Claims Quality Auditor jobs in Rio Rancho, NM

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)

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NM - Albuquerque - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Albuquerque, NM FULL_TIME
  • 1099 Property Claims Adjuster

    Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA.

    Copper Claims Services excels in providing custom claims solutions for Property and Casualty, Transportation and High Net Worth, with an emphasis on Specialized Programs.

    We are currently looking for licensed adjusters (or individuals who will obtain their license upon onboarding) to assist with daily claims handling for the New Mexico area. In this role, you will manage, investigate and resolve homeowner and commercial property losses of moderate to severe complexity with minimal supervision to include completing field investigations, evaluating and analyzing coverage, completing property damage estimates, reporting findings to various clients, and handling files to the conclusion of the claim.

    In this role, you will:

    • Handle claims during local catastrophes
    • Complete field investigations including inspections, interviews, preparing diagrams, taking photographs, and various other tasks
    • Analyze insurance coverage issues on specific claims and make appropriate recommendations to our clients
    • Prepare detailed estimates in Xactimate based on our client’s specifications and parameters
    • Prepare clear, concise, and timely narrative reports for our clients
    • Create ITV reports
    • Evaluate co-insurance calculations and penalties if applicable
    • Maintain continuous and professional communication with our clients to ensure their needs are being met.
    • Analyze and evaluate damages including reserves, property estimates, business personal property inventories, business interruption, and business income losses
    • Investigate, analyze, adjust and negotiate settlements with insured’s in compliance with our client’s direction
    • Coordinate and oversee vendors such as emergency service contractors, origin and cause investigators, general contractors, engineers, etc.

    Qualifications:

    • 5 years of field Property adjusting experience
    • Ability to climb ladders/Access roofs
    • Thorough knowledge and understanding of roofing, HVAC, and various other mechanical specialties
    • Knowledge of Commercial Lines insurance policies
    • Proficient in Xactimate including Sketch
    • Previous experience with Xactanalysis preferred
    • Proficient in Microsoft Office (Word, Excel, and Outlook)
    • Effective negotiation skills
    • Ability to effectively and independently manage workload
    • Proven ability to provide exceptional customer service
    • Strong written and verbal communication skills
    • Exceptional organization and time management skills

    Job Type: Full-time

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work Location: On the road

  • 21 Days Ago

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Coding Quality Auditor - CODING *Remote, Most States Eligible
  • Providence
  • Albuquerque, NM FULL_TIME
  • Description Coding Quality Auditor - 100% Remote, Most States Eligible. One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services...
  • 21 Days Ago

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Auditor
  • U.S. Department of Justice
  • Albuquerque, NM FULL_TIME
  • Summary For more information on the Department of Justice and the United States Attorneys' Offices, visit http://www.justice.gov/usao/. As needed, additional positions may be filled using this announc...
  • 17 Days Ago

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Auditor
  • Executive Office for U.S. Attorneys and the Office of the U.S. Attorneys
  • Albuquerque, NM FULL_TIME
  • For more information on the Department of Justice and the United States Attorneys' Offices, visit http://www.justice.gov/usao/. As needed, additional positions may be filled using this announcement. T...
  • 23 Days Ago

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RN - OR Circulate
  • Quality Clinicians
  • Socorro, NM FULL_TIME
  • RN - OR Circulate 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 the f...
  • 2 Days Ago

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RN Psychiatric Albuquerque, NM
  • Quality Clinicians
  • Albuquerque, NM FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $879-$1879/week Multiple shift openings Job Description/Responsibilities:...
  • 2 Days Ago

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0 Claims Quality Auditor jobs found in Rio Rancho, NM area

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Project Quality Manager-Nuclear Solutions-Idaho Falls, ID
  • Kiewit
  • Albuquerque, NM
  • Requisition ID: 171583 Job Level: Mid Level Home District/Group: Kiewit Nuclear Solutions Department: Quality Market: Nu...
  • 4/19/2024 12:00:00 AM

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Consumer Loan Processor
  • Kirtland Federal Credit Union
  • Albuquerque, NM
  • Job Description Job Description Working at Kirtland CU is more than a job-it's a career! We pride ourselves on helping o...
  • 4/19/2024 12:00:00 AM

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Quality Investigations Specialist
  • Curia, Inc.
  • Albuquerque, NM
  • Job Description Quality Investigations Specialist in Albuquerque, NM Curia provides global contract research and manufac...
  • 4/19/2024 12:00:00 AM

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Therapist/PSR Program Manager
  • Therapeutic Living Services
  • Albuquerque, NM
  • Job Description Job Description Objective/Purpose Statement: This position is responsible for providing direct clinical ...
  • 4/18/2024 12:00:00 AM

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Executive Chef
  • Spire Hospitality
  • Albuquerque, NM
  • Job Overview: Responsible for all food preparation, production and control for all food outlets and banquet facilities t...
  • 4/18/2024 12:00:00 AM

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Restaurant Manager
  • BJ's Restaurants
  • Albuquerque, NM
  • Overview: Do you challenge yourself to always do things right and do them better? Then you will thrive at BJ’s Restauran...
  • 3/26/2024 12:00:00 AM

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Restaurant Manager
  • BJ's Restaurants
  • Albuquerque, NM
  • Overview: Do you challenge yourself to always do things right and do them better? Then you will thrive at BJ’s Restauran...
  • 1/3/2024 12:00:00 AM

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Restaurant Manager
  • BJ's Restaurants
  • Albuquerque, NM
  • Overview: Do you challenge yourself to always do things right and do them better? Then you will thrive at BJ’s Restauran...
  • 1/3/2024 12:00:00 AM

Rio Rancho (Spanish: Río Rancho) is the largest city and economic hub of Sandoval County in the U.S. state of New Mexico. A small portion of the city extends into northern Bernalillo County. It is the third-largest and also one of the fastest expanding cities in New Mexico. As of the 2010 census, Rio Rancho had a population of 93,820. Rio Rancho is part of the Albuquerque Metropolitan Statistical Area. Rio Rancho is located at 35°17'10" North, 106°40'14" West (35.286185, -106.670660). It lies in the Albuquerque Basin to the west of the Rio Grande, which bounds the northeast corner of the city....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$43,082 to $52,805
Rio Rancho, New Mexico area prices
were up 2.5% from a year ago

Claims Quality Auditor in Bloomington, IN
Evaluates claims activities of other departments and / or companies.
December 05, 2019