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)
Job Summary: The Quality Auditor is responsible for complying with all referenced quality procedures and work instructions, performing the required inspections. Visual inspections of parts or materials for cosmetic defects and through processes and tests that inspect the functionality of a part or product. The role is responsible for the effective use of inspection equipment for completing the necessary forms and maintaining filing records. They serve as the eyes of the customer on each aspect of the production process.
Essential Job Functions:
The list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification. It is not necessarily descriptive of any one position in the class. The omission of an essential function does not preclude management from assigning duties not listed herein if such functions are a logical assignment to the position.
Qualifications
Clear All
0 Claims Quality Auditor jobs found in Asheville, NC area