Claims Quality Auditor jobs in Saginaw, MI

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)

A
Quality Auditor Operator
  • ALUDYNE NORTH AMERICA LLC
  • Alma, MI FULL_TIME
  • Description

      

    Summary: 

    Execute the duties of any combination of: CMM operator Brown and Sharp, CMM operator Zeiss, Quality at the Source Auditor / Trainer, Cleanliness Testing, Materials Tester or Auditor. Know, understand and follow applicable Procedures and Work Instructions. Understand Quality concepts, analyze and communicate results of inspections, CMM reports, and dimensional measurements to Operators, Set up people, Engineers and Management. 

      

    Why You'll Love Working for Us:

    · Comprehensive Benefits Package to include medical, dental, and vision insurance

    · Health Savings Account with annual employer contributions and Flexible Spending Accounts

    · Career Development and On-The-Job Training

    · Employer 401K Match

    · Employee Assistance Program


    · Paid vacation and holidays

    Requirements

      

    Essential Duties and Responsibilities include the following. Other duties may be assigned.

    · Responsible for Operating CMMs

    o Follow the documented Procedures and Work instructions as noted in the job training needs for this position

    o Assist CMM Technicians, CMM Engineer and Engineering with their CMM needs, R&R and Capability Studies.

    o Understand material control and final audit transactions.

    · Train Quality Auditor / Operators

    o Assists in mentoring other quality personnel as required

    · Perform Process Audits

    o Audit production processes as needed.

    · Assist Quality and Engineering staff with various quality issues

    o Participate in the Problem-solving process. Analyze and investigate the root cause of external and internal non-conforming product and make proposals to QE for corrective actions.

    o Initiate, help execute containment and help maintain and update PLEX for timely Control of Non-Conforming Material. 

    · Provide support for internal plant initiatives, especially safety elements.

    o Support the quality improvement, cost reduction, and customer initiative programs with the production team. Maintain a clean work area ensuring strict adherence to the 5S concepts.

    Supervisory Responsibilities  

    · This position has not supervisory responsibilities

    Education and/or Experience  

    · High School Diploma or equivalent. 

    · One year minimum of manufacturing experience preferred.

    Skills and Abilities  

    · Knowledge of quality systems, documentation and concepts. 

    · Effective human relations skills, including good listening ability and the capability to work within teams.

    · Knowledge of Word, Excel, and Power Point.

    · Experience working with automotive industry specifications. 

    Certificates, Licenses, and Registrations 

    · Prefer Certified Quality Technician or Certified Mechanical Inspector.

    · Prefer an Associate Degree in Quality or related body of knowledge. 

    Additional Competencies 

    · Knowledge of IATF-16949 quality system 

    Physical Demands 

    This position requires the employee to use of hands and arms; kneel, crouch; and talk or hear.  The employee is occasionally required to sit. This positions involves working around moving machines in production facilities, handling of hazardous testing chemicals. Protective clothing or gear such as safety glasses/goggles, gloves and shoes may be required.  The employee must occasionally lift and/or move more than 50 pounds.  Specific vision abilities required by this job include close vision, and color vision.  Employee must have good sensation essential to gauge heat exposure when working around hot equipment, dies or furnaces.

    Work Environment

    The noise level in the work environment is usually moderate. This job is performed in a shop environment: hazardous materials; greasy, slippery factory floors. Some overnight travel by car and by plane is required. Travel should not exceed 10%. 

    Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

    This job description will be reviewed periodically as duties and responsibilities change with business necessity. All job functions are subject to modification.


      

    Aludyne is an equal employment opportunity employer such that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, age, or other legally protected status.

     
     

    We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, perform essential job functions, and receive other benefits and privileges of employment. Please contact us to request an accommodation.

