Claims Quality Auditor jobs in Passaic, NJ
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 Analyst lll, General Liability
- AIG Claims, Inc.
-
Parsippany, NJ
FULL_TIME
- Who we are American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and jurisdictions. These diverse offerings include products and services that help businesses and individuals protect their assets, manage risks and provide for retirement security. Get to know the business General Insurance is a leading provider of insurance products and services for commercial and personal insurance customers. It includes one of the world’s most far-reaching property casualty networks. General Insurance offers a broad range of products to customers through a diversified, multichannel distribution network. Our Claims professionals support AIG policyholders through some of the most trying times. When our clients face losses large and small, we step up to help them ease the financial burdens of catastrophic events like fires and hurricanes; we help them get their businesses back up and running again or recoup the value of a lost family heirloom or a prized possession. Our Claims team is an industry leader, drawing daily on its unparalleled levels of expertise to offer our clients the highest levels of stewardship to drive total cost of claim improvement and consistent outcomes. AIG manages claims using a wealth of technical and market knowledge about risks, business practices, and the ever-evolving legal and regulatory environment. About the role The Claims Analyst III will handle and analyze general liability claims under general supervision and moderate exposure claims involving litigation. The position also ensures ongoing adjudication of claims within the Company standards, industry best practices and specific client service requirements. What you need to know: Analyze and process third-party property damage claims by investigating and gathering information to determine the exposure on the claim; ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans. Determine need for and direct independent adjusters to gather information to determine exposure on the claim and control their costs. Identify and evaluate coverage issues; prepare comprehensive coverage letters with supervisory review and analysis; retain and provide direction to coverage counsel when necessary. Assess liability and resolve claim within established evaluation. Maintain diaries and complete tasks within required timeframes as set forth by department guidelines; ensure claim files are timely and properly documented with clear and concise analysis on coverage, damages, reserves, and liability including an action plan for resolution. Process and pay invoices within a timely manner. Coordinate vendor referrals for additional investigation and/or litigation management. Calculate and assign timely and appropriate reserves; monitor reserve accuracy throughout the life of the claim. Refer case as appropriate to supervisor and management. Respond to requests or directions in a professional and timely manner. Attend arbitrations, mediations, settlement conference and trials. Successfully complete required State licensing examinations and continuing education requirement. What we’re looking for: 5 years of claims handling experience required Strong decision-making ability and the ability to negotiate Computer proficiency with Microsoft Office applications Claim designations such as AIC or AINS Claim adjuster licenses required Motivated individuals who are interested in the potential for an upwardly mobile career path #LI-NH1 Enjoy benefits that take care of what matters At AIG, our people are our greatest asset. We know how important it is to protect and invest in what’s most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security—as well as your professional development—to bring peace of mind to you and your family. Reimagining insurance to make a bigger difference to the world American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world’s most far-reaching property casualty networks. It is an exciting time to join us — across our operations, we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We invest in our largest asset, our people, through continuous learning and development, in a culture that celebrates everyone for who they are and what they want to become. Welcome to a culture of belonging We’re committed to creating a culture that truly respects and celebrates each other’s talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through our flexible work arrangements, diversity and inclusion learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The diversity of our people is one of AIG’s greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations. AIG provides equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories. AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation, please send an email to candidatecare@aig.com. Functional Area: CL - Claims Estimated Travel Percentage (%): Up to 25% Relocation Provided: No AIG Claims, Inc. At AIG, helping people discover new potential is our purpose. As a global risk leader, we do this for our clients every day. Through our deep expertise in their industries and our innovative solutions that help them smartly manage risk, we enable their growth in ways they never thought possible. But we also do the same thing for our employees, because we know our people are our greatest strength-the source of every insight, every idea and every innovation. When we're working as one team to do what's right for our colleagues and our communities, we can achieve excellence together. We encourage colleagues to give back to the causes they care most about, supporting these efforts through our Volunteer Time Off and Matching Grants Programs. Join our Talent Network . Additional information about AIG can be found at www.aig.com | YouTube | Twitter | LinkedIn.
