| Claims Quality Auditor I Job Description |
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| The following is a full job description for Claims Quality Auditor I. Here are the requirements and responsibilities for Claims Quality Auditor I along with statistics. If after reading this page you determine that Claims Quality Auditor I is not the position you are looking for, you may want to try one of these similar titles: Claims Quality Auditor II, Claims Quality Auditor III, Claims Examiner I, Claims Adjuster I, Claims Supervisor I, Claims Quality Audit Manager, Claims Adjuster II, Claims Quality Audit Supervisor, Claims Examiner III |
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| Requirements and Responsibilities For Claims Quality Auditor I |
| Audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Selects claims through random processes and/or other criteria. Makes recommendations to improve quality, workflow processes, policies and procedures. Typically requires an associate degree. Typically reports to a supervisor or a manager. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. Typically requires 2 to 4 years of related experience. |
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| Also referred to as: Claims Quality and Compliance Auditor I, Claims Quality Auditor - Associate |
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| Similar Jobs: Claims Quality Auditor II, Claims Quality Auditor III, Claims Examiner I, Claims Adjuster I, Claims Supervisor I, Claims Quality Audit Manager, Claims Adjuster II, Claims Quality Audit Supervisor, Claims Examiner III |
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| Level of Education: Claims Quality Auditor I Salaries with No Diploma, Claims Quality Auditor I Salaries with a High School Diploma or Technical Certificate, Claims Quality Auditor I Salaries with an Associate's Degree, Claims Quality Auditor I Salaries with a Bachelor's Degree, Claims Quality Auditor I Salaries with a Master's Degree or MBA, Claims Quality Auditor I Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
