| Claims Quality Auditor III Job Description |
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| The following is a full job description for Claims Quality Auditor III. Here are the requirements and responsibilities for Claims Quality Auditor III along with statistics. If after reading this page you determine that Claims Quality Auditor III is not the position you are looking for, you may want to try one of these similar titles: Claims Quality Auditor I, Claims Quality Auditor II, Claims Examiner III, Claims Adjuster III, Claims Quality Audit Manager, Claims Quality Audit Supervisor, Claims Quality Audit Director, Claims Examiner I, Claims Examiner II |
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| Requirements and Responsibilities For Claims Quality Auditor III |
| 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. A specialist on complex technical and business matters. Work is highly independent. May provide a leadership role for the work group through knowledge in the area of specialization. Typically requires 7+ years of related experience. |
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| Also referred to as: Claims Quality and Compliance Auditor III, Claims Quality Auditor - Senior |
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| Similar Jobs: Claims Quality Auditor I, Claims Quality Auditor II, Claims Examiner III, Claims Adjuster III, Claims Quality Audit Manager, Claims Quality Audit Supervisor, Claims Quality Audit Director, Claims Examiner I, Claims Examiner II |
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| Level of Education: Claims Quality Auditor III Salaries with No Diploma, Claims Quality Auditor III Salaries with a High School Diploma or Technical Certificate, Claims Quality Auditor III Salaries with an Associate's Degree, Claims Quality Auditor III Salaries with a Bachelor's Degree, Claims Quality Auditor III Salaries with a Master's Degree or MBA, Claims Quality Auditor III Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
