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)
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:
Qualifications:
Must have:
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:
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.