Claims Quality Audit Supervisor jobs in New Jersey

Claims Quality Audit Supervisor supervises and coordinates daily activities of claims quality auditors. Provides assistance in developing claims audit policies and procedures. Being a Claims Quality Audit Supervisor solves day-to-day problems and monitors the results of daily staff activities, reports critical issues and problems to the management. Typically requires a bachelor's degree. Additionally, Claims Quality Audit Supervisor typically reports to a manager. The Claims Quality Audit Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. Thorough knowledge of department processes. To be a Claims Quality Audit Supervisor typically requires 3-5 years experience in the related area as an individual contributor. (Copyright 2024 Salary.com)

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Quality Control Analyst
  • VERUS CLAIMS SERVICES LLC
  • Princeton, NJ FULL_TIME
  • Description

    The Quality Control Analyst is responsible for performance of quality control procedures and ensuring compliance with required procedures. Has knowledge of commonly-used quality control concepts, practices, and procedures. Recommends changes to policy and procedure project documents as needed to ensure consistency across departments. Relies on instructions and guidelines to perform the functions of the job.


    Primary Responsibilities

    1. Review and evaluate quality control testing to ensure accuracy, completeness and eligibility.
    2. Performance of various quality control procedures focused on increasing Company accuracy, improving performance, and identifying process improvements.
    3. Recommend changes to documented policies in an effort to ensure consistency across projects and departments.
    4. Maintains working knowledge of all current case management and settlement administration procedures as well as updates in the process necessary to maintain quality assurance responsibilities.
    5. Assists with the preparation of quality documentation and reporting.
    6. Collaborates with team members to help enhance quality measures, improvement programs, and training initiatives.
    7. Helps maintain the quality assurance procedures.
    8. Performs quality review via call monitoring according to established project guidelines.
    9. Present project information/quality reports to Quality Team.
    10. Other specialized tasks focused on process improvement.
    11. Other projects and duties as assigned.

    Requirements

    • Minimum of 2 years relevant work experience.
    • Strong working knowledge of project requirements with the ability to learn additional projects and trusts quickly and accurately.
    • A consistent above average quality and productivity rating.
    • Knowledge of the claims review processes, procedures, and computer system.
    • Strong Computer Skills – Intermediate to Advanced Word and Excel proficiency.
    • Adaptability to changing policies, procedures, and systems.
    • Strong attention to detail and analytical skills.
    • Ability to operate under deadlines while still meeting standards.
    • Compliance orientation with the ability to follow procedures.
    • Effective verbal and written communication skills.
    • A keen eye for detail and a results-driven approach.


    WORKING CONDITIONS

    Normal business office conditions, including working for prolonged periods of time at a computer screen. This role consists of a hybrid schedule of in-office and remote work. 



  • 8 Days Ago

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Health Claims Audit Manager
  • WithumSmith+Brown
  • Princeton, NJ FULL_TIME
  • Looking to work at a firm with an unbeatable culture? Withum is a forward-thinking, technology-driven advisory and accounting firm, helping clients to Be in a Position of StrengthSM in today’s modern ...
  • Just Posted

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Audit Manager – Quality Control
  • Global Placement Firm
  • Livingston, NJ FULL_TIME
  • Excellent Company Looking To Add An Audit Manager - Quality Control To Their Team! General Summary Our Team is a specialized group in our Assurance practice. Primary responsibilities of the group incl...
  • 18 Days Ago

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Manager, Quality Audit & Coaching
  • Horizon Blue Cross Blue Shield of New Jersey
  • Newark, NJ FULL_TIME
  • Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or DelawareJob Summary:Responsible for the creation and execution of quality audit and coaching plans for new hire...
  • 24 Days Ago

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Quality Assurance Audit Manager
  • Mercadien Consulting LLC
  • Hamilton, NJ FULL_TIME
  • DescriptionAre you looking for an opportunity to work for a professional firm that offers flexibility? If so, seize this opportunity! The Mercadien Group is looking for a Quality Assurance Audit Manag...
  • 2 Days Ago

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Audit Manager - Quality Assurance
  • Mercadien Consulting LLC
  • Hamilton, NJ FULL_TIME
  • DescriptionAre you looking for an opportunity to work for a professional firm that offers flexibility? If so, seize this opportunity! The Mercadien Group is looking for an Audit Manager to become part...
  • 1 Month Ago

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Quality Specialist
  • Flatiron Construction Corp
  • Concord, CA
  • Come join our NorCal team (Bay Area/Sacramento) as a Quality Specialist! A great opportunity to join an industry-leading...
  • 3/28/2024 12:00:00 AM

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Quality Supervisor
  • Phoenix Services, LLC
  • Toledo, OH
  • Job Description Job Description Quality Manager needed for a growing company in Northwood, OH! You would be responsible ...
  • 3/28/2024 12:00:00 AM

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Quality Specialist
  • CSL Plasma
  • Arvada, CO
  • Responsibilities: Mgr Center • Has overall authority for center operations production goals, monitor net yields, and imp...
  • 3/26/2024 12:00:00 AM

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Quality Supervisor
  • WK Kellogg Co
  • Memphis, TN
  • At WK Kellogg Co, we exist to create joy and connection to inspire Gr-r-reat days. We believe that doing good is always ...
  • 3/25/2024 12:00:00 AM

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Quality Specialist
  • CSL Plasma
  • Homestead, PA
  • Responsibilities: Mgr Center • Has overall authority for center operations production goals, monitor net yields, and imp...
  • 3/15/2024 12:00:00 AM

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Quality Specialist
  • CSL Plasma
  • Monson, ME
  • Job Description Summary This position provides immediate support to the Assistant Manager of Quality in monitoring plasm...
  • 2/27/2024 12:00:00 AM

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Quality Specialist
  • CSL Plasma
  • Schenectady, NY
  • The Opportunity This position provides immediate support to the Assistant Manager of Quality in monitoring plasma center...
  • 2/27/2024 12:00:00 AM

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Quality Specialist
  • CSL Plasma
  • Lackawanna, NY
  • The Opportunity This position provides immediate support to the Assistant Manager of Quality in monitoring plasma center...
  • 2/27/2024 12:00:00 AM

New Jersey is bordered on the north and northeast by New York (parts of which are across the Hudson River, Upper New York Bay, the Kill Van Kull, Newark Bay, and the Arthur Kill); on the east by the Atlantic Ocean; on the southwest by Delaware across Delaware Bay; and on the west by Pennsylvania across the Delaware River. New Jersey is often broadly divided into three geographic regions: North Jersey, Central Jersey, and South Jersey. Some New Jersey residents do not consider Central Jersey a region in its own right, but others believe it is a separate geographic and cultural area from the Nor...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Supervisor jobs
$79,542 to $99,676

Claims Quality Audit Supervisor in Provo, UT
Based on our compensation data, the estimated salary potential for Claims Quality Audit Supervisor will increase 16 % over 5 years.
January 29, 2020