Claims Quality Auditor jobs in Virginia Beach, VA

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)

R
Claims Administrator
  • Royal Plus
  • Berlin, MD FULL_TIME
  • Royal Plus, Inc. is currently seeking an Administrator to join our team located in our Hanover, MD office. Duties include, but are not limited to:  


    • Handle Emergency Mitigation/Restoration calls
    • Work closely with Estimators, Project Managers and Field Technicians
    • Data entry 
    • Spreadsheet maintenance 
    • Accounts receivable                   
    • Several other office duties assigned


    If you have proficient computer experience, great customer service skills and enjoy working in a fast-paced office, send us your resume today. We are looking to expand our team with the right candidate. 


    Hours are Monday through Friday 8:00 A.M. -5:00  P.M. with rotating evenings/weekends during peak season.  

     


    Qualification/Skills:


    • Must have a valid drivers license, with reliable transportation to and from work
    • Must be at least 18 years of age
    • 3 years of Excellent Customer Service experience
    • 3 years of QuickBooks experience 
    • 3 years of Microsoft Word, Excel & Outlook experience
    • 1 years of Commercial & Residential Restoration experience
    • 3 years of Data Entry & Spreadsheet Maintenance
    • 1 years of TPA experience: XactAnalysis, Alacrity & Symbility
    • Type 40 wpm
    • Knowledge of industry policies
    • Communicate well; verbally and written
    • Conduct themselves in a professional manner
    • Maintain Teamwork with Respect at all times
    • Maintain a positive attitude
    • Available weekends & holidays for on-call rotation after training.
    • Available to work overtime when required.
    • Available to travel with our CAT Team if needed
    • Personable and professional individual who makes a good first impression with customers


    Job Duties: 


    • Answer multi-line phone system
    • Dispatch Emergency Calls to our Mitigation Department
    • Schedule Reconstruction, Mold Remediation & Asbestos Abatement Inspections with local Estimator
    • Create job files & enter customer's information into company software.
    • Data Entry
    • Spreadsheet Maintenance
    • Invoicing
    • Post payments
    • Job Tracking
    • Work closely with Project Managers, Insurance Carriers/Adjusters & Property Management Groups
    • Update TPA notes and correspondence from Adjusters



    Physical Requirements:


    • While performing the duties of this job, the employee is regularly required to sit or stand for extended periods of time. Normal manual dexterity is required.
    • Normal speaking and hearing abilities to interact with others in an office environment, over telephone or other video conferencing platform.
    • The employee is occasionally required to stand; walk; and reach with hands and arms and continuously repeat the same hand, arm finger motion many times as in typing.



    Benefits:


    • Health, Dental, Vision, Life Insurance (Eligible 1st of the month after 60 days)
    • Paid Vacation days (one (1) week, or five (5) days, of paid vacation after one (1) year of employment. Two (2) weeks, or ten (10) days of paid vacation after three (3) years of employment. Three (3) weeks, or fifteen (15) days of paid vacation after seven (7) years of employment)
    • Paid Holidays (Eligible after ninety (90) days of full-time employment)
    • AFLAC supplemental insurance
    • 401(k) with Match Plan (Royal Plus will match employee’s deferral up to maximum of 3% of employee

    compensation)



    Equal Employment Opportunity: As an Equal Opportunity Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability

  • 25 Days Ago

Q
Service Technician ID:9111486653
  • Quality Equipment
  • Fairfield, NC FULL_TIME
  • Now hiring in Fairfield, NC We are a John Deere dealer with 36 locations serving a diverse group of agricultural, commercial, and residential customers in North Carolina, South Carolina, and Virginia....
  • 1 Month Ago

O
Night Auditor
  • OTO Development
  • Ocean, MD FULL_TIME
  • Nationally: $13.20 - $15.10*Rate depends upon state/market and experience*OTO Development is pleased to announce a wonderful opportunity for a Night Auditor. What will you be doing most days?Execute g...
  • 20 Days Ago

L
Night Auditor
  • Landmark Hotel Group
  • Virginia, VA FULL_TIME
  • $250 Sign-on Bonus!Night Auditor/ PM Front Desk ClerkPart Time and Full Time Opportunities At Landmark, PEOPLE are our business. Serving our guests, clients, and team members is our PASSION! Be part o...
  • 22 Days Ago

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Compliance Auditor
  • Professional Hospitality Resources, Inc. and Ocean Beach Club LLC
  • Virginia, VA OTHER
  • Overview The Compliance Auditor performs financial and operational audits to determine awareness, and compliance with Gold Key/PHR’s polices, processes and procedures. Responsibilities Develop a compl...
  • 8 Days Ago

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Compliance Auditor
  • Professional Hospitality Resources, Inc. and Ocean...
  • Virginia, VA FULL_TIME
  • Overview: The Compliance Auditor performs financial and operational audits to determine awareness, and compliance with Gold Key/PHR’s polices, processes and procedures. Responsibilities: Develop a com...
  • 8 Days Ago

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0 Claims Quality Auditor jobs found in Virginia Beach, VA area

Virginia Beach is located at 36°51′02″N 75°58′40″W / 36.8506°N 75.9779°W / 36.8506; -75.9779 (Virginia Beach). According to the United States Census Bureau, the city has a total area of 497 square miles (1,290 km2), of which 249 square miles (640 km2) is land and 248 square miles (640 km2) (49.9%) is water. It is the largest city in Virginia by total area and third-largest city land area. The average elevation is 12 feet (3.7 m) above sea level. A major portion of the city drains to the Chesapeake Bay by way of the Lynnhaven River and its tributaries. The city is located at the southeaster...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$43,956 to $53,876
Virginia Beach, Virginia area prices
were up 1.2% from a year ago

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