Claims Quality Auditor jobs in New Mexico

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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NM - Albuquerque - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Albuquerque, NM FULL_TIME
  • 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 for Property and Casualty, Transportation and High Net Worth, with an emphasis on Specialized Programs.

    We are currently looking for licensed adjusters (or individuals who will obtain their license upon onboarding) to assist with daily claims handling for the New Mexico area. In this role, you will manage, investigate and resolve homeowner and commercial property losses of moderate to severe complexity with minimal supervision to include completing field investigations, evaluating and analyzing coverage, completing property damage estimates, reporting findings to various clients, and handling files to the conclusion of the claim.

    In this role, you will:

    • Handle claims during local catastrophes
    • Complete field investigations including inspections, interviews, preparing diagrams, taking photographs, and various other tasks
    • Analyze insurance coverage issues on specific claims and make appropriate recommendations to our clients
    • Prepare detailed estimates in Xactimate based on our client’s specifications and parameters
    • Prepare clear, concise, and timely narrative reports for our clients
    • Create ITV reports
    • Evaluate co-insurance calculations and penalties if applicable
    • Maintain continuous and professional communication with our clients to ensure their needs are being met.
    • Analyze and evaluate damages including reserves, property estimates, business personal property inventories, business interruption, and business income losses
    • Investigate, analyze, adjust and negotiate settlements with insured’s in compliance with our client’s direction
    • Coordinate and oversee vendors such as emergency service contractors, origin and cause investigators, general contractors, engineers, etc.

    Qualifications:

    • 5 years of field Property adjusting experience
    • Ability to climb ladders/Access roofs
    • Thorough knowledge and understanding of roofing, HVAC, and various other mechanical specialties
    • Knowledge of Commercial Lines insurance policies
    • Proficient in Xactimate including Sketch
    • Previous experience with Xactanalysis preferred
    • Proficient in Microsoft Office (Word, Excel, and Outlook)
    • Effective negotiation skills
    • Ability to effectively and independently manage workload
    • Proven ability to provide exceptional customer service
    • Strong written and verbal communication skills
    • Exceptional organization and time management skills

    Job Type: Full-time

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work Location: On the road

  • 6 Days Ago

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Coding Quality Auditor - CODING *Remote, Most States Eligible
  • Providence
  • , NM OTHER
  • DescriptionCoding Quality Auditor - 100% Remote, Most States Eligible.One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (...
  • 26 Days Ago

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Auditor
  • Contact Government Services, LLC
  • Alburquerque, NM FULL_TIME
  • AuditorEmployment Type: Full-Time, Mid-LevelDepartment: FinancialCGS is seeking a highly skilled Auditor to provide general auditing and accounting services in support of fraud investigations involvin...
  • 2 Months Ago

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Field Roof Inspector - Santa Fe, NM
  • Hancock Claims Consultants Technicians
  • Santa Fe, NM CONTRACTOR
  • 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 t...
  • 9 Days Ago

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Field roof inspector
  • Hancock Claims Consultants Technicians
  • Santa Fe, NM 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 ...
  • 9 Days Ago

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RN Home Health Socorro, NM
  • Quality Clinicians
  • Socorro, NM FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $1689-$2689/week Multiple shift openings Job Description/Responsibilities...
  • 11 Days Ago

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Quality Auditor
  • Amsted Automotive Group
  • Sterling Heights, MI
  • ABOUT THE ROLE Means TransForm Products is now the newest business unit of the Amsted Automotive Group, a premier techno...
  • 6/2/2024 12:00:00 AM

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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...
  • 6/1/2024 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...
  • 5/31/2024 12:00:00 AM

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Claims Quality Auditor
  • UCLA Health
  • Los Angeles, CA
  • General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, USA Onsite or Rem...
  • 5/31/2024 12:00:00 AM

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Quality Auditor
  • Johnson Controls
  • Wichita, KS
  • What you will do: Performs Quality Audits on finished goods (box audits), purchased parts, in process part and subassemb...
  • 5/31/2024 12:00:00 AM

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Quality Auditor
  • International Automotive Components
  • Anniston, AL
  • Summary: Working under the direction of the Manufacturing Supervisor/Team Leader, performs various product and process a...
  • 5/30/2024 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...
  • 5/29/2024 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

New Mexico (Spanish: Nuevo México Spanish pronunciation: [ˈnweβo ˈmexiko] (listen), Navajo: Yootó Hahoodzo pronounced [jòːtxó xɑ̀xʷòːtsò]) is a state in the Southwestern region of the United States of America; its capital and cultural center is Santa Fe, which was founded in 1610 as capital of Nuevo México (itself established as a province of New Spain in 1598), while its largest city is Albuquerque with its accompanying metropolitan area. It is one of the Mountain States and shares the Four Corners region with Utah, Colorado, and Arizona; its other neighboring states are Oklahoma to the north...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$42,506 to $52,100

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