Quality Auditor
Richmond, VA · On-site
... claims and monitoring supplier performance. • Effectively interacts with all departments ... auditors, and maintains quality system certification. • Maintains and follows all company ...
Richmond, VA · On-site
... claims and monitoring supplier performance. • Effectively interacts with all departments ... auditors, and maintains quality system certification. • Maintains and follows all company ...
Richmond, VA · On-site
... claims and monitoring supplier performance. • Effectively interacts with all departments ... auditors, and maintains quality system certification. • Maintains and follows all company ...
Irving, TX · On-site
$70K - $116K/yr
The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards. The primary ...
Irving, TX · On-site
$70K - $116K/yr
The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards. The primary ...
Richmond, VA · On-site
Quality Manager Summary: The Quality Auditor serves as the lead quality authority for their ... Responsible for processing vendor claims and monitoring supplier performance. Effectively interacts ...
Richmond, VA · On-site
Quality Manager Summary: The Quality Auditor serves as the lead quality authority for their ... Responsible for processing vendor claims and monitoring supplier performance. Effectively interacts ...
NY · On-site
$100 - $125/hr
Report to the Claims Quality Review Director Requirements * Bachelor's Degree or equivalent work ... Working knowledge of claim auditing and assigned line of business * Ability to analyze, interpret ...
New
Troy, MI · On-site
$60 - $80/hr
This role involves monitoring and documenting production quality related to claims auditing and interactions within the Revenue Cycle Management (RCM) function. The ideal candidate should have prior ...
Troy, MI · On-site
$60 - $80/hr
This role involves monitoring and documenting production quality related to claims auditing and interactions within the Revenue Cycle Management (RCM) function. The ideal candidate should have prior ...
Irving, TX · Remote
The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards. The primary ...
Irving, TX · Remote
The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards. The primary ...
San Bernardino, CA · On-site
$28.85 - $33.65/hr
JOB SUMMARY The Quality Control Auditor - Claims Management is responsible for performing detailed audits of claims processing activities to ensure accuracy, regulatory compliance, and adherence to ...
San Bernardino, CA · On-site
$28.85 - $33.65/hr
JOB SUMMARY The Quality Control Auditor - Claims Management is responsible for performing detailed audits of claims processing activities to ensure accuracy, regulatory compliance, and adherence to ...
San Bernardino, CA · On-site
$28.85 - $33.65/hr
Description JOB SUMMARY The Quality Control Auditor - Claims Management is responsible for performing detailed audits of claims processing activities to ensure accuracy, regulatory compliance, and ...
San Bernardino, CA · On-site
$28.85 - $33.65/hr
Description JOB SUMMARY The Quality Control Auditor - Claims Management is responsible for performing detailed audits of claims processing activities to ensure accuracy, regulatory compliance, and ...
San Bernardino, CA · On-site
$28.85 - $33.65/hr
This role evaluates claims adjudication performed by Claims Examiners, identifies errors, analyzes trends, and provides recommendations to improve claims accuracy, operational efficiency, and ...
San Bernardino, CA · On-site
$28.85 - $33.65/hr
This role evaluates claims adjudication performed by Claims Examiners, identifies errors, analyzes trends, and provides recommendations to improve claims accuracy, operational efficiency, and ...
$23.23 - $39.61/hr
Audits and validates routine pre and post payment claims to determine correct adjudication as well ... Responsible for auditing provider data loaded into the claims processing systems, documenting and ...
$23.23 - $39.61/hr
Audits and validates routine pre and post payment claims to determine correct adjudication as well ... Responsible for auditing provider data loaded into the claims processing systems, documenting and ...
Troy, MI · On-site
$60 - $80/hr
The Claims Quality Assurance Analyst is responsible for monitoring and documenting production ... The ideal candidate has prior healthcare claims auditing experience, working knowledge of claims ...
Troy, MI · On-site
$60 - $80/hr
The Claims Quality Assurance Analyst is responsible for monitoring and documenting production ... The ideal candidate has prior healthcare claims auditing experience, working knowledge of claims ...
Troy, MI · On-site +1
The Claims Quality Assurance Analyst is responsible for monitoring and documenting production ... The ideal candidate has prior healthcare claims auditing experience, working knowledge of claims ...
Troy, MI · On-site +1
The Claims Quality Assurance Analyst is responsible for monitoring and documenting production ... The ideal candidate has prior healthcare claims auditing experience, working knowledge of claims ...
