reports for our clients
    • Create ITV reports
    • Evaluate co-insurance calculations and penalties if applicable
    • Maintain continuous and professional communication with our clients to ensure their needs are being met.
    • Analyze and evaluate damages including reserves, property estimates, business personal property inventories, business interruption, and business income losses
    • Investigate, analyze, adjust and negotiate settlements with insured’s in compliance with our client’s direction
    • Coordinate and oversee vendors such as emergency service contractors, origin and cause investigators, general contractors, engineers, etc.

    Qualifications:

    • 5 years of field Property adjusting experience
    • Ability to climb ladders/Access roofs
    • Thorough knowledge and understanding of roofing, HVAC, and various other mechanical specialties
    • Knowledge of Commercial Lines insurance policies
    • Proficient in Xactimate including Sketch
    • Previous experience with Xactanalysis preferred
    • Proficient in Microsoft Office (Word, Excel, and Outlook)
    • Effective negotiation skills
    • Ability to effectively and independently manage workload
    • Proven ability to provide exceptional customer service
    • Strong written and verbal communication skills
    • Exceptional organization and time management skills

    Job Type: Full-time

    Pay: $30.00 - $35.00 per hour

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work setting:

    • Outdoor work

    Work Location: On the road

  • 1 Month Ago

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SIU Investigator
  • Claims Investigation Agency
  • Naples, FL TEMPORARY,CONTRACTOR
  • Surveillance Investigators needed for South Florida. (TriCounty) Claims Investigation Agency, Inc. is a well-known and respected and continuously growing investigative company that has been in busines...
  • 22 Days Ago

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Scheduler
  • Elite Claims Consultants LLC
  • Estero, FL FULL_TIME
  • Overview:As a Scheduler, your primary responsibility is to efficiently manage and coordinate appointments between insurance adjusters and claimants or policyholders. Operating in a fully remote capaci...
  • 16 Days Ago

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Claims Analyst
  • Herc Rentals
  • Springs, FL FULL_TIME
  • Founded in 1965, Herc Rentals is one of the leading equipment rental suppliers in North America with trailing twelve month total revenues of nearly $2.7 billion as of September 30, 2023. Herc Rentals'...
  • 20 Days Ago

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Claims Analyst
  • Lee County Electric Cooperative
  • North Fort Myers, FL FULL_TIME
  • Claims Analyst Category Risk & Compliance Job Location 4980 Bayline Drive, North Fort Myers, Florida Tracking Code 658-376 Position Type Full-Time/Regular JOB TITLE: Claims Analyst Location: North For...
  • 5 Days Ago

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Claims Adjuster
  • Herc Rentals
  • Springs, FL FULL_TIME
  • Founded in 1965, Herc Rentals is one of the leading equipment rental suppliers in North America with trailing twelve month total revenues of nearly $3.3 billion as of December 31, 2023. Herc Rentals’ ...
  • 12 Days Ago

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0 Claims Quality Auditor jobs found in Fort Myers, FL area

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Lead Coding Education Specialist
  • Lee Health
  • Cape Coral, FL
  • Location:Santa Barbara Professional Center -224 Santa Barbara BlvdCape Coral FL 33991 Department: Coding Work Type: Full...
  • 4/26/2024 12:00:00 AM

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Center Clinical Manager - Bilingual: Spanish
  • Chenmed
  • Fort Myers, FL
  • Were unique. You should be, too. Were changing lives every day. For both our patients and our team members. Are you inno...
  • 4/25/2024 12:00:00 AM

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Patient Care Manager Assistant, LPN
  • LHC New
  • Fort Myers, FL
  • Summary We are hiring an LPN Patient Care Manager Assistant! Must have FL LPN License. The Home Health Patient Care Mana...
  • 4/25/2024 12:00:00 AM

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Service and Repair Buyer Planner II (Remote)
  • Arthrex
  • Fort Myers, FL
  • Arthrex, Inc. is a global medical device company and a leader in new product development and medical education. We are a...
  • 4/24/2024 12:00:00 AM

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Production Manager
  • Parker Aerospace
  • Naples, FL
  • Parker Aerospace Group is a global leader in commercial and military aircraft and aero-engine technology. With the addit...
  • 4/23/2024 12:00:00 AM

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Construction Controller
  • Express Employment Professionals - Fort Myers
  • Fort Myers, FL
  • Our esteemed client, a leading and rapidly growing commercial construction company based in Fort Myers, is seeking a tal...
  • 4/23/2024 12:00:00 AM

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Center Clinical Manager - Bilingual: Spanish
  • ChenMed
  • Fort Myers, FL
  • We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you in...
  • 4/23/2024 12:00:00 AM

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Delivery Coordinator
  • Floor & Decor Holdings, Inc.
  • Fort Myers, FL
  • Base Pay This role has a minimum base pay from $15.00 per hour with higher starting pay available based on experience. P...
  • 4/22/2024 12:00:00 AM

Fort Myers or Ft. Myers, is the county seat and commercial center of Lee County, Florida, United States. It has grown rapidly in recent years. As of the 2010 census, the city population was 62,298 and in 2017 was estimated at 79,943. Fort Myers is a gateway to the Southwest Florida region and a major tourist destination within Florida. The winter estates of Thomas Edison ("Seminole Lodge") and Henry Ford ("The Mangoes") are major attractions. The city is named after Colonel Abraham Myers....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$43,036 to $52,749
Fort Myers, Florida area prices
were up 1.5% from a year ago

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