Claims Quality Auditor jobs in Missoula, 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.
- 11 Days Ago
Workers' Compensation Claims Examiner
- Intermountain Claims Inc
-
Missoula, MT
FULL_TIME
- Job Description Intermountain Claims, Inc., a premier regional independent claims adjusting company is seeking to hire an additional Workers’ Compensation Claims Examiner to work in our Missoula, MT o...
- 7 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 ...
- 24 Days 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...
- 15 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
- Comfort Inn Near University
-
Bozeman, MT
FULL_TIME
- Are you a genuine people person who excels with numbers and has a passion for providing excellent customer service? Our property is seeking a night auditor to join our growing group of hospitality pro...
- 11 Days Ago
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0 Claims Quality Auditor jobs found in Missoula, MT area
Assembler
- Builders First Source
-
Missoula, MT
- Do you have what it takes? Check us out on YouTube: Gkon 4 j. Fh. K - Cc. Under direct supervision, performs one or more...
- 4/18/2024 12:00:00 AM
Quality Control Technician
- Maztech Industries
-
Stevensville, MT
- Job Description Job Description Maztech Industries is a leading technology company with a specialized focus on the rapid...
- 4/18/2024 12:00:00 AM
KFC General Manager
- KFC
-
Missoula, MT
- At KFC, we feed the world. But we do more than fill people up. We fulfill their life. Our meals matter, and when we serv...
- 4/18/2024 12:00:00 AM
Supervisory Internal Revenue Agent (12 month roster) AMENDED
- Department Of The Treasury
-
Missoula, MT
- Duties WHAT IS THE LBI - LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at:...
- 4/16/2024 12:00:00 AM
Noodles and Company Shift Leader $17.50 - $18.00 per hour plus tips
- Noodles & Company
-
Missoula, MT
- About Noodles At Noodles & Company, our mission is to always nourish and inspire every team member, guest and community ...
- 4/16/2024 12:00:00 AM
Meat Cutter
- Albertsons
-
Missoula, MT
- Job Description A Day in the Life: As a Meat Cutter, you will be on the cutting edge with our beef, poultry, and other m...
- 4/16/2024 12:00:00 AM
Controls Systems Engineer
- HDR
-
Missoula, MT
- About Us At HDR, we specialize in engineering, architecture, environmental and construction services. While we are most ...
- 4/16/2024 12:00:00 AM
Automotive Inspector
- Hiring Now!
-
Missoula, MT
- Hiring a 1099 Independent Contractor Immediately! Flexible work environment. Set your own hours, work with minimal guida...
- 4/16/2024 12:00:00 AM
About Missoula, Montana
Missoula is located at the western edge of Montana approximately 45 miles (70 km) from the Idaho border. The city is at an elevation of 3,209 feet (978 m) above sea level, with nearby Mount Sentinel and Mount Jumbo steeply rising to 5,158 feet (1,572 m) and 4,768 feet (1,453 m) respectively. According to the Census Bureau's 2015[update] figures, the city had a total area of 29.08 square miles (75.3 km2), of which, 28.90 square miles (74.9 km2) was land and 0.184 square miles (0.48 km2) was water.
Approximately 13,000 years ago, the entire valley was at the bottom of Glacial Lake Missoula and a...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$39,266 to $48,128
Missoula, 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