Albany, NY · On-site
$64K - $90K/yr
The Quality Improvement job family serves the claims operation in a variety of capacities, most of ... Analyze audit results and perform focused audits on specific trends as needed to identify gaps and ...
Albany, NY · On-site
$64K - $90K/yr
The Quality Improvement job family serves the claims operation in a variety of capacities, most of ... Analyze audit results and perform focused audits on specific trends as needed to identify gaps and ...
Omaha, NE · On-site
$64K - $90K/yr
The Quality Improvement job family serves the claims operation in a variety of capacities, most of ... In other cases, these jobs may be responsible for assisting analyst, specialist, the department ...
Omaha, NE · On-site
$64K - $90K/yr
The Quality Improvement job family serves the claims operation in a variety of capacities, most of ... In other cases, these jobs may be responsible for assisting analyst, specialist, the department ...
Omaha, NE · On-site
$64K - $90K/yr
The Quality Improvement job family serves the claims operation in a variety of capacities, most of ... Analyze audit results and perform focused audits on specific trends as needed to identify gaps and ...
Omaha, NE · On-site
$64K - $90K/yr
The Quality Improvement job family serves the claims operation in a variety of capacities, most of ... Analyze audit results and perform focused audits on specific trends as needed to identify gaps and ...
The Claims Quality Assurance Analyst is responsible for monitoring and documenting production quality in support of departmental goals and initiatives, with a primary focus on claims auditing and ...
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The Claims Quality Assurance Analyst is responsible for monitoring and documenting production quality in support of departmental goals and initiatives, with a primary focus on claims auditing and ...
Troy, MI · On-site +1
The Claims Quality Assurance Analyst is responsible for monitoring and documenting production quality in support of departmental goals and initiatives, with a primary focus on claims auditing and ...
Troy, MI · On-site +1
The Claims Quality Assurance Analyst is responsible for monitoring and documenting production quality in support of departmental goals and initiatives, with a primary focus on claims auditing and ...
Claims Quality Auditor| Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor ... Analyze provider disputes for patterns or recurring issues. * Identify root causes and work with ...
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Claims Quality Auditor| Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor ... Analyze provider disputes for patterns or recurring issues. * Identify root causes and work with ...
Tampa, FL · On-site +1
Claims Quality Auditor| Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor ... Analyze provider disputes for patterns or recurring issues. * Identify root causes and work with ...
Tampa, FL · On-site +1
Claims Quality Auditor| Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor ... Analyze provider disputes for patterns or recurring issues. * Identify root causes and work with ...
JOB SUMMARY The Quality Analyst is responsible for managing the various aspects of the medical file ... We process over 200,000 insurance claims annually for leading national and regional Workers ...
JOB SUMMARY The Quality Analyst is responsible for managing the various aspects of the medical file ... We process over 200,000 insurance claims annually for leading national and regional Workers ...
Claims Quality Auditor| Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor ... Analyze provider disputes for patterns or recurring issues. * Identify root causes and work with ...
Claims Quality Auditor| Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor ... Analyze provider disputes for patterns or recurring issues. * Identify root causes and work with ...
Salary: Claims Quality Auditor| Remote Job Type: Full time Work Setup: Remote Reports to: Claims ... Analyze provider disputes for patterns or recurring issues. * Identify root causes and work with ...
Quick apply
Salary: Claims Quality Auditor| Remote Job Type: Full time Work Setup: Remote Reports to: Claims ... Analyze provider disputes for patterns or recurring issues. * Identify root causes and work with ...
Modesto, CA · On-site
$60K - $82K/yr
Strong knowledge of basic data analysis and communication/reporting tools and techniques, with ... Three years of experience in medical claims processing, adjustments, and quality assurance; and
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Modesto, CA · On-site
$60K - $82K/yr
Strong knowledge of basic data analysis and communication/reporting tools and techniques, with ... Three years of experience in medical claims processing, adjustments, and quality assurance; and
French Camp, CA · On-site
$60K - $82K/yr
Strong knowledge of basic data analysis and communication/reporting tools and techniques, with ... Three years of experience in medical claims processing, adjustments, and quality assurance; and
Quick apply
French Camp, CA · On-site
$60K - $82K/yr
Strong knowledge of basic data analysis and communication/reporting tools and techniques, with ... Three years of experience in medical claims processing, adjustments, and quality assurance; and
Home, WA · Hybrid
$75K - $95K/yr
Position Summary The Claims Division is seeking a team member to join the Claims Operations Team as a Data Quality Analyst. In this role the responsibilities include, but not limited to, examining ...
Home, WA · Hybrid
$75K - $95K/yr
Position Summary The Claims Division is seeking a team member to join the Claims Operations Team as a Data Quality Analyst. In this role the responsibilities include, but not limited to, examining ...
Jersey City, NJ · Hybrid
$75K - $95K/yr
Position Summary The Claims Division is seeking a team member to join the Claims Operations Team as a Data Quality Analyst. In this role the responsibilities include, but not limited to, examining ...
Jersey City, NJ · Hybrid
$75K - $95K/yr
Position Summary The Claims Division is seeking a team member to join the Claims Operations Team as a Data Quality Analyst. In this role the responsibilities include, but not limited to, examining ...
New York, NY · Hybrid
$75K - $95K/yr
Position Summary The Claims Division is seeking a team member to join the Claims Operations Team as a Data Quality Analyst. In this role the responsibilities include, but not limited to, examining ...
