Claims Quality Auditor jobs in Nebraska
Claims Quality Auditor 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 makes recommendations to improve quality, workflow processes, policies and procedures. Typically requires an associate degree. Additionally, Claims Quality Auditor typically reports to a supervisor or a manager. The Claims Quality Auditor gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Quality Auditor typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Recently Added Claims Quality Auditor jobs
Claims/QC Auditor
- Chubb INA Holdings Inc.
-
Omaha, NE
FULL_TIME
-
Audit claims to assure accurate and timely payment and to test the work product of claims adjusters.
Essential Job Duties and Responsibilities:
Performs claims auditing functions, including but not limited to:
Opening claims, assigning claim numbers, entering claims data into computer, etc. in a timely manner.
Checking losses to ensure that all supporting documentation is included and auditing claims according to established guidelines.
Entering loss information on computer system.
Confirming accuracy of information against error listings and corrects errors.
Referring problem files to appropriate supervisor or manager.
Answer questions from adjusters, agents, field staff, and insures about claim status and procedures.
Generating and distributing various reports, such as claim forms, claim progress reports, and loss drafts.
Performs various quality control functions, including but not limited to:
Generating quality control documents, reports and distributing as directed.
Entering completed quality control reviews on computer system.
Informing appropriate staff of the review process and results.
Making changes in policies as necessary to reflect QC audit results.
Maintaining records of agent and adjuster training hours as necessary.
Assist with other duties as necessary.
Qualifications
High School or GED required and at least 6 months as an Claims/QC Assistant at Rain and Hail or at least one year of previous underwriting or claims auditing experience or a baccalaureate degree.
Knowledge, Skills, and Abilities:
Ability to learn and apply detailed information about the Company’s products, services, processes and systems.
Ability to organize and prioritize multiple tasks.
Ability to work in a team oriented environment.
Ability to effectively communicate and maintain business relationships with Company personnel, outside resources and customers.
Ability to comprehend agents’ questions and concerns with regard to claims and to provide correct, courteous answers.
Ability to learn and use the company’s terminology, procedures and systems.
Ability to learn and develop skills in the use of department equipment.
Ability to perform basic and complex mathematical calculations.
Ability to remain calm and professional during peak periods of activity.
Ability to work from oral and written communication.
Ability to maintain confidentiality.
Ability to assist in other work-related areas as required.
EEO Statement
At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion,and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin,ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law.Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliationagainst any individual who reports discrimination or harassment. - 1 Month Ago
ISO Quality Auditor @ Connecticut NE
- Pro QC International
-
Lindsay, NE
FULL_TIME
- Primary Responsibilities Quality Auditors:Conducts manufacturing process audit.Provides timely, detailed reports and photographic evidenceAuditor Requirements:For quality auditors, ISO 9001/ ISO 4001 ...
- 27 Days Ago
ISO Quality Auditor Connecticut NE Contract
- Pro QC International North America
-
Lindsay, NE
FULL_TIME
- Primary Responsibilities Quality Auditors:Conducts manufacturing process audit. Provides timely, detailed reports and photographic evidence Auditor Requirements:For quality auditors, ISO 9001/ ISO 400...
- 27 Days Ago
Auditor
- Artech LLC
-
Elkhorn, NE
FULL_TIME
- AUDITOR ELKHORN, NE Mon-Friday- 7-3:30pm The pay for this position is $20 per hour. Required Skills: HS Diploma or equivalent required. Analytical, scientific, and mechanical trouble shooting skills. ...
- 8 Days Ago
RN - Labor and Delivery
- Quality Clinicians
-
Ogallala, NE
FULL_TIME
- RN - Labor and Delivery We're looking for RNs for an immediate travel nurse opening. The right RN should have 2 years or more of recent experience. As a Travel Nurse, you should be prepared to perform...
- Just Posted
Lawn Irrigation Service Technician
- Quality Irrigation
-
Omaha, NE
FULL_TIME
- Irrigation Service Technician Are you at the top of your game? Join us at Quality Irrigation for a rewarding position where you are able to use your talents while continually growing your knowledge ba...
- 26 Days Ago
Claims Quality Auditor jobs at Popular Companies
Quality Auditor
- ResourceMFG
-
Columbus, GA
- summary ResourceMFG is now hiring Quality Auditors in Lafayette! Pay and Hours: 1st Shift: 4am-12:30pm-$20/hr 2nd Shift:...
- 4/23/2024 12:00:00 AM
Quality Auditor
- THE CARLSTAR GROUP LLC
-
Slinger, WI
- Job Details Job Location Slinger WI - Slinger, WI Position Type Full Time Education Level High School Diploma or Equival...
- 4/23/2024 12:00:00 AM
Quality Auditor
- Mitchell Martin Inc.
-
- Job Summary: The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II is responsible for ...
- 4/23/2024 12:00:00 AM
Quality Auditor
- SeAH Steel USA
-
Houston, TX
- Job Description Job Description Job Purpose The Quality Assurance/Quality Control Auditor will audit the processes to en...
- 4/22/2024 12:00:00 AM
Quality Auditor
- H&H
-
Annapolis, MD
- Description We are offering an exciting opportunity for a Quality Auditor in our Annapolis, MD office. The Quality Audit...
- 4/21/2024 12:00:00 AM
Quality Auditor
- Loma Linda University Health
-
Loma Linda, CA
- Job Description Job Summary: The Quality Auditor will be responsible for auditing departmental workflows and functions, ...
- 4/21/2024 12:00:00 AM
Quality Auditors
- ResourceMFG
-
Columbus, GA
- summary Looking for 1st shifters. Starting pay at $18 could change with more experience. Weekly pay/health benefits. CNC...
- 4/20/2024 12:00:00 AM
Quality Auditor
- Plastipak Holdings
-
Jackson Center, OH
- As a Plastipak Quality Auditor, you audit systems and processes as they relate to our Quality program. You play a key ro...
- 4/19/2024 12:00:00 AM
About Nebraska
The state is bordered by South Dakota to the north; Iowa to the east and Missouri to the southeast, across the Missouri River; Kansas to the south; Colorado to the southwest; and Wyoming to the west. The state has 93 counties and is split between two time zones, with the state's eastern half observing Central Time and the western half observing Mountain Time. Three rivers cross the state from west to east. The Platte River, formed by the confluence of the North Platte and the South Platte, runs through the state's central portion, the Niobrara River flows through the northern part, and the Rep...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$43,312 to $53,087
Most Popular Cities in Nebraska for Claims Quality Auditor Jobs
What does a Claims Quality Auditor do?
Claims Quality Auditor in Bloomington, IN
Evaluates claims activities of other departments and / or companies.
December 05, 2019