Claims Quality Assurance Auditor

jobgether · US

Posted about 1 month ago

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Skills

Claims AuditingQuality AssuranceComplianceRegulatory StandardsClaims Handling PracticesWorkers' Compensation ClaimsRisk ManagementData AnalysisProblem-SolvingProcess ImprovementQuality ControlCorrective Action Plans

Job description

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Claims Quality Assurance Auditor in United States.

This role is responsible for ensuring the integrity, compliance, and quality of claims processing across multiple jurisdictions. The Claims Quality Assurance Auditor will conduct audits, assess adherence to best practices and regulatory standards, and recommend corrective actions to continuously improve claims performance. You will collaborate with claims teams, analyze trends, prepare detailed reports, and support the development of scalable policies and training programs. The position offers a dynamic environment where you can directly influence operational excellence, risk mitigation, and customer satisfaction. You will work with cross-functional teams to implement improvements and foster a culture of compliance and continuous learning. This role provides the opportunity to shape quality assurance practices in a fast-evolving insurance landscape.

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