The Claims Quality Assurance Analyst is responsible for monitoring and documenting production ... The ideal candidate has prior healthcare claims auditing experience, working knowledge of claims ...
Quick apply
The Claims Quality Assurance Analyst is responsible for monitoring and documenting production ... The ideal candidate has prior healthcare claims auditing experience, working knowledge of claims ...
Great Neck, NY · Hybrid
Experience in claims auditing, claims quality assurance, claims compliance, or other compliance-focused claims roles. * Experience reviewing claim accuracy, claims adjudication, operational ...
Great Neck, NY · Hybrid
Experience in claims auditing, claims quality assurance, claims compliance, or other compliance-focused claims roles. * Experience reviewing claim accuracy, claims adjudication, operational ...
Great Neck, NY · Hybrid
Experience in claims auditing, claims quality assurance, claims compliance, or other compliance-focused claims roles. * Experience reviewing claim accuracy, claims adjudication, operational ...
Quick apply
Great Neck, NY · Hybrid
Experience in claims auditing, claims quality assurance, claims compliance, or other compliance-focused claims roles. * Experience reviewing claim accuracy, claims adjudication, operational ...
$47 - $56/hr
Overview The Sr. Auditor, Quality Assurance position is responsible for ensuring that the audited claims meet quality standards necessary to generate high quality recoverable claims for the benefit ...
$47 - $56/hr
Overview The Sr. Auditor, Quality Assurance position is responsible for ensuring that the audited claims meet quality standards necessary to generate high quality recoverable claims for the benefit ...
The Contractor shall provide expertise in quality assurance, claims processing, medical coding, and ... auditing. * Demonstrated expertise is in CPT, HCPC and ICD billing codes, authorization ...
The Contractor shall provide expertise in quality assurance, claims processing, medical coding, and ... auditing. * Demonstrated expertise is in CPT, HCPC and ICD billing codes, authorization ...
The Contractor shall provide expertise in quality assurance, claims processing, medical coding, and ... auditing. * Demonstrated expertise is in CPT, HCPC and ICD billing codes, authorization ...
The Contractor shall provide expertise in quality assurance, claims processing, medical coding, and ... auditing. * Demonstrated expertise is in CPT, HCPC and ICD billing codes, authorization ...
The Contractor shall provide expertise in quality assurance, claims processing, medical coding, and ... auditing. * Demonstrated expertise is in CPT, HCPC and ICD billing codes, authorization ...
The Contractor shall provide expertise in quality assurance, claims processing, medical coding, and ... auditing. * Demonstrated expertise is in CPT, HCPC and ICD billing codes, authorization ...
Monterey Park, CA · Hybrid
$27 - $32/hr
Monitor and review work of all Claims Quality, Appeals and Recovery staff to identify additional ... Thorough knowledge of medical claim processing procedures/systems, auditing, and a thorough ...
Monterey Park, CA · Hybrid
$27 - $32/hr
Monitor and review work of all Claims Quality, Appeals and Recovery staff to identify additional ... Thorough knowledge of medical claim processing procedures/systems, auditing, and a thorough ...
$14.42 - $17.46
13% of jobs
$19.47 is the 25th percentile. Wages below this are outliers.
$17.46 - $20.50
18% of jobs
$20.50 - $23.54
15% of jobs
The median wage is $24.04 / hr.
$23.54 - $26.57
23% of jobs
$28.03 is the 75th percentile. Wages above this are outliers.
$26.57 - $29.61
13% of jobs
$29.61 - $32.65
5% of jobs
$32.65 - $35.69
1% of jobs
$35.69 - $38.72
3% of jobs
$38.72 - $41.76
5% of jobs
$41.76 - $44.80
1% of jobs
$44.80 - $47.84
2% of jobs
$14
$26
$47
| Aspect | Claims Quality Auditor | Claims Examiner |
|---|---|---|
| Primary Role | Reviews and assesses the accuracy and compliance of claims to improve quality | Processes and evaluates individual insurance claims for approval or denial |
| Required Credentials | Typically requires insurance or claims processing certifications, attention to detail | Often requires similar certifications, with focus on claim evaluation skills |
| Work Environment | Quality assurance teams, office settings, audits of claims files | Claims departments, customer service environments, direct claim processing |
While both roles involve claims, Claims Quality Auditors focus on reviewing and improving claim accuracy and compliance, whereas Claims Examiners handle the initial processing and decision-making on individual claims. Understanding these differences helps in choosing the right career path or job search focus.
The top searched job categories for Claims Quality Auditor jobs are:

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 12 hours ago