Lead Claims Quality Auditor

We exist for workers and their employers -- who are the backbone of our economy. Our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills.

Requirements

• Oversight and management of the Claims Quality Assurance Team
• Reviewing audits of claims, ensuring processing accuracy
• Managing the inventory of audits against standard service level agreements (SLA’s) and reporting requirements
• Compiling reporting of audits completed, with decision methodology for procedural and monetary errors
• Identifying trends based on the quality reviews, identifies quality improvement opportunities and partners with training team to develop programs
• Partnering with Claims Department Leadership and Training Lead on any problematic issues warranting immediate corrective action

Benefits

• 401k Matching
• Generous Paid Time Off
• Retirement Plan