Claims Quality Auditor jobs in Mcallen, TX
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
Quality Inspector / Auditor (FT)
- Metal Processing International
-
Mission, TX
FULL_TIME
-
Job Title: Quality Inspector / Auditor.Location: Metal Processing International.Employment Type: Full Time 5 AM - 1:30 PM.Reports to: Quality Supervisor and Quality Manager.
POSITION SUMMARY:
At Metal Processing International "MPI," we strive to create a positive and challenging workplace that promotes excellence and achievement. We aim to deliver the very best experience possible to our customers. We are looking for dedicated and motivated professionals who share that same passion to join our team.
The Quality Control Auditor oversees and monitors the inspection and testing of materials, parts, and products to ensure adherence to established quality standards. Established inspection protocols, define sampling procedures, and determines equipment and mechanisms to be used in the testing process.
Supervisory Responsibilities:- None.
Duties/Responsibilities:- Manage team quality assurance analysts providing software configuration.
- Monitor all plant GMP’s.
- Ensure accuracy throughout operations by performing quarterly ISO internal audits.
- Maintain SPC documentation.
- Monitor equipment to ensure operations conform to production and ISO processing standards.
- Establish priorities and ensure maximum usage of assigned resources.
- Develop monthly reports showing inspection and audit performance and improvement opportunities.
- Support production crew leads and supervisors for interpretation and methods following set standards.
- Inspecting output samples using industry appropriate methods, such as comparing to standards, measuring dimensions, and examining functionality.
- Checking that the assembly or production line adheres to standards and procedures and complying with legal requirements.
- Reviewing blueprints and specification to compare to produced goods.
- Recording inspection results by completing reports, summarizing re-works and waste, and inputting data into quality database.
- Performs other clerical duties.
Required Skills/Abilities:- Teamwork.
- Coordination.
- Planning.
- Reporting skills.
- Dependability.
- Excellent organizational skills and attention to detail.
- Excellent time management skills with the proven ability to meet deadlines.
- Strong analytical and problem-solving skills.
- Ability to accurately sort, count, and verify items received.
- Basic understanding of railway, dock, and warehouse procedures.
- Good organizational skills and attention to detail.
- Proficient with Microsoft Office Suite and/or inventory software to maintain records, input data, and create reports.
- Strong understanding of applicable Occupational Safety and Health Administration requirements and other related safety policies and best practices.
Education and Experience:- High school diploma or equivalent preferred.
- 1-2 years of experience in manufacturing environment preferred.
Physical Requirements:- Must be able to lift up and push up to 25 pounds at a time.
- Must be able to work in a variety of weather conditions and temperatures in the warehouse and on the loading dock.
- Ability to stand, walk, bend, sit, climb, move hands and arms to grasp and manipulate objects by pushing and pulling.
- Tolerate exposure to typical noises and smells associated with the plant.
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes Metal Processing International "MPI" to obtain criminal history record information as well as drug testing.
Metal Processing International "MPI" is committed to an educational and working environment that provides equal opportunity to all members of the RGV community. In accordance with federal and state law, the GCEI prohibits unlawful discrimination, including harassment, on the basis of race; color; religion; national origin; sex; including sexual harassment; age; disability; genetic information; citizenship status; and protected veteran status. In addition, MPI policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression. - Just Posted
Quality Inspector/Auditor (FT)
- Metal Processing International
-
Mission, TX
FULL_TIME
- Job Title: Quality Inspector / Auditor.Location: Metal Processing International.Employment Type: Full Time 5 AM - 1:30 PM.Reports to: Quality Supervisor and Quality Manager.POSITION SUMMARY: At Metal ...
- 22 Days Ago
Quality Inspector/Auditor
- Metal Processing International, LP
-
Mission, TX
FULL_TIME
- Job Title: Quality Inspector / Auditor.Location: Metal Processing International.Employment Type: Full Time 5 AM - 1:30 PM.Reports to: Quality Supervisor and Quality Manager.POSITION SUMMARY:At Metal P...
