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)
At Caplugs, we work to identify and develop talent, continuously focusing on innovation, learning and improvement to deliver on our promise to be the product protection partner our customers need to solve their challenges. Are you ready to be a part of our team?
SUMMARY: QC Inspector in Manufacturing facility 7pm-7am; rotate 3 /4 day schedule.
Responsible for implementing the company quality system and policy in support of internal and external customer requirements. Performs first piece, in‑process and final inspections. Data is collected and accurate company records are maintained by performing the following duties. Overnight shift ..must be available to work rotating 3 days/4 days.
ESSENTIAL DUTIES AND RESPONSIBILITIES: Other duties may be assigned.
· Perform first piece, in‑process and final inspections on product produced in‑house.
· Reject product when it is identified as suspect and segregate into a designated holding area until dispositioned. Coordinate with production supervisors to shut machines down if product issues cannot be resolved.
· Visual inspection involves conditions of color, deformities, damage, particulate, and packaging. Dimensional inspection is conducted to assure compliance to blueprint specifications.
· Collect data to construct and analyze statistical process control graphs.
· Perform dimensional layouts for MEO’s as required.
· Utilize lab equipment and gages when appropriate.
· Update part folders as required.
· Post Quality Alerts and update concern log when required.
Job Type: Full-time
Benefits:
Schedule:
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0 Claims Quality Auditor jobs found in Buffalo, NY area