1. What is the average salary of a Claims Quality Auditor III?
The average annual salary of Claims Quality Auditor III is $65,905.
In case you are finding an easy salary calculator,
the average hourly pay of Claims Quality Auditor III is $32;
the average weekly pay of Claims Quality Auditor III is $1,267;
the average monthly pay of Claims Quality Auditor III is $5,492.
2. Where can a Claims Quality Auditor III earn the most?
A Claims Quality Auditor III's earning potential can vary widely depending on several factors, including location, industry, experience, education, and the specific employer.
According to the latest salary data by Salary.com, a Claims Quality Auditor III earns the most in San Jose, CA, where the annual salary of a Claims Quality Auditor III is $82,711.
3. What is the highest pay for Claims Quality Auditor III?
The highest pay for Claims Quality Auditor III is $74,441.
4. What is the lowest pay for Claims Quality Auditor III?
The lowest pay for Claims Quality Auditor III is $56,452.
5. What are the responsibilities of Claims Quality Auditor III?
Audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Selects claims through random processes and/or other criteria. Makes recommendations to improve quality, workflow processes, policies and procedures. Typically requires an associate degree. Typically reports to a supervisor or a manager. A specialist on complex technical and business matters. Work is highly independent. May provide a leadership role for the work group through knowledge in the area of specialization. Typically requires 7+ years of related experience.
6. What are the skills of Claims Quality Auditor III
Specify the abilities and skills that a person needs in order to carry out the specified job duties. Each competency has five to ten behavioral assertions that can be observed, each with a corresponding performance level (from one to five) that is required for a particular job.
1.)
Confidentiality: The process of and obligation to apply and enforce rules and practices that ensure that specific types of information are accessible only to those authorized to use it.
2.)
Claim Reviews: A claims review is the process in which the underwriter reviews a claim to assure that it meets a set of standards.
3.)
Internal Audit: Internal auditing is an independent, objective assurance and consulting activity designed to add value to and improve an organization's operations. It helps an organization accomplish its objectives by bringing a systematic, disciplined approach to evaluate and improve the effectiveness of risk management, control and governance processes. Internal auditing achieves this by providing insight and recommendations based on analyses and assessments of data and business processes. With commitment to integrity and accountability, internal auditing provides value to governing bodies and senior management as an objective source of independent advice. Professionals called internal auditors are employed by organizations to perform the internal auditing activity. The scope of internal auditing within an organization is broad and may involve topics such as an organization's governance, risk management and management controls over: efficiency/effectiveness of operations (including safeguarding of assets), the reliability of financial and management reporting, and compliance with laws and regulations. Internal auditing may also involve conducting proactive fraud audits to identify potentially fraudulent acts; participating in fraud investigations under the direction of fraud investigation professionals, and conducting post investigation fraud audits to identify control breakdowns and establish financial loss.