Claims QA Auditor Lead - Remote

Overview

The Claims Auditor Lead is primarily responsible for overseeing the daily operation of the Claims Quality Team, including handling all aspects of the Claims’ Quality Review program, implementing and adhering to processing standards, and ensuring reports are complete and distributed timely.

In Short

• Oversee and manage the Claims Quality Assurance Team.
• Review audits of claims for processing accuracy.
• Manage audit inventory against service level agreements.
• Compile reporting of audits completed for quality analysis.
• Identify quality improvement opportunities and partner with training.
• Collaborate with Claims Department Leadership on urgent issues.

Requirements

• Excellent verbal and written communication skills.
• Proven organizational and problem-solving skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Experience in mentoring and coaching others.
• Proficiency in MS Office applications.
• Minimum of three years in a claims examiner or QA role.

Benefits

• Opportunity for remote work.
• Supportive team environment.
• Focus on professional development.