How much does a Claims Quality Auditor III make in the United States? The average Claims Quality Auditor III salary in the United States is $64,003 as of April 24, 2024, but the range typically falls between $56,862 and $70,936. Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession. With more online, real-time compensation data than any other website, Salary.com helps you determine your exact pay target. 

Claims Quality Auditor III Salaries by Percentile
Percentile Salary Location Last Updated
10th Percentile Claims Quality Auditor III Salary $50,361 US April 24, 2024
25th Percentile Claims Quality Auditor III Salary $56,862 US April 24, 2024
50th Percentile Claims Quality Auditor III Salary $64,003 US April 24, 2024
75th Percentile Claims Quality Auditor III Salary $70,936 US April 24, 2024
90th Percentile Claims Quality Auditor III Salary $77,249 US April 24, 2024
25% $56,862 10% $50,361 90% $77,249 75% $70,936 $64,003 50%(Median) Didn’t find job title? Click
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What skills does a Claims Quality Auditor III need?

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.

Confidentiality 6.45%
Claim Reviews 3.23%
Internal Audit 3.23%
Others 87.09%

Job Description for Claims Quality Auditor III

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. Being a Claims Quality Auditor III makes recommendations to improve quality, workflow processes, policies and procedures. Typically requires an associate degree. Additionally, Claims Quality Auditor III typically reports to a supervisor or a manager. Claims Quality Auditor III is 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. To be a Claims Quality Auditor III typically requires 7+ years of related experience. (Copyright 2024 Salary.com)... View full job description

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Job Openings for Claims Quality Auditor III
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    - 1 Month Ago
  • Take your tractor trailer and estimating skills out of the shop and into the field with a career as a Commercial Auto Claims Field Adjuster. This position ...
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Career Path for Claims Quality Auditor III

A career path is a sequence of jobs that leads to your short- and long-term career goals. Some follow a linear career path within one field, while others change fields periodically to achieve career or personal goals.

For Claims Quality Auditor III, the upper level is Claims Quality Audit Supervisor and then progresses to Claims Quality Audit Manager.

Those that have already made the climb...
Raymond V. Damadian, Chairman of the Board; Acting Principal Financial Officer; Director
FONAR Corporation, together with its subsidiaries, engages in the research, development, production, and marketing of magnetic resonance imaging (MRI) scanners for the detection and diagnosis of human diseases in the United States. The company operates in two segments, Medical Equipment, and Physician Management and Di... More
Fiscal Year Ended in 2022
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Claims Quality Auditor III salary varies from city to city. Compared with national average salary of Claims Quality Auditor III, the highest Claims Quality Auditor III salary is in San Francisco, CA, where the Claims Quality Auditor III salary is 25.0% above. The lowest Claims Quality Auditor III salary is in Miami, FL, where the Claims Quality Auditor III salary is 3.5% lower than national average salary.

City, State Compared to national average
City, State San Francisco, CA Compared to national average
+ 25.0%
City, State Washington, DC Compared to national average
+ 11.3%
City, State Miami, FL Compared to national average
-3.5%
City, State Chicago, IL Compared to national average
+ 4.9%
City, State Boston, MA Compared to national average
+ 12.1%
City, State New York, NY Compared to national average
+ 16.8%
City, State Dallas, TX Compared to national average
-1.3%

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Average Base Salary

Core compensation

 
 
 
56862
70936
64003

Average Total Cash Compensation

Includes base and annual incentives

 
 
 
58099
74114
66018
These charts show the average base salary (core compensation), as well as the average total cash compensation for the job of Claims Quality Auditor III in the United States. The base salary for Claims Quality Auditor III ranges from $56,862 to $70,936 with the average base salary of $64,003. The total cash compensation, which includes base, and annual incentives, can vary anywhere from $58,099 to $74,114 with the average total cash compensation of $66,018.
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56862
70936

 

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Skills associated with Claims Quality Auditor III: AD-hoc Audits, Claim Investigation, Claim Reviews, Claim Settlement Policies ...More

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Claims Quality Auditor III Salary in United States
Claims Quality Auditor III Salary Graph, Regional Distribution and Summary