Claims Quality Auditor Lead
Company: VirtualVocations
Location: Norwalk
Posted on: May 3, 2025
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Job Description:
A company is looking for a Claims QA Auditor Lead to oversee the
daily operations of the Claims Quality Team.
Key Responsibilities
Manage and mentor the Claims Quality Assurance Team, implementing
performance improvement plans and training auditors
Review audits of claims for processing accuracy and compliance with
standard processes and client plans
Compile audit reports and identify quality improvement
opportunities, partnering with leadership and training teams
Required Qualifications
High School diploma or GED required; Associate or Bachelor's degree
preferred
Minimum of three years of experience in a claims examiner or
quality assurance role in healthcare
Detailed knowledge of relevant systems and understanding of
processing principles
Proficient in MS Office applications
Experience with automated and integrated claim adjudication
systems
Keywords: VirtualVocations, Tustin , Claims Quality Auditor Lead, Accounting, Auditing , Norwalk, California
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