Claims Quality Audit Manager jobs in Boston, MA

Claims Quality Audit Manager manages the claims quality auditors and daily activities of quality claims audit function. Reviews and tracks claims quality audit reports and measures performance of auditors. Being a Claims Quality Audit Manager provides assistance in developing claims audit policies and procedures. May provide coaching in complex claims audit. Additionally, Claims Quality Audit Manager typically requires a bachelor's degree. Typically reports to a director or head of a department. The Claims Quality Audit Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Claims Quality Audit Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

3
Claims Audit Specialist
  • 360insights
  • Boston, MA FULL_TIME
  • Base salary USD $36,500$44,000*

    Plus Bonus, Equity & Benefits

    • Pay transparency

    Our salary ranges are determined by role, level, and location. The range displayed on our job posting reflects the minimum and typical maximum target for new hire salaries for the position, it does not reflect the maximum salary for the role over time. Within the range, individual pay is determined by job-related skills and experience demonstrated during the interview process.


    What you will be doing:

    The 360insights Claims Audit Specialist offers multiple levels of support to the Co-op/MDF line of business. Utilizing 360 Platforms, phone, and email tools, the Co-op/MDF Promotions team manages thousands of claims and interactions which must be delivered at the highest level of quality and customer service.

    • The Claims Audit Specialist handles the processing of Co-op/MDF claims and pre-approvals, along with providing customer service (calls and emails).
    • Be an expert on Co-op Advertising Policies, Procedures, and Programs
    • Apply policies and procedures in a detailed, accurate, and consistent manner
    • Scan and upload Pre-Approval and claim documentation, when necessary
    • Enter claims into one of 360’s Platforms
    • Review and process Pre-Approvals
    • Review and process co-op advertising claims
    • Calculate claim values using client and compliant procedures
    • Be proactive in problem solving
    • Review different types of advertising for compliancy
    • Handle oral and written communication in a professional and timely manner, when necessary
    • Maintain and exceed individual KPI’s (Key Performance Indicators), including high standards of quality.
    • Participate positively in the 360 Culture and philosophy


    What
    you’ll bring to this role:

    • Experience working in a claims management role or similar
    • High quality business communication skills – written and verbal
    • Detailed oriented
    • Ability to apply logic to grey areas
    • Working knowledge of percentages
    • Bilingual (French or Spanish) is an asset


    Why 360?

    Here at 360insights you will be a part of a fast-paced global technology company that is innovating and leading in the channel incentives and insights industry. You will be helping us to deliver great solutions for some of the world’s most recognizable brands all within an inspiring and inclusive culture that has certified us as a Great Place to Work® in Canada, the USA and the UK.

    At 360insights, we take pride in being a people-first organization, dedicated to fostering a vibrant values-based and inclusive culture. Our commitment to this ethos is reflected in our day-to-day operations and interactions with both team members and clients. Embracing a people-focused approach entails the following principles:

    Diversity and Inclusion: We wholeheartedly welcome individuals from all walks of life to join our team. 360insights is committed to providing equal employment opportunities to people of every race, religion or belief and ethnic origin, regardless of age, disability, sexual orientation, or gender identity. You can find out more about our DEIB Vision on our website. We encourage applications from individuals with disabilities, and accommodations are available upon request for candidates participating in all stages of the selection process.

    Experiences that create growth. Growth that creates experiences: At 360insights, every facet of our business presents opportunities for personal and professional development, allowing you to explore diverse disciplines and rewarding work experiences. Our commitment to growth is supported by robust Learning and Development (L&D) initiatives and mentorship programs, ensuring that you have the tools and support needed to thrive and grow as an Insighter.

