Claims Quality Auditor jobs in Vallejo, CA

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)

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Claims Coordinator
  • ServiceMaster Cleaning and Restoration by Levi 9327
  • American Canyon, CA FULL_TIME
  • Position Overview 
    As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. The Coordinator will be responsible to follow up daily with the OPS team to ensure and that all required documentation, estimates and procedures are followed according to required program guidelines.
    A successful Coordinator will possess tenacity and thrives in a fast-paced environment. The coordinator who is detail oriented and able to focus with many projects in varying degrees of completion will be most successful in this position.
     
    Job Responsibilities  
    • Understanding of the claims flow process – Water Mitigation, Reconstruction, Contents, and other Environmental work  
    • Manages data entry for each claim from First Notice of Loss through to completion of job in the CRM system 
    • Daily review of compliance tasks and all job tasks are completed on time  
    • Monitor and update jobs in required operating system making sure the job flows efficiently through the claims process requirements and cycle times  
    • Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call 
    • Creates and or assists with job estimate, reviews final estimate to ensure estimate is complete per company standards 
    • Manages Customer Service issues and complaints, documenting actions and resolution 
    • Understanding of all company cycle times and SLAs required for each job and phase  
    • Client Care Calls – ensure constant, often daily, communication with the customer, may communicate with adjuster 
    • Ensure daily notes are entered in all jobs, contacting relevant participants and escalating to the department manager as required
    • May be responsible for creating job estimate and or assisting the Estimator/Project Manager with final estimate  
     
    Job Requirements 
    • High school diploma/GED required 
    • Bachelor’s Degree or applicable experience preferred, work experience will be considered 
    • IICRC Certifications preferred but not required: WTR, ASD, OCT, STC
    • Exceptional Customer Service skills 
    • 1-3 years of Xactimate experience required- proficient use Xactimate 28 
    • Experience with Microsoft© Office application (Word, Outlook, PowerPoint, and Excel) required 
    • Personal time management and organizational skills 
    • Strong verbal and written communication skills 
    • Dependable and adaptable to operate within a fast-paced work environment 
    • Ability to manage highly confidential information 
    • Strong problem-solving skills
    • Proficient at using Microsoft Office, Outlook, CRM software
    • Experience do you have with customer interaction and conflict resolution
     
    Physical Demands and Working Conditions 
    The physical demands are representative of those that must be met by an employee to perform the essential function to this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 
    Incumbent must be prepared to: 
    • Move up to 20 pounds occasionally, by lifting, carrying, pushing, pulling, or otherwise repositioning objects. 
    • Sitting for long periods of time while using office equipment such as computers, phones etc. 
    • Fingering and Repetitive motions; such as movement of wrists, hands and fingers while picking, pinching and typing during your normal working environment. 
    • Express or exchange ideas with others quickly, accurately, and receive and act on detailed information. 
    • Close visual acuity to perform detail-oriented activities at distances close to the eyes, such as preparing and analyzing data, viewing computer screen and expansive reading. 
    • Be exposed to various inside working conditions: The change of building environment such as with or without air conditioning and heating. May be required to travel for short periods of time. 
     
    Disclaimer
    The above statements are intended to describe the general nature and level of work being performed by associates assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. The Company reserves the right to modify this description in the future, with or without notice to the employee. This Job Description does not create an employment contract, implied or otherwise, and employment with the Company remains at will. These responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities.
     
     
    Compensation: $850.00 - $1,100.00 per week



    Built on a foundation of great brands and employees with a passion for service, our vision is to be the leading provider of essential services through empowered people, world-class customer service and convenient access. By joining ServiceMaster, you'll be part of a talented network of employees with a shared vision.

    Our environment is a diverse community where successful people work together to achieve common goals.


    This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to The ServiceMaster Company, LLC.