- 1 Month Ago
Senior Casualty Adjuster
- TheBest Claims Solutions
-
Parsippany, NJ
OTHER,PART_TIME
- Senior Casualty Adjuster PARSIPPANY, NJ 07054 | DIRECT HIRE $75,000 TO $90,000 ANNUALLY, DEPENDING ON EXPERIENCE Job Description Our client is seeking to hire a new Senior Casualty Adjuster to their N...
- 19 Days Ago
Complex Claim Director, General Liability
- AIG Claims, Inc.
-
Parsippany, NJ
FULL_TIME
- Who we are American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualt...
- 1 Month Ago
RN Med Surg Denville, NJ
- Quality Clinicians
-
Denville, NJ
FULL_TIME
- We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $621-$1621/week Multiple shift openings Job Description/Responsibilities:...
- 9 Days Ago
Internal Auditor
- PSFCU
-
Fairfield, NJ
FULL_TIME
- Polish & Slavic Federal Credit Union is committed to supporting our employees’ overall wellbeing by providing valuable benefits. The credit union proudly offers a competitive benefits package, that in...
- 21 Days Ago
Complex Claims Specialist (Remote)
- Selective Insurance
-
Branchville, NJ
FULL_TIME
- DescriptionAt Selective, we don't just insure uniquely, we employ uniqueness. Our Business Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consi...
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0 Claims Quality Auditor jobs found in Passaic, NJ area
Quality Auditor
- H&H
-
New York, NY
- We are offering an exciting opportunity for a Quality Auditor in our New York City office. The Quality Auditor will carr...
- 4/25/2024 12:00:00 AM
Quality Auditor - Life Sciences
- SQA Services
-
New York, NY
- SQA Services is a leading Quality Assurance and Supply Chain consultancy firm. SQA manages Supplier Audit and Supplier D...
- 4/25/2024 12:00:00 AM
Electronics Assembler II
- Crane Aerospace & Electronics
-
Caldwell, NJ
- **Electronics Assembler II** Location **NJ, West Caldwell** Department **Operations** Employment Type **Full Time** **Cr...
- 4/25/2024 12:00:00 AM
Quality Auditor - Pharmaceutical - Senior
- SQA Services
-
Newark, NJ
- SQA is a leading Quality Assurance and Supply Chain solutions firm. SQA manages Supplier Audit and Supplier Development ...
- 4/23/2024 12:00:00 AM
Quality Assurance Auditor
- BAP Pharma
-
Somerset, NJ
- Position: QA Auditor (6 MONTH CONTRACT) This is a remote role, onsite 1-2 times per month(costs will be covered) The rol...
- 4/22/2024 12:00:00 AM
FDA Pharmacovigilance Auditor
- SQA Services
-
New York, NY
- Job Description Job Description Job Description Are you passionate about quality in the life sciences area? Do you want ...
- 4/22/2024 12:00:00 AM
Supplier Quality Engineer 3
- Katalyst HealthCares and Life Sciences
-
Flanders, NJ
- Responsibilities: Lead initiatives to improve quality received from assigned suppliers. Support the qualification of par...
- 4/21/2024 12:00:00 AM
Assistant Director Compliance - Maintenance of Way
- Metropolitan Transportation Authority
-
New York, NY
- Description Position at Metro-North Railroad POSTING NO: 6598 JOB TITLE: Assistant Director Compliance - Maintenance of ...
- 4/21/2024 12:00:00 AM
About Passaic, New Jersey
According to the United States Census Bureau, the city had a total area of 3.244 square miles (8.401 km2), including 3.146 square miles (8.149 km2) of land and 0.098 square miles (0.253 km2) of water (3.01%).
Unincorporated communities, localities and place names located partially or completely within the city include Davis Bridge and Pleasant Plains.
Passaic's only land border is with neighboring Clifton, which borders Passaic to the north, south, and west. The Passaic River forms the eastern border of Passaic. Four additional neighboring towns in Bergen County immediately across the river fr...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$52,922 to $64,865
Passaic, New Jersey area prices
were up 1.5% from a year ago
were up 1.5% 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