Claims Quality Auditor jobs in Buffalo, NY

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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Quality Inspector/ Auditor
  • berwind
  • Buffalo, NY FULL_TIME
  • 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:

     

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee assistance program
    • Flexible spending account
    • Health insurance
    • Health savings account
    • Life insurance
    • Paid time off
    • Vision insurance

     

    Schedule:

     

    • 12 hour shift
    • Weekends as needed
  • 16 Days Ago

2
New Home Quality Reviewer
  • 2M Quality
  • Attica, NY PART_TIME
  • This is a part time, 1099 position. Job duties include: Looking at newly built homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professio...
  • 7 Days Ago

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Auditor
  • US Agricultural Marketing Service
  • Buffalo, NY FULL_TIME
  • Duties As the Auditor in this position, you will: Systematic examination and appraisal of production, sales, inventory, and financial records of dairy plant operations to determine the accuracy of rep...
  • 1 Month Ago

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Supervisor Claims
  • Highmark Inc.
  • Buffalo, NY FULL_TIME
  • Company : Highmark Inc. Job Description : JOB SUMMARY This job supervises and coordinates the day to day activities of the various claims processing or claims adjustment units responding to internal i...
  • 18 Days Ago

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Claims Specialist
  • P & A Administrative Services, Inc
  • Williamsville, NY FULL_TIME
  • DescriptionThe Claims Specialist is responsible for performing complex claim adjudication duties related to Flex administration such as Section 125, 129, 132, 105(h) plans, etc. to maximize quality, q...
  • 24 Days Ago

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Claims Specialist
  • P&A Group
  • Williamsville, NY FULL_TIME
  • The Claims Specialist is responsible for performing complex claim adjudication duties related to Flex administration such as Section 125, 129, 132, 105(h) plans, etc. to maximize quality, quantity and...
  • 24 Days Ago

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0 Claims Quality Auditor jobs found in Buffalo, NY area

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Project Manager II
  • HonorVet Technologies
  • Buffalo, NY
  • Project Manager II Duration: 2+ Months with high possibility of extension or FTE Location: Buffalo, NY 14203 Shift: Stan...
  • 4/24/2024 12:00:00 AM

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Assurance Manager (External Audit) - Upstate New York Only
  • EY
  • Buffalo, NY
  • EY focuses on high-ethical standards and integrity among its employees and expects all candidates to demonstrate these q...
  • 4/24/2024 12:00:00 AM

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Human Resource Manager
  • Glendale Realty Services Group
  • Tonawanda, NY
  • Job Description Job Description HUMAN RESOURCES MANAGER Glendale Development is a multi-family property management compa...
  • 4/23/2024 12:00:00 AM

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Quality Assurance Manager - NRO
  • Florida Crystals / Asr Group
  • Buffalo, NY
  • ASR Group is the world's largest refiner and marketer of cane sugar, with an annual production capacity of more than 6 m...
  • 4/22/2024 12:00:00 AM

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Human Resources Specialist (Recruitment & Placement) - 12 Month Roster
  • Department Of The Treasury
  • Buffalo, NY
  • Duties WHAT IS THE HCO - HUMAN CAPITAL OFFICE DIVISION? A description of the business units can be found at: https://www...
  • 4/22/2024 12:00:00 AM

D
Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
  • Department Of The Treasury
  • Buffalo, NY
  • 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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Auditor 1 (Municipal) (NY HELPS), SG-18 Auditor Trainee 2 (Municipal) (NY HELPS), SG-16 Auditor Trainee 1 (Municipal) (NY HELPS), SG-14,Item #150685
  • StateJobsNY
  • Buffalo, NY
  • Do you want a career with a purpose that provides work/life balance? Apply today to join the Office of the New York Stat...
  • 4/21/2024 12:00:00 AM

P
Quality Engineer
  • Power Drives Inc.
  • Buffalo, NY
  • Objective: Perform analysis, research and testing to promote a technical understanding of the processes involved in qual...
  • 4/21/2024 12:00:00 AM

Buffalo is the second largest city in the U.S. state of New York and the largest city in Western New York. As of July 2016[update], the population was 256,902. The city is the county seat of Erie County and a major gateway for commerce and travel across the Canada–United States border, forming part of the bi-national Buffalo Niagara Region. The Buffalo area was inhabited before the 17th century by the Native American Iroquois tribe and later by French settlers. The city grew significantly in the 19th and 20th centuries as a result of immigration, the construction of the Erie Canal and rail tra...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$44,692 to $54,778
Buffalo, New York area prices
were up 1.5% from a year ago

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