Claims Quality Auditor jobs in Clearwater, FL

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)

U
Personal Injury Underwriter
  • US Claims Capital, LLC
  • Clearwater, FL FULL_TIME
  • JOB SUMMARY

    US Claims is a leading provider of advances to personal injury victims and their families. US Claims’ mission is to provide much needed liquidity to an underserved market; providing financial means for victims to pursue a fair settlement. We have built an organization driven by excellence and we are looking for people who are excited by the opportunity to join us! Offering an innovative environment guided by outstanding leadership, it is a perfect platform to demonstrate your talent and build your career. Energized by the challenges and rewards ahead, we are a passionate team that will continue working on the exponential growth of our business. We are currently hiring an experienced Underwriter to join our team.

    The Underwriter will work closely with a team of underwriters to review personal injury cases for pre-settlement litigation funding nationwide, with a heavy emphasis in NY. All personal injury case types are reviewed with emphasis on motor vehicle accidents, labor law, premises liability and civil rights cases. This is a salary-based position with annual bonus potential and full company benefits.

    You MUST HAVE PERSONAL INJURY EXPERIENCE to be considered for this role.

    RESPONSIBILITIES AND DUTIES

    • Conduct comprehensive evaluations of personal injury cases. Assessments will require the examination of the handling attorney, venue, docket, case facts, legal issues, causation, medical records, insurance coverage, and due diligence background searches.
    • Review and interpret legal documents, background records, and other necessary information to make funding decisions.
    • Work closely with lawyers and claimants to gather all necessary information and documentation.
    • Assign gross estimated case values, taking into consideration anticipated liens, as well as other potential liabilities.
    • Build and maintain relationships with law firms and legal professionals.
    • Carefully and confidently conclude final funding decisions.
    • Utilize a CRM database to enter underwriter evaluations.
    • Attend weekly underwriting meetings and lunch and learns
    • Collaborate with the underwriting team on specific cases and review guidelines for specific case types.
    • Other duties as assigned.

    EDUCATION, SKILL & EXPERIENCE REQUIREMENTS

    Juris doctorate degree, paralegal certificate, and/or experience working with personal injury cases.

    • Strong understanding of legal terminology and processes.
    • Excellent analytical, decision-making, and risk assessment skills.
    • Ability to locate and review state court dockets and federal dockets on Pacer.
    • Ability to assign venue-specific case values after appropriate training, with heavy NY emphasis;
    • Ability to work in a fast-paced environment while maintaining professional, quality legal work product;
    • Ability to speak with attorneys regarding case facts and procedural history, and to identify key information and documents needed to finalize review.

    Job Type: Full-time

    Pay: $49,781.97 - $59,952.48 per year

    Benefits:

    • 401(k)
    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Work Location: In person

  • 19 Days Ago

U
Underwriter - Personal Injury Attorney
  • US Claims Capital LLC
  • Clearwater, FL FULL_TIME
  • JOB SUMMARY US Claims is a leading provider of advances to personal injury victims and their families. US Claims’ mission is to provide much needed liquidity to an underserved market; providing financ...
  • 24 Days Ago

B
Claims Manager
  • BayCare
  • Clearwater, FL FULL_TIME
  • At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatie...
  • 25 Days Ago

F
Claims Assistant
  • Frank Winston Crum Insurance
  • Clearwater, FL TEMPORARY
  • FrankCrum is a Top Workplace!Frank Winston Crum Insurance (FWCI) issues Workers’ Compensation and General Liability policies by offering flexible coverage and payment options to meet the varied needs ...
  • 1 Month Ago

L
Night Auditor
  • Lodging Dynamics
  • Clearwater, FL FULL_TIME
  • Location: Life as a Night Auditor: Greet guests upon arrival, check them in and provide them with any information they need to enjoy their stay Process invoices, post checks to vendors and distribute ...
  • 15 Days Ago

M
Night Auditor
  • Marriott International
  • Clearwater, FL FULL_TIME
  • Additional Information Pay: $20.00/hour, Full Time, Open AvailabilityJob Number 24066348Job Category Rooms & Guest Services OperationsLocation JW Marriott Clearwater Beach Resort & Spa, 691 S Gulfview...
  • Just Posted

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Claims Quality Auditor jobs found in Clearwater, FL area

C
Audit Manager - IA Quality Assurance (Compliance)
  • Citigroup
  • Tampa, FL
  • Citi's Internal Audit (IA) division provides independent assessments of the company's governance, risk management and in...
  • 4/19/2024 12:00:00 AM

J
Site Quality Manager
  • Jabil
  • Clearwater, FL
  • At Jabil we strive to make ANYTHING POSSIBLE and EVERYTHING BETTER. We are proud to be a trusted partner for the world's...
  • 4/18/2024 12:00:00 AM

J
Site Quality Manager
  • Jabil
  • Bay Pines, FL
  • At Jabil we strive to make ANYTHING POSSIBLE and EVERYTHING BETTER. We are proud to be a trusted partner for the world's...
  • 4/18/2024 12:00:00 AM

J
Site Quality Manager
  • Jabil
  • Belleair Beach, FL
  • At Jabil we strive to make ANYTHING POSSIBLE and EVERYTHING BETTER. We are proud to be a trusted partner for the world's...
  • 4/18/2024 12:00:00 AM

J
Site Quality Manager
  • Jabil
  • Pinellas Park, FL
  • At Jabil we strive to make ANYTHING POSSIBLE and EVERYTHING BETTER. We are proud to be a trusted partner for the world's...
  • 4/18/2024 12:00:00 AM

J
Site Quality Manager
  • Jabil
  • Indian Rocks Beach, FL
  • At Jabil we strive to make ANYTHING POSSIBLE and EVERYTHING BETTER. We are proud to be a trusted partner for the world's...
  • 4/18/2024 12:00:00 AM

J
Site Quality Manager
  • Jabil
  • Seminole, FL
  • At Jabil we strive to make ANYTHING POSSIBLE and EVERYTHING BETTER. We are proud to be a trusted partner for the world's...
  • 4/18/2024 12:00:00 AM

J
Site Quality Manager
  • Jabil
  • Largo, FL
  • At Jabil we strive to make ANYTHING POSSIBLE and EVERYTHING BETTER. We are proud to be a trusted partner for the world's...
  • 4/18/2024 12:00:00 AM

Clearwater is a city located in Pinellas County, Florida, United States, northwest of Tampa and St. Petersburg. To the west of Clearwater lies the Gulf of Mexico and to the southeast lies Tampa Bay. As of the 2010 census, the city had a population of 107,685. Clearwater is the county seat of Pinellas County and is the smallest of the three principal cities in the Tampa-St. Petersburg-Clearwater metropolitan area, most commonly referred to as the Tampa Bay Area. Cleveland Street is one of the city's historic avenues, and the city includes Spectrum Field and Coachman Park. The city is separated ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$43,358 to $53,143
Clearwater, Florida area prices
were up 1.1% from a year ago

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