Claims Quality Auditor jobs in Schenectady, NY

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)

R
Auditor
  • Rivers Casino & Resort Schenectady
  • Schenectady, NY FULL_TIME
  • Position Summary: The Staff Internal Auditor position is responsible for reviewing and assessing Internal Controls and practices, as well as procedures according to the yearly audit plans approved by the Internal Audit and Compliance Committee.

    Job Title: Staff Internal Auditor

    Department: General & Administration

    Reports To: Manager Internal Audit

    FLSA Designation: Exempt

    License Type: Gaming

    Salary: $70,000 to $90,000

    Essential Job Functions:

    • Perform independent audits within the company for review of accounting, financial and operational functions to determine the effectiveness of the Internal Control system
    • Perform special reviews of operations as requested
    • Perform special operational analysis to help ensure the economical and efficient use of resources
    • Perform the review of operations and programs to ascertain whether results are consistent with established objectives, plans and goals
    • Perform independent compliance audits to determine if the company is in adherence to gaming regulations and the approved system of internal controls
    • Evaluate financial and/or operational data for trends
    • Maintain audit department contact with team members to clarify, explain or provide data/information
    • Develop and review the overall effectiveness of audit programs, audit work papers, procedures/policy manual updates and audit reports to management
    • Identify control and processes weaknesses, document main control points and provide evidential support for report recommendations
    • All other duties as assigned

    Qualifications:

    • Bachelor’s degree
    • Knowledge of accounting and database software
    • Effective oral and written communication skills
    • Experience in Microsoft Excel, proficient in Microsoft Word and Google Suite
    • Effective time management skills
    • Ability to read and interpret documents such as Internal Controls and manuals
    • Ability to maintain organization, meet deadlines, possess integrity and discretion in handling confidential information
    • Ability to work flexible shifts and days of the week including holidays
    • Ability to interact with others while maintaining a courteous and positive demeanor
    • Ability to obtain and maintain all necessary licensing

    Working Conditions:

    • Regularly required to see, talk, and hear; use of hand to finger dexterity, handle, feel, reach with hands and arms
    • Must be able to sit for long periods of time and view information displayed on a computer screen
    • Must occasionally lift up to 10 pounds
    • Able to work with others while maintaining a positive and professional demeanor

  • 25 Days Ago

R
Auditor
  • Rivers Casino
  • Schenectady, NY FULL_TIME
  • Job Category: Regulatory Requisition Number: AUDIT002200 Posting Details Posted: January 24, 2024 Full-Time Locations Rivers Casino & Resort Schenectady 1 Rush St Schenectady, NY 12305, USA Job Detail...
  • 26 Days Ago

V
Auditor
  • Verify
  • Schenectady, NY FULL_TIME
  • Overview Position: Auditor Location: Various Duration: On-going contract Frequency: 8-10 hours/week Pay Range: $45.00-$55.00 per hour Position Overview: The auditor will perform examination of the Qua...
  • 1 Month Ago

Q
RN Med Surg Schenectady, NY
  • Quality Clinicians
  • Schenectady, NY FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $697.07-$1697.07/week Multiple shift openings Job Description/Responsibil...
  • 18 Days Ago

Q
Regional owner operator
  • Quality Carriers
  • Schenectady, NY FULL_TIME
  • Requirements : CDL-A with Tanker and Hazmat Endorsements (Terminal Will Reimburse for Hazmat) Must Be Willing to Obtain a TWIC Card - Will Reimburse 1 Year Tractor Trailer Experience Within the Last 3...
  • 19 Days Ago

Q
RN - OR
  • Quality Clinicians
  • Glens Falls, NY FULL_TIME
  • RN - OR 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 perform the following t...
  • 21 Days Ago

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0 Claims Quality Auditor jobs found in Schenectady, NY area

R
Quality Manager II
  • Ryder System Inc.
  • Albany, NY
  • Job Seekers can review the Job Applicant Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-polic...
  • 4/19/2024 12:00:00 AM

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Product Quality Inspection Technician
  • Philips
  • Latham, NY
  • Job Title Product Quality Inspection Technician Job Description Product Quality Inspection Technician is responsible for...
  • 4/19/2024 12:00:00 AM

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Quality Control Analyst - Raw Materials
  • Regeneron Pharmaceuticals
  • Rensselaer, NY
  • Regeneron is currently looking for a Quality Control (QC) Analyst for our QC Raw Material Utility laboratory with a 1st ...
  • 4/19/2024 12:00:00 AM

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HEAT TRANSFER ENGINEER; BOILERS MANUFACTURING
  • Unilux advanced mfg
  • Niskayuna, NY
  • Job Description Job Description BOILER DESIGN ENGINEER ASME QC PLEASE DO NOT APPLY WITHOUT MINIMUM EXPERIENCE OUTLINED L...
  • 4/17/2024 12:00:00 AM

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Director of Assessment Services
  • Educational Vistas
  • Schenectady, NY
  • Title: Director of Assessment Services Compensation: $75,000 - $90,000 Schedule: Full-Time Type: On-site Job Description...
  • 4/16/2024 12:00:00 AM

C
RN Clinical Manager, Home Health
  • CenterWell Home Health
  • Clifton Park, NY
  • Become a part of our caring community and help us put health first $10,000 Sign on Bonus! Immediate Benefits! The RN Cli...
  • 4/16/2024 12:00:00 AM

M
Senior Associate Auditor
  • MMB + CO
  • Latham, NY
  • The Opportunity: We are recruiting for a Senior Audit Associate to join our Latham team. In this position, you will work...
  • 4/15/2024 12:00:00 AM

B
Restaurant Manager
  • BJ's Restaurants
  • Colonie, NY
  • Overview: Do you challenge yourself to always do things right and do them better? Then you will thrive at BJ’s Restauran...
  • 12/19/2023 12:00:00 AM

Schenectady (/skəˈnɛktədi/) is a city in Schenectady County, New York, United States, of which it is the county seat. As of the 2010 census, the city had a population of 66,135. The name "Schenectady" is derived from a Mohawk word, skahnéhtati, meaning "beyond the pines". Schenectady was founded on the south side of the Mohawk River by Dutch colonists in the 17th century, many from the Albany area. They were prohibited from the fur trade by the Albany monopoly, which kept its control after the English takeover in 1664. Residents of the new village developed farms on strip plots along the rive...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$46,531 to $57,032
Schenectady, New York 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