Claims Quality Auditor jobs in Delaware

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 Auditor - Property
  • Chubb External
  • Wilmington, DE FULL_TIME
  • KEY OBJECTIVE:                                                                                                                                                            

    As a member of the Property Quality Assurance team, this position is responsible for working collaboratively with business partners to ensure compliance with CHUBB and Industry Best Practices and continuously support the improvement of the technical quality of the claims product, measuring compliance through the completion of quality reviews.  This individual will partner with various levels of internal and external claims management to analyze and communicate findings, recommend solutions, and assist in the development of meaningful action plans. 

    MAJOR DUTIES & RESPONSIBILITIES:                                                                                                                           

    • Conducts Claim Technical Quality Reviews of:
      • CHUBB Claims Practice Towers/Offices
      • Self-Administered Programs
    • Assists in the sharing and distribution of Best Practice review results through written reports, PowerPoint presentations, Quality dashboard and oral presentations.
    • Facilitates the calibration process for claim managers that perform Self Reviews.
    • Performs a thorough analysis of quality review results and translates results into key opportunity areas.
    • Continuously collaborates with Business Stakeholder in the development of meaningful action plans that detail the tasks, resources, and timeframes necessary to improve claim handling.
    • Facilitates, supports, and measures the execution of management action plans.
    • Assists in the development and enhancement of CHUBB’s Best Practice Guidelines.
    • Leads or actively participates in training claim handlers on technical claims content and Chubb managers on the use of the quality review tool for results and analysis. 
    • Assure proper follow-up and oversight of the execution and completion of management action plans, as necessary.
    • Interact with multiple business partners (Claims, Internal Audit, Accounts, etc.) as required.
    • Foster CHUBB’s ongoing digital and process transformations, providing innovative solutions for utilizing data management.
    • A strong contributor to the team, sharing ideas, corrective actions, or other QA collateral with the QA team and across the claim discipline.
    • Stays current within respective field(s) of expertise, jurisdictional changes and relative licensing.
    • 25% travel required.
    • This position reports to a Quality Assurance Supervisor.

     

  • 1 Month 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...
  • 23 Days 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...
  • 5 Days Ago

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Data Quality Audit Manager / Auditor-in Charge (AIC) HYBRID REMOTE
  • My Headhunter LLC
  • Wilmington, DE FULL_TIME
  • Data Quality Audit Manager / Auditor-in Charge (AIC)Hybrid Remote $125,000 – $135,000 Performance Bonus Great Benefits Package This role is described as an AIC within the Data Quality Team of Corporat...
  • 1 Month Ago

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AUDITOR
  • Air Force Civilian Career Training
  • Dover, DE FULL_TIME
  • Click on "Learn more about this agency" button below for IMPORTANT additional information.The primary purpose of this position is: To serve as a developmental level professional auditor. This is a for...
  • 1 Month Ago

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Auditor
  • Delaware Park Casino & Racing
  • Wilmington, DE FULL_TIME
  • JOB RESPONSIBILITIESAudits activities of various departments for compliance with plans, policies, and procedures as prescribed by management.Prepares and submits reports on the results of work perform...
  • 1 Month Ago

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Quality Auditor
  • ResourceMFG
  • Jacksonville, FL
  • summary ResourceMFG is now hiring Quality Auditors in Lafayette! Pay and Hours: 2nd Shift: 2:30pm-11pm-$20/hr Job Descri...
  • 6/11/2024 12:00:00 AM

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Quality Auditor
  • Texas Children's Hospital
  • Bellaire, TX
  • Job Summary We are searching for a Quality Auditor - Benefits, Contracts, Fee Schedules Configuration/Testing - someone ...
  • 6/11/2024 12:00:00 AM

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Quality Auditor
  • Loma Linda University Health
  • Loma Linda, CA
  • Job Description Job Summary: The Quality Auditor will be responsible for auditing departmental workflows and functions, ...
  • 6/11/2024 12:00:00 AM

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Quality Auditor
  • H&H
  • Fort Lauderdale, FL
  • We are offering an exciting opportunity for a Quality Auditor to join the H&H Quality Department in our Fort Lauderdale,...
  • 6/11/2024 12:00:00 AM

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Quality Auditor
  • Catalent Pharma Solutions
  • Madison, WI
  • **Quality Auditor** **Position Summary:** Catalent is a global, high-growth, public company, and a leading partner for t...
  • 6/9/2024 12:00:00 AM

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Quality Auditor
  • Plastipak Holdings
  • Jackson Center, OH
  • As a Plastipak Quality Auditor, you audit systems and processes as they relate to our Quality program. You play a key ro...
  • 6/8/2024 12:00:00 AM

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Quality Auditor
  • Flextronics
  • Salt Lake City, UT
  • Job Posting Start Date 04-26-2024 Job Posting End Date 06-26-2024Flex is the diversified manufacturing partner of choice...
  • 6/8/2024 12:00:00 AM

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Quality Auditor
  • Mauser Packaging Solutions
  • York, PA
  • JOB DESCRIPTION Responsibilities Performs quality assurance testing as required. Reviews production orders or schedules ...
  • 5/23/2024 12:00:00 AM

Delaware is 96 miles (154 km) long and ranges from 9 miles (14 km) to 35 miles (56 km) across, totaling 1,954 square miles (5,060 km2), making it the second-smallest state in the United States after Rhode Island. Delaware is bounded to the north by Pennsylvania; to the east by the Delaware River, Delaware Bay, New Jersey and the Atlantic Ocean; and to the west and south by Maryland. Small portions of Delaware are also situated on the eastern side of the Delaware River sharing land boundaries with New Jersey. The state of Delaware, together with the Eastern Shore counties of Maryland and two co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$46,913 to $57,503

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