Claims Quality Auditor jobs in Sarasota, 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)

A
Claims Associate
  • Ajax Paving Industries
  • Venice, FL OTHER
  • Application Instructions: Apply online at: https://www.ajaxpaving.com/florida/employment-fl.html


    Please complete the entire online application, sign and date the relevant sections, and then submit. You will receive a confirmation email after your online application has been submitted.

    If you cannot or do not wish to apply online, drop off or send printed applications to:

    Ajax Paving - Employment Office
    One Ajax Drive
    North Venice, FL 34275
    flemployment@ajaxpaving.com
    Fax: 941-486-3500


    Position Description: As a Claims Associate at Ajax Paving, your primary focus will be on managing and supporting our


    company’s claims process. You’ll work closely with our Safety Director to ensure efficient handling


    of claims related to our road construction and trucking projects. Below are the specific


    responsibilities and qualifications for this role:


    Duties & Responsibilities:
    1. Claims Processing:
    o Assist in processing and documenting claims related to Ajax Paving’s operations.
    o Collaborate with Ajax managers & supervisors to gather necessary information and documentation.
    o Maintain accurate records of claims, including correspondence, reports, and updates internal and
    with our insurance partners.
    o Ensure timely follow-up on outstanding claims.

    2. Communication and Coordination:
    o Communicate with internal stakeholders, including project managers, site supervisors, and legal
    teams.
    o Coordinate with external parties such as insurance providers, contractors, and regulatory
    agencies.
    o Handle inquiries related to claims status and provide updates as needed.

    3. Data Management:
    o Input claims data and updates into systems accurately.
    o Generate reports and summaries for management review.
    o Organize and maintain electronic and physical claim files.
    o Accurately preparing and transmitting all first reports of injury and for all lines of business.

    4. Administrative Support:
    o Assist with administrative tasks, including filing, organizing documents, and various projects
    and inquiries.
    o Fielding incoming calls and send out appropriate claim forms.
    o Responding to internal and external inquiries regarding claim status.
    o Requesting claim and other payments to be issued by Ajax.
    o Support the claims team during audits and investigations.
    o Maintain various department manuals and documents.

    5. Coaching and Feedback
    o Review in vehicle camera footage to develop and administer internal coaching
    o Administer internal driver scorecard program


    Position Requirements: Qualifications:

    1. Education:

    Minimum of a 2-year associates degree. Paralegal certificate or relevant prior claims experience is a plus.

    2. Skills:

    o Proficiency in Microsoft Office Suite (Word, Excel, Outlook). o Strong organizational skills and attention to detail.
    o Self-motivated with a high work ethic
    o Excellent communication and interpersonal abilities.


    3. Experience:
    o Prior experience in claims processing is a must.
    o Familiarity with insurance terminology and claims procedures


    Equal Opportunity Employer: Equal Opportunity Employer/Minorities/Women/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity

  • 30 Days Ago

Q
Manufacturing Technician
  • Quality Enclosures
  • Sarasota, FL FULL_TIME
  • MANUFACTURING TECHNICIAN About Us: Quality Enclosures, Inc. manufactures the highest quality shower enclosures and tempered glass with unmatched customer service. Consisting of multiple tempering and ...
  • 8 Days Ago

C
Lawn Laborer
  • Coastal Quality
  • North Port, FL FULL_TIME
  • Team Members need for: Lawn & Landscape Maintenance Landscape Installation Irrigation Repair & Installation Please have reliable transportation Call for on the job interview 941-815-2077 Job Type: Ful...
  • 14 Days Ago

C
Lawn Laborer
  • Coastal Quality
  • North Port, FL FULL_TIME
  • Team Members need for: Lawn & Landscape Maintenance Landscape Installation Irrigation Repair & Installation Please have reliable transportation Call for on the job interview 941-815-2077 Job Type: Ful...
  • 14 Days Ago

Q
Customer Success Representative
  • Quality Enclosures
  • Sarasota, FL FULL_TIME
  • About Us: Quality Enclosures, Inc. manufactures the highest quality shower enclosures and tempered glass with unmatched customer service. Consisting of multiple tempering and manufacturing facilities ...
  • 24 Days Ago

S
Internal Auditor
  • Sarasota County
  • Sarasota, FL FULL_TIME
  • Are you looking for a rewarding career that coincides with the standards you see in your community and neighborhood? Then join the team of the Sarasota Clerk of the Circuit Court and County Comptrolle...
  • 16 Days Ago

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0 Claims Quality Auditor jobs found in Sarasota, FL area

H
General Manager
  • HMSHOST
  • Sarasota, FL
  • With a career at HMSHost, you really benefit! We offer: Health, dental and vision insurance Generous paid time off (vaca...
  • 4/24/2024 12:00:00 AM

V
Vice President, Director of Clinical Services
  • Virtus health llc
  • Sarasota, FL
  • Job Description Job Description Virtus Health, a well-established privately owned ABA company, is currently seeking a Vi...
  • 4/24/2024 12:00:00 AM

C
RN Clinical Manager, Home Health
  • CenterWell Home Health
  • Sarasota, FL
  • Become a part of our caring community and help us put health first The Clinical Manager coordinates and oversees all dir...
  • 4/23/2024 12:00:00 AM

C
HR Controls - Business/Function Quality Control Lead (SVP) (Hybrid)
  • Citigroup, Inc.
  • Tampa, FL
  • The Business/Function Quality Control Lead position is part of the HR Controls team that is being formed to respond to t...
  • 4/22/2024 12:00:00 AM

S
Customer Service Quality Assurance Auditor
  • Safepoint MGA, LLC
  • Tampa, FL
  • Job Summary As a Customer Service Quality Assurance Auditor, you will ensure that our customer service meets and exceeds...
  • 4/22/2024 12:00:00 AM

D
Internal Revenue Agent (Examination Analyst - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Sarasota, FL
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

D
Human Resources Specialist (Recruitment & Placement) - 12 Month Roster
  • Department Of The Treasury
  • Sarasota, FL
  • Duties WHAT IS THE HCO - HUMAN CAPITAL OFFICE DIVISION? A description of the business units can be found at: https://www...
  • 4/22/2024 12:00:00 AM

V
Vice President of Clinical Services (BCBA)
  • Virtus Health, LLC
  • Sarasota, FL
  • Virtus Health, a well-established privately owned ABA company, is currently seeking a Vice President of Clinical Service...
  • 4/21/2024 12:00:00 AM

Sarasota (/ˌsærəˈsoʊtə/) is a city in Sarasota County on the southwestern coast of the U.S. state of Florida. The area is renowned for its cultural and environmental amenities, beaches, resorts, and the Sarasota School of Architecture. The city is at the southern end of the Tampa Bay Area, north of Fort Myers and Punta Gorda. Its official limits include Sarasota Bay and several barrier islands between the bay and the Gulf of Mexico. According to the U.S. Census Bureau, in 2013 Sarasota had a population of 53,326. In 1986 it became designated as a certified local government. Sarasota is a prin...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$43,726 to $53,594
Sarasota, Florida area prices
were up 1.5% from a year ago

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