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)
Activities
The Risk Management Claims Specialist will assist with corporate insurance and risk management related matters supporting day-to-day administrative activities and management of regular in-house processes. They will also provide insurance and risk management support to various business units, which include insurance renewals, claims, contract reviews, budget/forecast variance analysis, as well as any project that requires corporate insurance assistance.
Responsibilities
Required Education & Experience
Management, specifically workers’ compensation, auto, GL and cargo claims.
Required Technical Skills
· Familiarity with Oracle Net Suite ERP is a plus.
Required Behavior Skills
Job Type: Full-time
Pay: $1.00 - $2.00 per hour
Benefits:
Work setting:
Ability to Relocate:
Work Location: In person
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0 Claims Quality Auditor jobs found in Lafayette, LA area