New York, NY · Hybrid
$75K - $95K/yr
Position Summary The Claims Division is seeking a team member to join the Claims Operations Team as a Data Quality Analyst. In this role the responsibilities include, but not limited to, examining ...
Chicago, IL · Hybrid
$75K - $95K/yr
Position Summary The Claims Division is seeking a team member to join the Claims Operations Team as a Data Quality Analyst. In this role the responsibilities include, but not limited to, examining ...
Chicago, IL · Hybrid
$75K - $95K/yr
Position Summary The Claims Division is seeking a team member to join the Claims Operations Team as a Data Quality Analyst. In this role the responsibilities include, but not limited to, examining ...
Alpharetta, GA · Hybrid
$75K - $95K/yr
Position Summary The Claims Division is seeking a team member to join the Claims Operations Team as a Data Quality Analyst. In this role the responsibilities include, but not limited to, examining ...
Alpharetta, GA · Hybrid
$75K - $95K/yr
Position Summary The Claims Division is seeking a team member to join the Claims Operations Team as a Data Quality Analyst. In this role the responsibilities include, but not limited to, examining ...
Garden City, NY · Hybrid
$75K - $95K/yr
Position Summary The Claims Division is seeking a team member to join the Claims Operations Team as a Data Quality Analyst. In this role the responsibilities include, but not limited to, examining ...
Garden City, NY · Hybrid
$75K - $95K/yr
Position Summary The Claims Division is seeking a team member to join the Claims Operations Team as a Data Quality Analyst. In this role the responsibilities include, but not limited to, examining ...
Dallas, TX · Hybrid
$75K - $95K/yr
Position Summary The Claims Division is seeking a team member to join the Claims Operations Team as a Data Quality Analyst. In this role the responsibilities include, but not limited to, examining ...
Dallas, TX · Hybrid
$75K - $95K/yr
Position Summary The Claims Division is seeking a team member to join the Claims Operations Team as a Data Quality Analyst. In this role the responsibilities include, but not limited to, examining ...
Develop a root cause analysis report for common trends to provide feedback to the claims staff ... Oversees, in conjunction with the Managed Care Management Team, to ensure QA programs are aligned ...
Develop a root cause analysis report for common trends to provide feedback to the claims staff ... Oversees, in conjunction with the Managed Care Management Team, to ensure QA programs are aligned ...
$14.66 - $18.05
14% of jobs
$20.07 is the 25th percentile. Wages below this are outliers.
$18.05 - $21.44
19% of jobs
The median wage is $23.67 / hr.
$21.44 - $24.83
26% of jobs
$24.83 - $28.21
9% of jobs
$29.98 is the 75th percentile. Wages above this are outliers.
$28.21 - $31.60
13% of jobs
$31.60 - $34.99
11% of jobs
$34.99 - $38.37
2% of jobs
$38.37 - $41.76
2% of jobs
$41.76 - $45.15
1% of jobs
$45.15 - $48.54
2% of jobs
$48.54 - $51.92
1% of jobs
$14
$27
$51
$64K - $90K/yr
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 8 days ago
Company
Farm FamilyFarm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.
Job Description
Summary:
The Quality Improvement job family serves the claims operation in a variety of capacities, most of which are carried out through specialized, technicalexpertise. The primary functions of this job family arecomprisedof quality claim audits and quality assurance tomaintainclaims guidelines, consistent processes, level of quality, etc., of internal staff and external vendors. These jobs may also perform estimate reviews and/or do full reinspection. In other cases, these jobs maybe responsible forassistinganalyst,specialist, the department, and/or other high-level positions that handle operational functions of the business area. Other key functions of the Quality Improvement job family may be improving process and procedures whilemaintainingtechnical bulletins, procedures, policies, practices, guidelines, and official records for the business area.
This is a 100%in-office position. Candidates must be able to work on-site at a designated company office during standard business hours.
Essential Responsibilities:
Conduct and document claim audits in the designated audit system within established timelines, completing a minimum of three claim file audits per day.
Evaluate claim files for coverage, liability, estimates, reserving, documentation, and compliance with internal standards, regulatory requirements, and quality expectations.
Review property estimates for accuracy, completeness, and adherence to guidelines, and identify potential leakage or missed cost controls.
Analyze audit results and perform focused audits on specific trends as needed to identify gaps and opportunities for improvement.
Provide clear and constructive feedback to claims staff and leadership.
Escalate critical findings and provide immediate feedback to leadership when urgent action is needed on a claim.
Participate in internal calibration activities within the Quality team to ensure scoring consistency.
Partner with leadership to support training initiatives and process improvements.
Required Qualifications:
Minimum of four years of direct property claims handling experience, with emphasis on complex, highseverity commercial property losses
Two to four years of handson experience using Xactimat
Preferred Qualifications:
Bachelor's degree in a related field
Field claims experience with property inspections and estimate preparation
Experience handling liability claims
Familiarity with Guidewire and Athenium auditing platforms
Salary range is $64872 - $90000
PLEASE NOTE:
Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.
If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at 210-321-8400.
Benefits and Compensation
We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.
Core Values
At Clearbrook our Core Values are Integrity, Collaboration, Pursuit of Excellence and Forward Thinking. These values reflect who we are today and who we apsire to be - guiding how we work, how we lead and how we succeed.