  • 11 Days Ago

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Claims manager
  • Five Star Cleaners
  • El Sobrante, CA FULL_TIME
  • Claims Manager Are you ready for a new career? One that will allow you to help people on a daily basis One that will challenge you every day. One that will require you to constantly learn and grow as ...
  • 12 Days Ago

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Claims manager
  • Five Star Cleaners
  • Pinole, CA FULL_TIME
  • Claims Manager Are you ready for a new career? One that will allow you to help people on a daily basis One that will challenge you every day. One that will require you to constantly learn and grow as ...
  • 1 Month Ago

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Claims manager
  • Five Star Cleaners
  • Hercules, CA FULL_TIME
  • Claims Manager Are you ready for a new career? One that will allow you to help people on a daily basis One that will challenge you every day. One that will require you to constantly learn and grow as ...
  • 1 Month Ago

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Claims Assistant
  • Five Star Cleaners
  • San Pablo, CA FULL_TIME
  • Come train as a Claims Assitant and be part Restoration team at a company that offers you the opportunity to help others, be challenged daily, and grow as an employee and individual. The Company: Rene...
  • 1 Month Ago

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Claims Assistant
  • Five Star Cleaners
  • El Sobrante, CA FULL_TIME
  • Come train as a Claims Assitant and be part Restoration team at a company that offers you the opportunity to help others, be challenged daily, and grow as an employee and individual. The Company: Rene...
  • 1 Month Ago

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0 Claims Quality Auditor jobs found in Vallejo, CA area

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Production Lead- $23/hr
  • Thistle
  • Vacaville, CA
  • About the Role: Thistle wants to expand our production team with professional individuals to assist with production-plat...
  • 4/26/2024 12:00:00 AM

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Quality Assurance Leader
  • k2 Pure Solutions
  • Pittsburg, CA
  • k2 Pure Solutions, founded in 2010, is a Chlor-Alkali Manufacturer operating inherently safer technology to produce chem...
  • 4/25/2024 12:00:00 AM

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Quality Auditor
  • Manpower USA
  • Hayward, CA
  • Our client, an automotive manufacturing company, is seeking a Quality Auditor to join their team. As a Quality Auditor, ...
  • 4/25/2024 12:00:00 AM

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Quality Assurance Document Control Specialist
  • Joinn Biologics
  • San Pablo, CA
  • Job Type Full-time Description JOINN Biologics is a contract manufacturing service company, located in San Francisco Bay...
  • 4/25/2024 12:00:00 AM

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Senior Validation Engineer
  • BEPC Inc. - Business Excellence Professional Consulting
  • Vacaville, CA
  • BEPC has an open position for a Validation Engineer III in Vacaville, CA!! Contract W2 Period: 8-month contract with pos...
  • 4/23/2024 12:00:00 AM

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Operations Manager - Parenteral Manufacturing (Formulation)
  • Eli Lilly and Company
  • Concord, CA
  • At Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare lea...
  • 4/23/2024 12:00:00 AM

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Director, Clinical Quality Assurance (gene therapy)
  • 4d Molecular Therapeutics
  • Emeryville, CA
  • Attention recruitment agencies:All agency inquiries are vetted through 4DMT's internal Talent Acquisition team. No unsol...
  • 4/23/2024 12:00:00 AM

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Senior Validation Engineer
  • TalentBurst, an Inc 5000 company
  • Vacaville, CA
  • Title: Validation Engineer III, Req#: ROCGJP00026009 Location: Vacaville, CA (100% onsite) Duration: 8 months Contract J...
  • 4/22/2024 12:00:00 AM

Vallejo (/vəˈleɪ(h)oʊ/ və-LAY-(h)oh; Spanish: [baˈʎexo]) is a waterfront city in Solano County, California, located in the North Bay subregion of the San Francisco Bay Area. Vallejo is geographically the closest North Bay city to the inner East Bay, so it is sometimes associated with that region. Its population was 115,942 at the 2010 census. It is the tenth most populous city in the San Francisco Bay Area, and the largest in Solano County. Vallejo sits on the northeastern shore of San Pablo Bay, 30 miles north of San Francisco, the northwestern shore of the Carquinez Strait and the southern e...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$51,726 to $63,400
Vallejo, California area prices
were up 2.5% from a year ago

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