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)
Lennox (NYSE: LII) is an industry leader in energy-efficient climate-control solutions founded over a century ago on the principles of integrity and innovation. Dedicated to sustainability and creating comfortable, healthier environments for our residential and commercial customers while reducing their carbon footprint, we lead the field in innovation with our cooling, heating, indoor air quality, and refrigeration systems.
This auditor inspects products and evaluates data to ensure quality.
Duties include, but are not limited to:
Requires a high school diploma or an equivalent combination of education and experience. Requires at least 1 year related experience.Good understanding of production area, process flow, equipment, and product. Good written and verbal communication skills. Ability to read specifications. Basic computer skills including Microsoft Excel and Microsoft Word. Must have a good understanding of customer requirements. Effective at training.
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0 Claims Quality Auditor jobs found in Pine Bluff, AR area