Claims Quality Auditor jobs in Butte, MT
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)
Recently Added Claims Quality Auditor jobs
Claims Quality Analyst - Crop
- USA4 QBE Insurance Corporation
-
Missoula, MT
FULL_TIME
- Primary Details Time Type: Full time Worker Type: Employee The Opportunity Support internal and external customers by responding to claims file inquiries, typically low cost and/or low complexity claims, escalating issues as necessary, maintaining accurate documentation and following established guidelines to ensure alignment with corporate objectives and achieve department success. Primary Responsibilities • Provide basic claims customer service support by answering inbound calls as needed, responding to basic claims file inquiries and escalating issues to appropriate claims staff to contribute to customer satisfaction and effectiveness of service •Assist in low dollar and/or less complex claims handling by gathering and evaluating relevant information, mailing claims items, maintaining accurate documentation, tracking claims files and resolving outstanding issues to ensure alignment with corporate standards and government regulations •Support internal and external customers by processing and balancing check registries, understanding claims processes and procedures, following established guidelines and identifying opportunities for process improvement to align individual performance with department objectives •Communicate claims file status and details by sharing relevant information with claimants, insured parties, vendors, specialists, agents and other employees as needed and verifying data to support delivery of effective customer service •Cultivate claims support skills and knowledge by seeking advice and guidance of peers and participating in cross-training as required to learn additional processes and increase personal effectiveness •Settle claims as outlined in company policies and procedures •Contribute to a positive work environment by demonstrating cultural expectations and influencing others to reward performance and value “can do” people, accountability, diversity and inclusion, flexibility, continuous improvement, collaboration, creativity and fun Required Education • High School Diploma/GED Required Experience • 1 year relevant experience Preferred Competencies/Skills • Identify and locate information and facts which are necessary and relevant for the purposes of evaluating a claim •Assume a methodical approach to evaluate situations •Manage and prioritize competing responsibilities concurrently and effectively •Provide personalized and quality service to meet the expectations of internal and external customers •Effectively manage one’s own time •Complete tasks attentively and thoroughly with attention to detail •Utilize established procedures to guide decision-making •Maintain a professional, poised and positive demeanor •Willingness to assist others beyond the call of duty Preferred Experience • Experience in the insurance industry or a call-center environment Preferred Knowledge • Working knowledge of basic computer hardware and software, Microsoft Office Suite and database systems •Principles and processes for providing customer service including meeting quality standards for services and evaluation of customer satisfaction •Working knowledge of industry best practices and policies AboQBE We can never really predict what’s around the corner, but at QBE we’re asking the right questions to enable a more resilient future by helping those around us build strength and embrace change to their advantage. We’re an international insurer that’s building momentum towards realizing our vision of becoming the most consistent and innovative risk partner. And our people will be at the center of our success. We’re proud to work together, and encourage each other to enable resilience for our customers, our environment, our economies and our communities. With more than 12,000 people working across 27 countries, we’re big enough to make a real impact, but small enough to provide a friendly workplace, where people are down-to-earth, passionate, and kind. We believe this is our moment: What if it was yours too? Your career at QBE — let’s make it happen! https://www.linkedin.com/company/qbe-north-america/ US Only - Travel Frequency • NA US Only - Physical Demands • General office jobs: Work is generally performed in an office environment in which there is not substantial exposure to adverse environmental conditions. Must have the ability to remain in a stationary position for extended periods of time. Must be able to operate basic office equipment including telephone, headset and computer. Incumbent must be able to lift basic office equipment up to 20 lbs. US Only - Disclaimer • To successfully perform this job, the individual must be able to perform each essential job responsibility satisfactorily. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential job responsibilities. Job Type • Individual Contributor Global Disclaimer • The duties listed in this job description do not limit the assignment of work. They are not to be construed as a complete list of the duties normally to be performed in the position or those occasionally assigned outside an employee’s normal duties. Our Group Code of Ethics and Conduct addresses the responsibilities we all have at QBE to our company, to each other and to our customers, suppliers, communities and governments. It provides clear guidance to help us to make good judgement calls. Compensation Base pay offered will vary depending on, but not limited to education, experience, skills, geographic location and business needs. Hourly Salary Range: $20.00 - $30.00 AL, AR, AZ, CO (Remote), DE, FL, GA, IA, ID, IL (Remote), IN, KS, KY, LA, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NV, OH, OK, OR, PA, SC, SD, TN, TX (Remote, Plano), UT, VA, VT, WI, WV and WY Hourly Salary Range: $22.00 - $33.00 CA (Remote, Fresno, Irvine and Woodland), Greenwood Village CO, CT, Chicago IL, MA, MD, NY (Remote), RI, Houston TX and WA Hourly Salary Range: $25.00 - $37.50 San Francisco CA, NJ and New York City NY Benefit Highlights You are more than your work – and QBE is more than a workplace, which is why QBE provides you with the benefits, support and flexibility to help you concentrate on living your best life personally and professionally. Employees scheduled over 30 hours a week will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution and a paid-time off program. In addition, our paid-family and care-giver leaves are available to support our employees and their families. Regular full-time and part-time employees will also be eligible for QBE’s annual discretionary bonus plan based on business and individual performance. At QBE, we understand that exceptional employee benefits go beyond mere coverage and compensation. We recognize the importance of flexibility in the work environment to promote a healthy balance, and we are committed to facilitating personal and professional integration for our employees. That's why we offer the opportunity for hybrid work arrangements. If this role necessitates a hybrid working model, candidates must be open to attending the office 8-12 days per month. This approach ensures a collaborative and supportive work environment where team members can come together to innovate and drive success. How to Apply: To submit your application, click "Apply" and follow the step by step process. Equal Employment Opportunity: QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates. We are an international insurer and reinsurer offering a diverse portfolio of commercial, personal and specialty products, as well as risk management solutions. Our product portfolio includes property, motor, crop, energy, marine and aviation. We employ a team of around 13,000 people in 27 countries around the world. Learn more about QBE Careers today.
