Claims Quality Auditor jobs in Stamford, CT

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)

P
Claims Analyst, MGA Claims
  • PartnerRe
  • Stamford, CT FULL_TIME
  • Company Description

    PartnerRe is a leading, privately owned, multi-line global reinsurer with a reputation of financial stability and strength, and a commitment to rebuilding businesses and communities after risk events around the world.

    Our mission is to continue to be a financially stable and predictable business partner, supporting our clients with solutions tailored to their needs, delivering superior returns to our owner, providing rewarding opportunities for our people and making a positive contribution to society. To achieve this, we live by our values of Integrity, Performance, Collaboration, Straightforward Communication and Respect and Care.

    Core to The PartnerRe Experience is our global nature. No matter where you sit in the company, you are part of something bigger. Our teams represent our truly international mindset, forging connections across office locations and all levels of the organization and building a network of mutual success. The result is a day-to-day experience that will allow you to:

    Shape your own career

    Grow in a supportive environment

    Connect with a community of experts

    Make an impact

    View The PartnerRe Experience e-book to find out more about what it’s like to work at PartnerRe.

    We are always looking for bright, proactive individuals to join our team!

    Please follow our Careers page for all updates on new positions.  We look forward to receiving your application.

    PartnerRe is an equal opportunities employer.

    Please join our company LinkedIn Page for all updates on new positions that are coming live.

    Job Description

    About this job

    We are looking to hire a Claims professional to join our claims team based in Stamford, CT reporting to our Team Leader of Insurance Claims.

    We are a global, diversified reinsurer with an expanding variety of insurance products including direct MGA business. We are a centralized organization and bring a more personal approach to the marketplace with a distinctive balance of technical skills and client focus, expertise and partnership. We are a true global organization with a multicultural workforce.

    In this role you will be primarily focused on administering the claims activity stemming from a portfolio which will include Casualty claims stemming from General Liability lines of business from a variety of programs. In this capacity, you will evaluate the claims, manage any litigation and collaborate with our internal and external business partners. 

     

    About the role

    In more detail your responsibilities will be to:

    • Manage claims in conjunction with contracted Third Party Administrators (TPA)
    • Identify, analyze and appropriately address coverage issues under the affected coverage forms. Work to effectively communicate coverage positions to insureds and brokers either directly or through TPAs.
    • Manage the claim investigation and/or litigation, addressing liability and damage issues to assess exposure on potentially high severity files
    • Collaborates well with internal business partners on existing/ongoing claims as well as identify general trends and developments within the portfolio.
    • Sets timely and appropriate reserves within authority or makes recommendations for the appropriate action plan on potentially high severity claims.
    • Provides outstanding customer service and works well with the insured, broker/MGA/TPA during the adjustment of claims.
    • Travel for settlement conferences, mediations, and trials as needed.

    Qualifications

    About you

    • Should have experience in General Liability claims issues, coverage and liability aspects  
    • 5 -10 years of claim handling experience, with prior experience handling claim files in a carrier environment is required
    • College degree ;  
    • Ability to think and work independently
    • Excellent interpersonal communications and negotiation skills.
    • Ability to work with a variety of accounts and brokers in a professional manner
    • Strong team player

    Additional Information

    PartnerRe offers its staff a hybrid work environment. You will be required to work on-site Tuesday, Wednesday & Thursday. Monday & Friday are remote work days.

    PartnerRe provides a working environment in which diversity is valued, where all employees feel welcome, respected, and empowered to perform at their best.  We invite you to learn more about D&I at PartnerRe.

