Claims Quality Auditor jobs in Milford, DE

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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Claims Analyst
  • Delaware Claims
  • Wilmington, DE FULL_TIME
  • Recent and Upcoming College Graduates are encouraged to apply, no experience needed. No sales or phone work required.


    Delaware Claims Processing Facility has openings in its downtown Wilmington, DE location for Claims Analysts


    Qualifications

    Ideal candidates will be hard working with a high energy level; the ability to remain focused and recall data is key. This position requires excellent organizational skills, and strong reading comprehension skills. Along with the ability to work independently in a team environment, candidates should be able to grasp new concepts quickly. Comfort in an ever-changing production environment, and Associates or Bachelor’s Degree needed. Must be able to learn and apply new concepts.


    Duties
    Review Claims in accordance with Review procedures. Take a proactive approach to claims processing and utilize resources to ensure proper handling of all claims. Maintain satisfactory or better quality and productivity standards. Portray a positive claimant focused attitude. Maintain a professional demeanor at all times.


    In addition to a pleasant and professional working environment, Delaware Claims Processing Facility offers a competitive salary and benefits package to include transportation allowance, tuition reimbursement, 401-K, hybrid work from home plans and more.


    Apply online here or visit our website to learn more about DCPF and what we can offer you www.delcpf.com


    Delaware Claims Processing Facility is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

  • 24 Days Ago

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DE - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Delaware, DE PART_TIME,CONTRACTOR
  • 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 fo...
  • 1 Month Ago

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Senior Quality and Compliance Specialist (GCP Auditor)
  • MMS
  • Wilmington, DE FULL_TIME
  • MMS is an innovative, data focused CRO that supports the pharmaceutical, biotech, and medical device industries with a proven, scientific approach to complex trial data and regulatory submission chall...
  • 3 Days Ago

2
Quality reviewer
  • 2M Quality
  • Georgetown, DE FULL_TIME
  • This is a part time, 1099 position. Job duties include : Looking at newly built homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professi...
  • Just Posted

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Quality reviewer
  • 2M Quality
  • Bridgeville, DE FULL_TIME
  • This is a part time, 1099 position. Job duties include : Looking at newly built homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professi...
  • 6 Days Ago

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Roof Field Technician
  • Hancock Claims Consultants Technicians
  • Castle, DE FULL_TIME
  • Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management. At Hancock, we are at ...
  • Just Posted

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0 Claims Quality Auditor jobs found in Milford, DE area

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Audit Sr Accountant
  • UHY LLP
  • Salisbury, MD
  • Position Summary: THE FOCUS IS YOU: We are looking to add an Audit Senior to help lead and guide our clients, in additio...
  • 4/28/2024 12:00:00 AM

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Financial Reporting Manager
  • Vaco
  • Wildwood, NJ
  • Financial Reporting ManagerWildwood, New JerseyOn-Site Primary responsibilities: Oversee budgeting and forecasting.Candi...
  • 4/28/2024 12:00:00 AM

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Network Engineer III | Cloud WAN| Terraform
  • Wolters Kluwer
  • Dover, DE
  • Basic FunctionThe Global Business Services (GBS) Network Management team oversees and supports Wolters Kluwers Enterpris...
  • 4/28/2024 12:00:00 AM

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Senior UiPath RPA Developer
  • Maximus
  • Dover, DE
  • Description & RequirementsWe are seeking a Senior UiPath RPA Developer to support our customers to develop and maintain ...
  • 4/28/2024 12:00:00 AM

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Senior Hierarchical Condition Category (HCC) Coding Specialist
  • Highmark Health
  • Dover, DE
  • Highmark Health Senior Hierarchical Condition Category (HCC) Coding Specialist Dover , Delaware Apply Now This job will ...
  • 4/28/2024 12:00:00 AM

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Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
  • Department Of The Treasury
  • Georgetown, DE
  • Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
  • 4/27/2024 12:00:00 AM

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Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
  • Department Of The Treasury
  • Salisbury, MD
  • Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
  • 4/27/2024 12:00:00 AM

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Senior Plant Ops Excellence Manager - (Packaging) Remote with Travel
  • Perdue Farms
  • Salisbury, MD
  • Perdue Foods is part of Perdue Farms, a family-owned company heading into its second century of growth and innovation. W...
  • 4/26/2024 12:00:00 AM

Milford is a city in Kent and Sussex counties in the U.S. state of Delaware. According to the 2010 census, the population of the city is 9,559. The Kent County portion of Milford is part of the Dover, DE Metropolitan Statistical Area and the Philadelphia-Reading-Camden, PA-NJ-DE-MD Combined Statistical Area, while the Sussex County portion is part of the Salisbury, MD-DE Metropolitan Statistical Area. Milford is located at 38°54′45″N 75°25′41″W / 38.91250°N 75.42806°W / 38.91250; -75.42806 (38.9126129, −75.4279748), along the Mispillion River, which runs through the city. According to the U...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$48,646 to $59,624
Milford, Delaware area prices
were up 1.0% from a year ago

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