- 19 Days Ago
MT - 1099 Property Claims Adjuster
- Copper Claims Services, Inc.
-
Helena, MT
FULL_TIME
- 1099 Property Claims AdjusterCopper 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 ...
- 1 Month Ago
Claims Attorney
- ALPS INSURANCE AGENCY INC
-
Missoula, MT
FULL_TIME
- Description ALPS, the nation’s largest direct writer of lawyers’ malpractice insurance, is seeking a new Claims Attorney to join our team. A claims attorney has an overall responsibility for the promp...
- 23 Days Ago
Claims Examiner
- Partnered Staffing - Kelly Services
-
Helena, MT
FULL_TIME
- Company DescriptionAt Kelly Services, we work with the best. Our clients include 99 of the Fortune 100 TM companies, and more than 70,000 hiring managers rely on Kelly annually to access the best tale...
- 1 Month Ago
Night Auditor
- Missoula Super 8/Reserve
-
Missoula, MT
PART_TIME,FULL_TIME
- Must be able to stay awake from 11 pm - 7 am. Opening is for Friday and Saturday grave yard shift. Must be dependable. Also have 2 - 3 shifts from 3 pm - 11 pm to allow for full time. Must be willing ...
- 21 Days Ago
Night auditor
- Homewood Suites by Hilton
-
Bozeman, MT
FULL_TIME
- A Night Auditor is responsible for overseeing the auditing, posting and balancing of daily financial transactions to support the hotel's continuing effort to deliver outstanding guest service and fina...
- 21 Days Ago
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0 Claims Quality Auditor jobs found in Butte, MT area
Production Supervisor - 1st Shift
- Montana Precision Products LLC
-
Butte, MT
- Job Type Full-time Description * Now offering New Hire Bonus of 3% first year earnings, paid on first check following on...
- 4/26/2024 12:00:00 AM
Chemical Engineer
- Griffin Global Systems, Inc.
-
Butte, MT
- Required experience: BS in Chemical Engineering (MS or PhD of added value) Minimum 5 years’ experience. Enthusiasm for w...
- 4/26/2024 12:00:00 AM
Industrial Engineer
- Griffin Global Systems, Inc.
-
Butte, MT
- Skills and Qualifications Bachelor's degree in engineering (IE or ME) 5+ years of related engineering/management experie...
- 4/26/2024 12:00:00 AM
Mechanical Engineer
- Griffin Global Systems, Inc.
-
Butte, MT
- Required Experience: Bachelors or Master of Science Mechanical Engineering, preferred, (ABET Accredited) Ten years of ex...
- 4/26/2024 12:00:00 AM
Director of Manufacturing Operations
- Trillium Staffing
-
Butte, MT
- Trillium Professional is now seeking a Director of Manufacturing Operations for direct-hire in Butte, MT! Annual salary ...
- 4/26/2024 12:00:00 AM
Production Supervisor - 1st Shift
- Montana Precision Products LLC
-
Butte, MT
- Job Type Full-time Description * Now offering New Hire Bonus of 3% first year earnings, paid on first check following on...
- 4/26/2024 12:00:00 AM
Assistant Moving Center Supervisor
- UHaul
-
Butte, MT
- Full description Are you a people person who loves to help others? Then consider becoming U-Haul's newest Assistant Gene...
- 4/26/2024 12:00:00 AM
Director of Nursing
- A2z Staffing Solutions
-
Warm Springs, MT
- Are you a dedicated healthcare professional eager to embark on a transformative journey in one of the most breathtaking ...
- 4/25/2024 12:00:00 AM
About Butte, Montana
Butte is the county seat of Silver Bow County, Montana, United States. In 1977, the city and county governments consolidated to form the sole entity of Butte-Silver Bow. The city covers 718 square miles (1,860 km2), and, according to the 2010 census, has a population of approximately 36,400, making it Montana's fifth largest city. It is served by Bert Mooney Airport with airport code BTM.
Established in 1864 as a mining camp in the northern Rocky Mountains on the Continental Divide, Butte experienced rapid development in the late-nineteenth century, and was Montana's first major industrial cit...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$39,266 to $48,128
Butte, Montana area prices
were up 3.1% from a year ago
were up 3.1% from a year ago
What does a Claims Quality Auditor do?
Claims Quality Auditor in Bloomington, IN
Evaluates claims activities of other departments and / or companies.
December 05, 2019