Claims Quality Auditor
VirtualVocationsSpringfield, Massachusetts, United Statesjob_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Claims Quality Auditor to perform comprehensive audits of claims and identify incorrect payments.
Key Responsibilities
Conduct quality audits of claims using various sources of information
Analyze errors to determine root causes and classify them appropriately
Utilize audit software to document audit observations and facilitate corrective action plans
Required Qualifications
Associate's degree in a related field or equivalent experience
2+ years of experience in medical or pharmacy claims processing, training, or auditing
Knowledge of claim software systems and Microsoft Office applications
Familiarity with Medicaid and Medicare reimbursement rules
Preferred knowledge of CPT / HCPCS Coding
serp_jobs.job_alerts.create_a_job
Quality Auditor • Springfield, Massachusetts, United States
Job_description.internal_linking.related_jobs
Inventory Control And Quality Assurance Auditor.Our focus is simple but meaningful, from our distribution centers to our offices every employee of C&S and their family of companies works to help f...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Claims Focus Group Leader, as per Beazley's organisation chart.Claims Team Heads of ("Heads of"), Claims Team Leaders ("CTLs"), Claims Business Management Team ("CBMT"), direct reports, Underwritin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
The Senior Premium Auditor is responsible for conducting both virtual and minimal physical audits of the highest complexity to ensure the accuracy of earned premium risk calculations.This role supp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_hour Job Title : Claims Assistant.Division : Beazley Shared Services.Reports To : As per Beazley's organisation chart.Key Relationships : Claims s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
At Selective, we don't just insure uniquely, we employ uniqueness.Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
MUST BE LOCAL • • 1 position for - Train QA lead < / p&...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
This is the main job post content.Please focus on the core details and formatting as requested.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Our focus is simple but meaningful, from our distribution centers to our offices every employee of C&S and their family of companies works to help feed local families, neighbors, and communities.T...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
Insurance Accounting Trainer / Quality Leader.The Insurance Accounting Trainer / Quality Leader plays a key leadership role within the Insurance Accounting department by serving as a subject matter exp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Focus on the core content of the job post, removing all extra metadata, navigation, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
The Quality Auditor will work within ServiceNet's programs and be responsible for developing and implementing quality assurance strategies, conducting audits and reviews of ServiceNet programs, and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Gig Workers Wanted! Are you tired of working for someone else? Have you thought about building a business for yourself? If you answered yes to either question – Welcom...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
The Claims Examiner is responsible for liability claims in the areas of : investigation, evaluation, reserving, negotiation and resolution of the companies’ claims in multiple jurisdictions.Th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
The Quality Assurance Manager is responsible for managing and enforcing all quality assurance and (QA) operations at GTI's production facilities.
Specifically, the Quality Assurance Manager will pla...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Medical Claim Services Hybrid schedule.T, W & Th in the office in Hartford, CT or Morristown, NJ and M & F remote work from home days.
The Director, Category Management is an individual contributor ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Senior Technical Claims Specialist.Liberty Mutual has an immediate opening for a Senior Technical Claims Specialist to join our Energy Complex Team.
The Senior Technical Claims Specialist determines...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outco...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Manage specialty claims supporting some or all the following products : Employment Practices Liability (EPL), Miscellaneous Professional Liability (MPL), Cyber Liability, and Contractors Errors & Om...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Management Liability Claims Specialist.IAT Insurance Group has an immediate opening for a Management Liability Claims Specialist that can be located in any of our IAT locations.This role works a hy...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Manager Reinsurance Claims and Collections (Ceded).This role is responsible for managing reinsurance claims and collections for North American ceded business within Reinsurance Finance and reports...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
- serp_jobs.job_card.promoted
Inventory Control Quality Assurance Auditor
C&S Wholesale GrocersWestfield, MA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Claims Manager
Beazley GroupWest Hartford, Connecticut, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Senior Premium Auditor
AmTrust FinancialSouthington, CT, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Claims Assistant
Beazley GroupWest Hartford, Connecticut, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Sr. Premium Auditor - State of Connecticut
Selective InsuranceHartford, Connecticut, United Statesserp_jobs.job_card.full_time
Train QA lead
Akaasa TechnologiesNew Hartford, CT, United Statesserp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
Claim Director
ChubbSimsbury, CT, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Inventory Control and Quality Assurance Warehouse Auditor
C&S Wholesale GrocersNorth Hatfield, MA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Insurance Accounting Trainer / Quality Leader
Risk StrategiesGlastonbury, CT, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Claim Examiner
ChubbSimsbury, CT, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Quality Auditor
ServiceNetHolyoke, MA, USserp_jobs.job_card.full_time
Premium Auditor
Davies Risk ServicesHartford, CT, USserp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
- serp_jobs.job_card.promoted
Claims Examiner (General Liability)
HAI GroupCheshire, CT, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Quality Assurance ManagerHolyoke, Massachusetts, United States
Green Thumb IndustriesHolyoke, MA, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Director Category Management, Medical Claim Services
VeracityHartford, CT, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Senior Technical Claims Specialist, Energy Complex
Liberty Mutual Insurance GroupWeatogue, CT, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
New England Claims Specialist
CorVel Enterprise Claims, Inc.East Hartford, CT, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Specialty Claims Associate
Munich REHartford, Connecticut, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Management Liability Claims Specialist
IAT Insurance GroupCheshire, CT, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Manager-Reinsurance Claims and Collections (Ceded)
AIGUnionville, CT, USserp_jobs.job_card.full_time