- 25 Days Ago
Staff Auditor, Auditor's Office
- Webb County, TX
-
Laredo, TX
FULL_TIME
- Description Insures correct and timely processing of all claims presented for payment. Duties involve examining, investigating and reviewing County records, reports, financial statements, debt, and ma...
- 11 Days Ago
Night Auditor
- Presidian
-
Laredo, TX
FULL_TIME
- DescriptionJob Title: Night AuditorLocation: La Posada Hotel, Laredo, TexasJob Type: Full-timeLa Posada Hotel is seeking a reliable and detail-oriented Night Auditor to join our team. As a Night Audit...
- 18 Days Ago
Auditor LVN
- Universal Health Services, Inc.
-
Edinburg, TX
FULL_TIME
- Responsibilities POSITION SUMMARY:Performs defense audits with entities outside South Texas Health System (insurance payers, Medicare, Medicaid, Texas Worker's Compensation Commission, etc.); at the r...
- 24 Days Ago
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0 Claims Quality Auditor jobs found in Mcallen, TX area
Cardiorenal Sales Consultant (Monroe, LA)
- Bayer
-
- Cardiorenal Sales Consultant (Monroe, LA) YOUR TASKS AND RESPONSIBILITIES The primary responsibilities of this role are ...
- 4/23/2024 12:00:00 AM
Harnesses Lean Manufacturing Engineer
- Johnson Controls International
-
Apodaca, Nuevo León
- MANUFACTURING ENGINEER – Harness This position is to be fulfilled by a focused and self-motivated engineer to work in a ...
- 4/23/2024 12:00:00 AM
Sheet Metal Lean Manufacturing Engineer
- Johnson Controls International
-
Apodaca, Nuevo León
- MANUFACTURING ENGINEER – Sheet Metal Lean Manufacturing Engineer This position is to be fulfilled by a focused and self-...
- 4/23/2024 12:00:00 AM
System Engineer JADOCS - Naples, Italy (Top Secret)
- General Dynamics Information Technology
-
- System Engineer JADOCS - Naples, Italy (Top Secret) GDIT has an opportunity for a System Engineer supporting Joint Autom...
- 4/23/2024 12:00:00 AM
Remote Licensed Talk Therapist
- Thriveworks
-
- Thriveworks is currently seeking Licensed Clinicians to provide telehealth sessions in Illinois. Thriveworks is a clinic...
- 4/23/2024 12:00:00 AM
Sheet Metal Lean Manufacturing Engineer
- Johnson Controls International
-
Apodaca, Nuevo León
- 4/22/2024 12:00:00 AM
Buyer II
- Johnson Controls International
-
Apodaca, Nuevo León
- What you will do: Sr. Procurement Buyer is responsible for all advanced purchasing activities, primarily Direct material...
- 4/20/2024 12:00:00 AM
Welding Lean Manufacturing Engineer
- Johnson Controls International
-
Apodaca, Nuevo León
- MANUFACTURING ENGINEER – Welding Lean Manufacturing Engineer This position is to be fulfilled by a focused and self-moti...
- 4/19/2024 12:00:00 AM
About Mcallen, Texas
McAllen is the largest city in Hidalgo County, Texas, United States, and the 22nd-most populous city in Texas. It is located at the southern tip of the state in the Rio Grande Valley. The city limits extend south to the Rio Grande, across from the Mexican city of Reynosa, and McAllen is about 70 mi (110 km) west of the Gulf of Mexico. As of 2017, McAllen’s population was estimated to be 142,696. It is the fifth-most populous metropolitan area in the state of Texas, and the binational Reynosa–McAllen metropolitan area counts a population of nearly 1.52 million.
From its settlement in 1904, the ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$39,542 to $48,466
Mcallen, Texas area prices
were up 1.2% from a year ago
were up 1.2% 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