    Thank you,

    PartnerRe Hiring Team

  • 1 Month Ago

Q
PCA Caregiver Wilton, CT
  • Quality Homemakers
  • Wilton, CT PART_TIME
  • QHM Homecare Caregiver Recruitment is looking to hire a PCA Caregiver for an elderly client in Wilton, CT 1 day a week for 4 hours, flexable Our PCAs (Personal Care Assistant) can provide companionshi...
  • 2 Days Ago

C
Energy Auditor
  • Center for EcoTechnology
  • Norwalk, CT OTHER
  • CET is urgently hiring for an Energy Auditor to work with homeowners primarily in South-Western Connecticut (New Haven and Fairfield counties) to identify energy efficiency and electrification opportu...
  • 10 Days Ago

G
Internal Auditor
  • Gen Re Corporation
  • Stamford, CT FULL_TIME
  • Shape Your Future with Us General Re Corporation, a subsidiary of Berkshire Hathaway Inc., is a holding company for global reinsurance and related operations, with more than 2,000 employees worldwide....
  • 2 Months Ago

B
AVP, Sr. Claims Examiner
  • Berkley
  • Stamford, CT OTHER
  • Company Details Berkley Re is a specialty P&C reinsurer that provides solutions for insurers with a successful business model built upon specialization in the products they underwrite. Our experienced...
  • 12 Days Ago

B
Claims Review Leader
  • Berkley
  • Greenwich, CT OTHER
  • Company Details "Our Company provides a state of predictability which allows brokers and agents to act with confidence." Founded in 1967, W. R. Berkley Corporation has grown from a small investment ma...
  • 21 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Claims Quality Auditor jobs found in Stamford, CT area

S
Quality Management System (QMS) Engineer
  • Spellman High Voltage
  • Hauppauge, NY
  • About Us Spellman High Voltage Electronics Corporation, a family owned business for over 75 years, takes pride in poweri...
  • 4/18/2024 12:00:00 AM

E
Quality Assurance Manager
  • Executive Alliance
  • Plainview, NY
  • Brief Description: Quality Assurance Manager Our client is seeking an engaged and driven outgoing individual that will b...
  • 4/17/2024 12:00:00 AM

S
FDA Pharmacovigilance Auditor
  • SQA Services
  • New York, NY
  • Job Description Job Description Job Description Are you passionate about quality in the life sciences area? Do you want ...
  • 4/17/2024 12:00:00 AM

E
Quality Manager
  • Executive Alliance
  • Plainview, NY
  • Job Description Job Description Our client is seeking an engaged and driven outgoing individual that will be responsible...
  • 4/16/2024 12:00:00 AM

E
OPWDD Quality Assurance Specialist
  • EIHAB
  • Springfield Gardens, NY
  • Job Description Job Description 2+ years of OPWDD Quality Assurance experience is a MUST/REQUIRED Position Summary: Deve...
  • 4/16/2024 12:00:00 AM

O
Quality Manager 1987
  • Omega Point Partners
  • Hackensack, NJ
  • Job Description Job Description We have an awesome opportunity for an experienced Quality Manager to join a $1B Internat...
  • 4/16/2024 12:00:00 AM

S
Quality Auditor - Life Sciences
  • SQA Services
  • New York, NY
  • SQA Services is a leading Quality Assurance and Supply Chain consultancy firm. SQA manages Supplier Audit and Supplier D...
  • 4/15/2024 12:00:00 AM

O
Quality Coordinator
  • O'KEEFE CONTROLS CO.
  • Monroe, CT
  • Job Description Job Description TITLE: QUALITY COORDINATOR\t DEPT.: QUALITY\t REPORTS TO: President\t EXEMPT STATUS: Exe...
  • 4/14/2024 12:00:00 AM

Stamford (/ˈstæmfərd/) is a city in Fairfield County, Connecticut, United States. According to the 2010 census, the population of the city is 122,643. As of 2017, according to the Census Bureau, the population of Stamford had risen to 131,000, making it the third-largest city in the state (behind Bridgeport and New Haven) and the seventh-largest city in New England. Approximately 30 miles (50 kilometers) from Manhattan, Stamford is in the Bridgeport-Stamford-Norwalk Metro area which is a part of the Greater New York metropolitan area. Stamford is home to four Fortune 500 Companies, nine Fort...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$52,784 to $64,696
Stamford, Connecticut area prices
were up 1.7% from a year ago

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