Claims Quality Auditor jobs in Wilmington, DE

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 Analyst
  • Delaware Claims
  • Wilmington, DE FULL_TIME
  • Recent and Upcoming College Graduates are encouraged to apply, no experience needed. No sales or phone work required.


    Delaware Claims Processing Facility has openings in its downtown Wilmington, DE location for Claims Analysts


    Qualifications

    Ideal candidates will be hard working with a high energy level; the ability to remain focused and recall data is key. This position requires excellent organizational skills, and strong reading comprehension skills. Along with the ability to work independently in a team environment, candidates should be able to grasp new concepts quickly. Comfort in an ever-changing production environment, and Associates or Bachelor’s Degree needed. Must be able to learn and apply new concepts.


    Duties
    Review Claims in accordance with Review procedures. Take a proactive approach to claims processing and utilize resources to ensure proper handling of all claims. Maintain satisfactory or better quality and productivity standards. Portray a positive claimant focused attitude. Maintain a professional demeanor at all times.


    In addition to a pleasant and professional working environment, Delaware Claims Processing Facility offers a competitive salary and benefits package to include transportation allowance, tuition reimbursement, 401-K, hybrid work from home plans and more.


    Apply online here or visit our website to learn more about DCPF and what we can offer you www.delcpf.com


    Delaware Claims Processing Facility is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

  • 20 Days Ago

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DE - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Delaware, DE PART_TIME,CONTRACTOR
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 1 Month Ago

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Senior Quality and Compliance Specialist (GCP Auditor)
  • MMS
  • Wilmington, DE FULL_TIME
  • MMS is an innovative, data focused CRO that supports the pharmaceutical, biotech, and medical device industries with a proven, scientific approach to complex trial data and regulatory submission chall...
  • Just Posted

2
Quality reviewer
  • 2M Quality
  • Bridgeville, DE FULL_TIME
  • This is a part time, 1099 position. Job duties include : Looking at newly built homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professi...
  • 2 Days Ago

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Field Roof Inspector - Wilmington, DE
  • Hancock Claims Consultants Technicians
  • Wilmington, DE FULL_TIME
  • Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management. At Hancock, we are at ...
  • Just Posted

2
New Home Quality Reviewer
  • 2M Quality
  • Bridgeville, DE PART_TIME
  • This is a part time, 1099 position. Job duties include: Looking at newly built homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professio...
  • 6 Days Ago

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0 Claims Quality Auditor jobs found in Wilmington, DE area

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Quality Operations Manager
  • Pci Pharma Services
  • Philadelphia, PA
  • Summary of Objective: This position is responsible for overseeing the direction, training, organization, alignment, moni...
  • 4/25/2024 12:00:00 AM

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Quality Operations Manager
  • PCI Pharma Services
  • Philadelphia, PA
  • Summary of Objective: This position is responsible for overseeing the direction, training, organization, alignment, moni...
  • 4/25/2024 12:00:00 AM

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Quality Auditor
  • Intelliswift Software Inc
  • West Point, PA
  • Qualifications: Position Qualifications: Education Minimum Requirement: B.S., M.S. and/or PhD. degree in an appropriate ...
  • 4/24/2024 12:00:00 AM

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Senior Quality Auditor
  • Spectraforce Technologies
  • West Point, PA
  • Job Title: Quality Auditor - Scientific - III (Senior)Location: RemoteDuration: 12 MonthsQualifications:Education Minimu...
  • 4/24/2024 12:00:00 AM

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Sr. Quality Auditor (Remote)
  • Primary Talent Partners
  • West Point, PA
  • Primary Talent Partners has a remote 12-month contract Sr. Quality Auditor opening with a Pharmaceutical client based in...
  • 4/24/2024 12:00:00 AM

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Quality Management System Auditor NSWCPD Code 00Q
  • ORBIS INC
  • Philadelphia, PA
  • Quality Management System Auditor NSWCPD Code 00Q Philadelphia, PA Responsibilities: Position is for the Quality Managem...
  • 4/23/2024 12:00:00 AM

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Quality Auditor - Scientific
  • LanceSoft, Inc.
  • Lansdale, PA
  • Qualifications: Bachelor degree (B.S.) in an appropriate Science or Engineering discipline (engineering, chemistry, biol...
  • 4/21/2024 12:00:00 AM

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Quality Auditor - Scientific - III (Senior) Quality Auditor - Scientific - III (Senior)
  • LanceSoft
  • West Point, PA
  • •Maintain an expert level of knowledge related to GMP requirements and industry trends as described in applicable worldw...
  • 4/21/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 17.0 square miles (44 km2). Of that, 10.9 square miles (28 km2) is land and 6.2 square miles (16 km2) is water. The total area is 36.25% water. The city sits at the confluence of the Christina River and the Delaware River, about 33 miles (53 km) southwest of Philadelphia. Wilmington Train Station, one of the southernmost stops on Philadelphia's SEPTA rail transportation system, is also served by Northeast Corridor Amtrak passenger trains. Wilmington is served by I-95 and I-495 within city limits. In addition, the twin-s...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$47,956 to $58,779
Wilmington, Delaware area prices
were up 1.0% from a year ago

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