Claims Quality Auditor jobs in Worcester, MA

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
Auditor
  • ARMStrong Receivable Management
  • Worcester, MA FULL_TIME
  • ARMStrong Receivable Management is the leading and most trusted name in the world of debt recovery and financial solutions.

    With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions.

    As the parent company, ARMStrong is proud to own and operate Altus Receivables Management, Amalgamated Financial Group, Brown & Joseph, Paragon, CP Audits, and SubroIQ, each a powerhouse in their own right, providing specialized expertise in debt management and financial services.

    As a premium auditor, looking for evidence of fraud and checking that insurance companies adhere to these regulations are your primary responsibilities.

    Your job will be based from home with required daily travel to each audit location. Car travel will be on average of 4 days per week within your assigned territory.

    Job Responsibilities : Conduct insurance premium audits for Workers Compensation, General Liability, and Automobile policies by auditing policyholder’s records, and applying manual rules and company standards.

    Prepare for the audit by identifying the necessary information and type of records needed Prepare schedule to maximize optimal use of time Correspond with insured via phone, email and mail to setup audit appointments.

    Examine the policyholder’s records, gather data to determine correct classifications for business activities and write an effective description of operations Prepare complete audit document, explain results to insured and communicate the results to the home office Travel to multiple audit locations daily / weekly Job Requirements : Associate’s Degree or equivalent plus two years’ performing premium audits or equivalent combination of education and experience highly desired Entry level also considered for those willing to learn Ability to read, analyze and interpret financial documents General PC knowledge including Microsoft Excel and Word.

    Knowledge of Visual Audit is a plus. Ability to communicate well with customers and staff. Valid driver’s license and satisfactory driving record Compensation and Benefits : Benefit package with health, dental, vision, life and disability coverage options 401(k) retirement plan option with company matching Generous paid time off policy and 7 paid holidays Salary is $44,700 - $55,000 (greatly depending on experience) Weekly pay 401(k) plan with company matching and immediate vesting We look forward to you joining the team! Armstrong Receivable Management is an Equal Opportunity Employer.

    We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. Powered by JazzHR

    Last updated : 2024-04-24

  • Just Posted

T
Claims- Field Claims Representative
  • The Cincinnati Insurance Companies
  • Worcester, MA FULL_TIME
  • US-MA-Worcester Description Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into ...
  • 12 Days Ago

T
Claims - Paralegal Claims Counsel
  • The Hanover Insurance Group
  • Worcester, MA FULL_TIME
  • Our Claims Counsel team is currently seeking a Paralegal Claims Counsel in our Worcester, MA location. This is a full time, non-exempt role. This role is eligible for Hybrid/Flex work arrangement. POS...
  • 12 Days Ago

Q
PCA Caregiver Sat & Sun N. Grosvenor Dale, CT
  • Quality Homemakers
  • Thompson, CT FULL_TIME
  • QHM Homecare Caregiver Recruitment is looking to hire a PCA Caregiver for an elderly client in North Grosvenor Dale, CT Saturday 8am-12pm or 4pm-8pm Sunday 4pm-8pm Our PCAs (Personal Care Assistant) c...
  • 15 Days Ago

Q
RN PACU Southbridge, MA
  • Quality Clinicians
  • Southbridge, MA FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $1308-$2308/week Multiple shift openings Job Description/Responsibilities...
  • Just Posted

Q
RN Med Surg Gardner, MA
  • Quality Clinicians
  • Gardner, MA FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $1267-$2267/week Multiple shift openings Job Description/Responsibilities...
  • Just Posted

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Claims Quality Auditor jobs found in Worcester, MA area

B
Quality System Supervisor
  • BostonGene
  • Waltham, MA
  • Position Summary BostonGene is seeking a Quality Systems Supervisor to join our QA team. This role will integrate and ma...
  • 4/25/2024 12:00:00 AM

S
Quality Auditor - Pharmaceutical - Senior
  • SQA Services
  • Boston, MA
  • Are you passionate about quality in the life sciences area? Do you want to work with the most prestigious names in pharm...
  • 4/25/2024 12:00:00 AM

M
Quality Manager
  • McGill Hose & Coupling
  • East Longmeadow, MA
  • Benefits: 401(k) Competitive salary Opportunity for advancement Join our industrial hose distribution company, a respect...
  • 4/25/2024 12:00:00 AM

P
Senior Quality Systems Engineer
  • Paragonix Technologies, Inc.
  • Waltham, MA
  • Paragonix Technologies markets organ transportation devices that safeguard organs during the journey between donor and r...
  • 4/24/2024 12:00:00 AM

B
Quality System Supervisor
  • Bostongene
  • Waltham, MA
  • Position Summary BostonGene is seeking a Quality Systems Supervisor to join our QA team. This role will integrate and ma...
  • 4/23/2024 12:00:00 AM

A
Compliance Specialist - Second Shift
  • Astellas Pharmaceuticals
  • Westborough, MA
  • Do you want to be part of an inclusive team that works to develop innovative therapies for patients? Every day, we are d...
  • 4/23/2024 12:00:00 AM

A
Compliance Specialist
  • Astellas Pharmaceuticals
  • Westborough, MA
  • Do you want to be part of an inclusive team that works to develop innovative therapies for patients? Every day, we are d...
  • 4/21/2024 12:00:00 AM

A
Quality Manager - QMS and Auditing
  • Analog Devices
  • Wilmington, MA
  • Analog Devices, Inc. (NASDAQ: ADI) is a global semiconductor leader that bridges the physical and digital worlds to enab...
  • 4/21/2024 12:00:00 AM

Worcester has a total area of 38.6 square miles (100 km2), 37.6 square miles (97 km2) of land and 1.0 square mile (2.6 km2) (roughly 2.59%) of water. Worcester is bordered by the towns of Auburn, Grafton, Holden, Leicester, Millbury, Paxton, Shrewsbury, and West Boylston. Worcester is known as the Heart of the Commonwealth, because of its proximity to the center of Massachusetts. The city is about 40 miles (64 km) west of Boston, 50 miles (80 km) east of Springfield, and 38 miles (61 km) northwest of Providence, Rhode Island. The Blackstone River forms in the center of Worcester by the conflue...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$48,508 to $59,455
Worcester, Massachusetts area prices
were up 1.6% from a year ago

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