Average Salary for Jobs with Claim Process Improvement Skills

Directs the claims quality audit function to ensure accuracy, compliance, and consistency across all claims operations. Oversees managers, supervisors, and auditors responsible for evaluating claim handling, decisions, and payments. Develops audit strategy, methodologies, and quality standards aligned with regulatory and organizational requirements. Analyzes audit results and error trends to ident... View job details

Manages the claims quality audit team to ensure accurate, consistent, and compliant evaluation of claims handling and outcomes. Oversees audit planning, execution, and reporting in accordance with established standards and schedules. Develops audit criteria, sampling methods, and quality metrics to measure performance and identify risks. Reviews audit findings, identifies root causes, and recommen... View job details

Supervises a team of claims quality auditors to ensure timely and accurate evaluation of claims handling and decisions. Assigns and monitors audit workload to meet established schedules, sampling targets, and quality standards. Reviews completed audits to verify accuracy, consistency, and adherence to audit criteria. Provides coaching, training, and technical guidance to support auditor developmen... View job details

Audits processed claims to evaluate accuracy, compliance, and adherence to policies, procedures, and regulatory requirements. Reviews claim decisions, payments, coding, and documentation against established standards and criteria. Identifies errors, discrepancies, and trends and documents findings clearly and objectively. Documents accuracy rates and prepares audit reports summarizing results and ... View job details

Audits processed claims to evaluate accuracy, compliance, and adherence to policies, procedures, and regulatory requirements. Reviews claim decisions, payments, coding, and documentation against established standards and criteria. Identifies errors, discrepancies, and trends and documents findings clearly and objectively. Documents accuracy rates and prepares audit reports summarizing results and ... View job details