Claims Quality Auditor jobs in Omaha, NE
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)
Recently Added Claims Quality Auditor jobs
Claims/QC Auditor
- Chubb INA Holdings Inc.
-
Omaha, NE
FULL_TIME
-
Audit claims to assure accurate and timely payment and to test the work product of claims adjusters.
Essential Job Duties and Responsibilities:
Performs claims auditing functions, including but not limited to:
Opening claims, assigning claim numbers, entering claims data into computer, etc. in a timely manner.
Checking losses to ensure that all supporting documentation is included and auditing claims according to established guidelines.
Entering loss information on computer system.
Confirming accuracy of information against error listings and corrects errors.
Referring problem files to appropriate supervisor or manager.
Answer questions from adjusters, agents, field staff, and insures about claim status and procedures.
Generating and distributing various reports, such as claim forms, claim progress reports, and loss drafts.
Performs various quality control functions, including but not limited to:
Generating quality control documents, reports and distributing as directed.
Entering completed quality control reviews on computer system.
Informing appropriate staff of the review process and results.
Making changes in policies as necessary to reflect QC audit results.
Maintaining records of agent and adjuster training hours as necessary.
Assist with other duties as necessary.
Qualifications
High School or GED required and at least 6 months as an Claims/QC Assistant at Rain and Hail or at least one year of previous underwriting or claims auditing experience or a baccalaureate degree.
Knowledge, Skills, and Abilities:
Ability to learn and apply detailed information about the Company’s products, services, processes and systems.
Ability to organize and prioritize multiple tasks.
Ability to work in a team oriented environment.
Ability to effectively communicate and maintain business relationships with Company personnel, outside resources and customers.
Ability to comprehend agents’ questions and concerns with regard to claims and to provide correct, courteous answers.
Ability to learn and use the company’s terminology, procedures and systems.
Ability to learn and develop skills in the use of department equipment.
Ability to perform basic and complex mathematical calculations.
Ability to remain calm and professional during peak periods of activity.
Ability to work from oral and written communication.
Ability to maintain confidentiality.
Ability to assist in other work-related areas as required.
EEO Statement
At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion,and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin,ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law.Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliationagainst any individual who reports discrimination or harassment. - 1 Month Ago
Claims Quality Analyst - Crop
- USA4 QBE Insurance Corporation
-
Council, IA
FULL_TIME
- Primary Details Time Type: Full time Worker Type: Employee The Opportunity Support internal and external customers by responding to claims file inquiries, typically low cost and/or low complexity clai...
- 10 Days Ago
Claims Quality Analyst - Crop
- QBE Americas, Inc.
-
Council, IA
FULL_TIME
- Primary DetailsTime Type: Full timeWorker Type: EmployeeThe OpportunitySupport internal and external customers by responding to claims file inquiries, typically low cost and/or low complexity claims, ...
- 11 Days Ago
Salesforce Analyst
- Premier Claims
-
Omaha, NE
FULL_TIME
- Job Overview: We are seeking a highly skilled Analyst to join our team. As an Analyst, you will be responsible for analyzing data, developing insights, and providing recommendations to support busines...
- 2 Days Ago
Auditor
- Artech LLC
-
Elkhorn, NE
FULL_TIME
- AUDITOR ELKHORN, NE Mon-Friday- 7-3:30pm The pay for this position is $20 per hour. Required Skills: HS Diploma or equivalent required. Analytical, scientific, and mechanical trouble shooting skills. ...
- 11 Days Ago
Claims Administrator
- TEKsystems
-
Omaha, NE
FULL_TIME
- Description: Will assist Claims Examiners in collecting evidence to attest or obtain. Will collect and review documents and must have an eye for detail! Provide basic support for all Claim Operations ...
- 1 Day Ago
Filters
- Filter Jobs By posted time
- Within 1 Day
- Within 2-7
- Within 1 Month
- Within 3 Months
0 Claims Quality Auditor jobs found in Omaha, NE area
Sr. Compliance Analyst, FNTS
- First National Bank of Omaha (FNBO)
-
Omaha, NE
- ABOUT FNTS As a nationally recognized Cloud Service Provider, FNTS has a proven history guiding our customers through th...
- 4/26/2024 12:00:00 AM
Store Manager - Carter Lake, IA
- Casey's Inc.
-
Carter Lake, IA
- **External** **- job** **_description & what_** **_you'll_** **_do as manager_** Caseys is looking for business professi...
- 4/26/2024 12:00:00 AM
Clean Sugar Logistics Coordinator
- Green Plains, Inc.
-
Omaha, NE
- Job Description Summary: We are seeking a dynamic Clean Sugar Logistics Coordinator to manage the end-to-end shipment lo...
- 4/26/2024 12:00:00 AM
Quality Assurance Manager
- Sprinkk
-
Omaha, NE
- Join Sprinkk as Quality Manager! Are you a seasoned Quality Manager with a passion for food safety and quality managemen...
- 4/25/2024 12:00:00 AM
Learning Technology Manager
- Scooter's Coffee
-
Omaha, NE
- LOCATION An office-first employee is an employee within the Greater Omaha Metropolitan Area whose default work location ...
- 4/24/2024 12:00:00 AM
Administrative Assistant
- Lucas James Talent Partners
-
Omaha, NE
- We are working with Conagra to find them their next Administrative Assistant in Omaha. Reporting to the VP of EHS, you w...
- 4/24/2024 12:00:00 AM
Supervisory Internal Revenue Agent - MSP, 12 Month Roster, Temp Prom NTE 1 Year, MBE, MBMP
- Department Of The Treasury
-
Omaha, NE
- Duties WHAT IS THE SMALL BUSINESS/SELF-EMPLOYED (SB/SE) DIVISION? A description of the business units can be found at: h...
- 4/22/2024 12:00:00 AM
Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
- Department Of The Treasury
-
Omaha, NE
- Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
- 4/22/2024 12:00:00 AM
About Omaha, Nebraska
Omaha (/ˈoʊməhɑː/ OH-mə-hah) is the largest city in the state of Nebraska and the county seat of Douglas County. Omaha is located in the Midwestern United States on the Missouri River, about 10 miles (15 km) north of the mouth of the Platte River. The nation's 40th-largest city, Omaha's 2018 estimated population was 466,061.
Omaha is the anchor of the eight-county, bi-state Omaha-Council Bluffs metropolitan area. The Omaha Metropolitan Area is the 59th largest in the United States, with an estimated population of 944,316 (2018). The Omaha-Council Bluffs-Fremont, NE-IA Combined Statistical Are...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$43,726 to $53,594
Omaha, Nebraska area prices
were up 0.8% from a year ago
were up 0.8% from a year ago
What does a Claims Quality Auditor do?
Claims Quality Auditor in Bloomington, IN
Evaluates claims activities of other departments and / or companies.
December 05, 2019