Claims Quality Auditor jobs in North Carolina

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 Quality Auditor Specialist
  • IAT Insurance Group
  • Raleigh, NC FULL_TIME
  • IAT Insurance Group has an immediate opening for a Claims Quality Auditor Specialist located in our Raleigh, North Carolina office.

    Please note, IAT works on a hybrid schedule.  This role will be required to work from the office Monday through Wednesday with the option of working remotely Thursday and Friday.

    This position is responsible for working collaboratively with business partners to ensure compliance with IAT Best Practices and continuously supporting the improvement of the technical quality of claims handling and measuring compliance through the completion of quality reviews.  Furthermore, this role works closely with claims management to analyze and communicate findings, recommend solutions and assist with training.

    Responsibilities:

    • Conducts claim technical quality audits of property, transportation, and casualty insurance claims.
    • Performs a thorough analysis of quality audit results to report opportunity areas to management.
    • Utilizes audit software to provide feedback and observations.
    • Makes recommendations to improve quality, workflow processes, policies and procedures.
    • Completes written, oral and PowerPoint presentations to share the QA results.
    • Participates in collaborative training with the Line of Business on technical claims content.
    • Assists in the enhancement of Best Practice Guidelines.
    • Conducts secondary audits to ensure calibration within the claim teams and QA.
    • Assist with special projects and focus audits as required.
    • Stays current within respective fields of expertise.
    • Perform other duties as necessary.

     Qualifications:

     Must have:

    • Bachelors’ degree in related field and 5 years of experience in General Liability, Property, Transportation and Auto Claims handling or equivalent.
    • Equivalent is defined as 7 years of relevant experience as defined above.
    • Multiple jurisdiction claims handling experience.
    • Expertise and knowledge of Property (Personal and Commercial), Casualty, Auto (Physical Damage/Bodily Injury), Transportation claims.
    • Knowledge of the Insurance Industry and Claims Handling.
    • Excellent interpersonal, written, and verbal communication skills.
    • Ability to collect, dissect and analyze complex data sets.
    • Ability to excel independently and in a team.
    • Excellent critical thinking and problem-solving skills.
    • Excellent attention to detail and customer service skills.
    • Ability to set priorities and multitask in a fast-paced environment.
    • Authorized to work in the United States and must not require, now or in the future, VISA sponsorship for employment purposes.

    Our Culture

    IAT is the largest private, family-owned property and casualty insurer in the U.S. Insurance Answers Together® is how we define IAT, in letter and in spirit. We work together to provide solutions for people and businesses. We collaborate internally and with our partners to provide the best possible insurance and surety options for our customers.

    At IAT, we’re committed to driving and building an open and supportive culture for all. Our employees propel IAT forward – driving innovation, stable partnerships and growth. That’s why we continue to build an engaging workplace culture to attract and retain the best talent.

    We offer comprehensive benefits like:

    • 26 PTO Days (Entry Level) 12 Company Holidays = 38 Paid Days Off
    • 7% 401(k) Company Match and additional Profit Sharing
    • Hybrid work environment
    • Numerous training and development opportunities to assist you in furthering your career
    • Healthcare and Wellness Programs
    • Opportunity to earn performance-based bonuses
    • College Loan Assistance Support Plan
    • Educational Assistance Program
    • Mentorship Program
    • Dress for Your Day Policy

    All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.  We maintain a drug-free workplace and participate in E-Verify.

     

     

     

  • Just Posted

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Claims Auditor
  • Atlantic Casualty Insurance Company
  • Charlotte, NC FULL_TIME
  • Atlantic Casualty Insurance Company (ACIC), formed by Strickland Insurance Group (SIG) in 1983 and acquired by Auto-Owners Insurance Group in 2016, maintains an A.M. Best rating of A . ACIC has been c...
  • 8 Days Ago

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Claims Auditor
  • Atlantic Casualty Insurance Company
  • Raleigh, NC FULL_TIME
  • Atlantic Casualty Insurance Company (ACIC), formed by Strickland Insurance Group (SIG) in 1983 and acquired by Auto-Owners Insurance Group in 2016, maintains an A.M. Best rating of A . ACIC has been c...
  • 8 Days Ago

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Claims Auditor
  • Atlantic Casualty Insurance Company
  • Goldsboro, NC FULL_TIME
  • Atlantic Casualty Insurance Company (ACIC), formed by Strickland Insurance Group (SIG) in 1983 and acquired by Auto-Owners Insurance Group in 2016, maintains an A.M. Best rating of A . ACIC has been c...
  • 10 Days Ago

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Quality Auditor
  • Starr Staffing LLC
  • HIGH POINT, NC FULL_TIME
  • 2nd Shift: 2:30pm-11:15pm Monday-Friday (Expect to work Overtime) Duties and Responsibilities: Expected to take initiative and be proactive. Able to read and understand shop orders, production schedul...
  • 3 Days Ago

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Quality Auditor
  • PFL Services Inc
  • Asheboro, NC FULL_TIME
  • Scope of the Role: Assist the quality lead, or designee, and support the Quality Management System; assist with product inspection, shipping, and release; assist the manufacturing process engineer wit...
  • 3 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

North Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the southeastern region of the United States. It borders South Carolina and Georgia to the south, Tennessee to the west, Virginia to the north, and the Atlantic Ocean to the east. North Carolina is the 28th-most extensive and the 9th-most populous of the U.S. states. The state is divided into 100 counties. The capital is Raleigh, which along with Durham and Chapel Hill is home to the largest research park in the United States (Research Triangle Park). The most populous municipality is Charlotte, which is the second-largest banking center in...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$44,371 to $54,387

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