  • 8 Days Ago

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Quality Inspector Auditor II
  • MERRILL Technologies Group
  • Saginaw, MI FULL_TIME
  • Average Hourly Pay Range $19.47 - 25.05 16% Night Shift Premium PTO upon hire, Medical, Dental, and Vision Benefits are offered after 90 days of employment, 401K after 6 months Overview: As a Quality ...
  • 24 Days Ago

T
Quality Inspectors - Automotive Inspection
  • TRIGO Global Quality Solutions
  • Alabaster, MI FULL_TIME
  • Quality Inspectors DAILY PAY OFFERED! Opportunity to enroll in group plan coverages,1st of the month following 30 days, to include: Dental, Vision, Short-Term Disability, Life and Critical Illness Ins...
  • 22 Days Ago

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Quality Inspectors - Automotive Inspection
  • TRIGO Global Quality Solutions
  • East Tawas, MI OTHER
  • Quality Inspectors DAILY PAY OFFERED! Opportunity to enroll in group plan coverages,1st of the month following 30 days, to include: Dental, Vision, Short-Term Disability, Life and Critical Illness Ins...
  • 23 Days Ago

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Tech / Assist - First Assist
  • Quality Clinicians
  • Petoskey, MI FULL_TIME
  • Tech / Assist - First Assist We're looking for clinicians for an immediate travel opening. This is a high acuity, fast-paced unit that requires teamwork and strong communication skills. First Time Tra...
  • 4 Days Ago

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RN - OR - Operating Room
  • Quality Clinicians
  • Petoskey, MI FULL_TIME
  • RN - OR - Operating Room We're looking for RNs for an immediate travel nurse opening. The right RN should have 2 years or more of recent experience. As a Travel Nurse, you should be prepared to perfor...
  • 4 Days Ago

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0 Claims Quality Auditor jobs found in Saginaw, MI area

C
Phlebotomist
  • CSL Plasma
  • Saginaw, MI
  • Responsibilities:Mgr Center Has overall authority for center operations production goals, monitor net yields, and implem...
  • 4/18/2024 12:00:00 AM

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Lead Clin Doc Specialist
  • Covenant Healthcare
  • Saginaw, MI
  • Covenant HealthCare US:MI:SAGINAW DAY SHIFT FULL TIME BENEFITED Summary: The Lead Clinical Documentation Specialist demo...
  • 4/18/2024 12:00:00 AM

C
Phlebotomist
  • CSL
  • Saginaw, MI
  • Responsibilities: Mgr Center •Has overall authority for center operations production goals, monitor net yields, and impl...
  • 4/18/2024 12:00:00 AM

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Business Process Steward - Finance
  • Hemlock Semiconductor
  • Hemlock, MI
  • Description This job is located on Hemlock, MI At Hemlock Semiconductor (HSC), we transform people’s lives by energizing...
  • 4/18/2024 12:00:00 AM

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Quality Project Manager
  • MERRILL Technologies Group
  • Saginaw, MI
  • Title Quality Project Manager Description Starting salary range: $80,000 - 90,000 PTO upon hire, Medical, Dental, and Vi...
  • 4/16/2024 12:00:00 AM

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Certified Professional Coder Consultant
  • Yeo & Yeo
  • Saginaw, MI
  • Description Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Y...
  • 4/16/2024 12:00:00 AM

H
Business Process Steward - Finance
  • Hemlock Semiconductor
  • Hemlock, MI
  • Description This job is located on Hemlock, MI At Hemlock Semiconductor (HSC), we transform peoples lives by energizing ...
  • 4/16/2024 12:00:00 AM

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Accounting Manager (Partial Remote Position) @ the H Hotel
  • Wyndham Hotel Group
  • Midland, MI
  • Location: Midland, MI, US Dolce is now seeking a Accounting Manager (Partial Remote Position) @ the H Hotel to join our ...
  • 4/15/2024 12:00:00 AM

Saginaw (/ˈsæɡɪnɔː/) is a city in the U.S. state of Michigan and the seat of Saginaw County. The city of Saginaw and Saginaw County are both located in the area known as Mid-Michigan or Central Michigan. The city of Saginaw is located adjacent to Saginaw Charter Township and is considered part of the Tri-City area, along with neighboring Bay City and Midland. The Saginaw County MSA had a population of 196,542 in 2013. The city is also the largest municipality within the Saginaw, Midland, and Bay City Metropolitan Area. The city of Saginaw was a thriving lumber town in the 19th century and an i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$43,082 to $52,805
Saginaw, Michigan area prices
were up 1.3% from a year ago

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