  • 1 Month Ago

I
Director, Quality Audit Management
  • Ironwood Pharmaceuticals
  • Boston, MA FULL_TIME
  • Ironwood Pharmaceuticals is a leading global gastrointestinal (GI) healthcare company on a mission to advance the treatment of GI diseases and redefine the standard of care for GI patients. We are pio...
  • 1 Month Ago

R
Audit Manager
  • Robert Half
  • Novi, MI OTHER
  • Robert Half's automotive client is seeking an Audit Manager Consultant for a long-term project. This engagement is located in Novi MIchigan and will report directly to the General Counsel. The day-to-...
  • 19 Days Ago

G
Audit Manager
  • Grant Thornton Careers
  • Boston, MA FULL_TIME
  • As an Audit Manager, you will use your technical and leadership skills to oversee the completion of on-budget financial statement audits. You’ll apply your knowledge of each client’s operations, proce...
  • 23 Days Ago

A
Audit Manager
  • Annex Business Solutions LLC
  • Waltham, MA FULL_TIME
  • Audit Manager Qualifications: Bachelor's or Master’s degree in Accounting. Proven experience as an Audit Senior or Audit Manager. CPA or relevant certification preferred. Professional mastery of U.S. ...
  • 26 Days Ago

L
Audit Manager
  • Livingston & Haynes
  • Wellesley, MA FULL_TIME
  • Enjoy The Benefits Partner support and guidance The ability to work with many different clients across multiple industries No travel outside Massachusetts An intimate environment where you know your c...
  • 28 Days Ago

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0 Claims Quality Audit Manager jobs found in Boston, MA area

S
Production Manager
  • Stavis Seafoods
  • Boston, MA
  • Stavis Seafoods, A Profand Company, an anchor of the New England seafood community since 1929, ships more than 37 millio...
  • 4/23/2024 12:00:00 AM

L
Director of Manufacturing
  • Life Science People
  • Boston, MA
  • Join a leading Biologics Contract Development and Manufacturing Organization (CDMO), dedicated to delivering high-qualit...
  • 4/23/2024 12:00:00 AM

A
Food Prep Worker - Boston University
  • Aramark Corp.
  • Boston, MA
  • Job Description The Food Prep Worker prepares, and portions food items and performs various duties in accordance with pr...
  • 4/23/2024 12:00:00 AM

E
Product Quality Manager
  • Engtal
  • Billerica, MA
  • Job Title: Product Quality Manager $135K-$145K Billerica, MA Permanent Overview: The company are in search of a Product ...
  • 4/21/2024 12:00:00 AM

K
Quality Project Manager
  • Katalyst Healthcares & Life Sciences
  • Boston, MA
  • Responsibilities: Advocates and leads design for manufacture and assembly through technical leadership and direction in ...
  • 4/21/2024 12:00:00 AM

E
Product Quality Manager
  • Engtal
  • Billerica, MA
  • Job Title: Product Quality Manager $135K-$145K Billerica, MA Permanent Overview: The company are in search of a Product ...
  • 4/20/2024 12:00:00 AM

P
Quality Assurance Lead III
  • PSG Global Solutions Careers
  • Framingham, MA
  • Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We'...
  • 4/19/2024 12:00:00 AM

P
Quality Assurance Lead IV
  • PSG Global Solutions Careers
  • Framingham, MA
  • Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We'...
  • 4/19/2024 12:00:00 AM

Boston has an area of 89.63 square miles (232.1 km2)—48.4 square miles (125.4 km2) (54%) of land and 41.2 square miles (106.7 km2) (46%) of water. The city's official elevation, as measured at Logan International Airport, is 19 ft (5.8 m) above sea level. The highest point in Boston is Bellevue Hill at 330 feet (100 m) above sea level, and the lowest point is at sea level. Situated onshore of the Atlantic Ocean, Boston is the only state capital in the contiguous United States with an oceanic shoreline. Boston is surrounded by the "Greater Boston" region and is contiguously bordered by the citi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Manager jobs
$108,369 to $145,588
Boston, Massachusetts area prices
were up 2.5% from a year ago

Claims Quality Audit Manager in Canton, OH
On average, a Bachelor's Degree is the highest level of education for a Claims Quality Audit Manager.
January 04, 2020
Claims Quality Audit Manager in Kennewick, WA
Based on our compensation data, the estimated salary potential for Claims Quality Audit Manager will increase 16 % over 5 years.
January 17, 2020