Claims Quality Auditor jobs in Albuquerque, 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

  • 25 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...
  • 25 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...
  • 21 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...
  • 27 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...
  • 6 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:...
  • 6 Days Ago

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0 Claims Quality Auditor jobs found in Albuquerque, NM area

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Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
  • Department Of The Treasury
  • Albuquerque, NM
  • Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

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Senior Customer Service Representative
  • Bernalillo County, NM
  • Albuquerque, NM
  • Salary : $35,609.60 - $49,545.60 Annually Location : Albuquerque, NM Job Type: Full Time Regular (FR) Job Number: 240066...
  • 4/22/2024 12:00:00 AM

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Facility Security Officer - Alternate (AFSO)
  • CACI International
  • Albuquerque, NM
  • Facility Security Officer - Alternate (AFSO) Job Category: Security Time Type: Full time Minimum Clearance Required to S...
  • 4/22/2024 12:00:00 AM

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Analyst, Quality Interventions/QI Compliance (Remote in NM)
  • Molina Healthcare
  • Albuquerque, NM
  • JOB DESCRIPTION Job Summary Molina's Quality Improvement function oversees, plans, and implements new and existing healt...
  • 4/22/2024 12:00:00 AM

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Sr Specialist, Quality Interventions/QI Compliance- Value Based Care - (Remote in New Mexico)
  • Molina Healthcare
  • Albuquerque, NM
  • JOB DESCRIPTION Job Summary Molina's Quality Improvement function oversees, plans, and implements new and existing healt...
  • 4/22/2024 12:00:00 AM

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Quality Investigations Specialist
  • Lake Pharma
  • Albuquerque, NM
  • Quality Investigations Specialist in Albuquerque, NM Curia provides global contract research and manufacturing services ...
  • 4/21/2024 12:00:00 AM

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Appraiser
  • Bernalillo County, NM
  • Albuquerque, NM
  • Salary : $43,659.20 - $67,329.60 Annually Location : Albuquerque, NM Job Type: Full Time Regular (FR) Job Number: 240064...
  • 4/21/2024 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

According to the United States Census Bureau, Albuquerque has a total area of 189.5 square miles (490.9 km2), of which 187.7 square miles (486.2 km2) is land and 1.8 square miles (4.7 km2), or 0.96%, is water. Albuquerque lies within the northern, upper edges of the Chihuahuan Desert ecoregion, based on long-term patterns of climate, associations of plants and wildlife, and landforms, including drainage patterns. Located in central New Mexico, the city also has noticeable influences from the adjacent Colorado Plateau semi-desert, Arizona-New Mexico Mountains, and Southwest plateaus and plains ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$43,220 to $52,974
Albuquerque, 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