Claims Quality Assurance Auditor

Conduct regular monthly and quarterly  audits and assessments of quality management systems and claims handling processes

Evaluate claims for adherence to Pie's Claims Best Practices and quality standards

Assess claim documentation, investigation techniques, reserve adequacy, and settlement practices

Identify areas of non-compliance and recommend corrective actions to address deficiencies

Apply weighted scoring methodology to measure compliance performance and identify systemic risk patterns.

Apply established audit methodologies and sampling techniques to ensure comprehensive evaluations

$75,000

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$95,000 USD

A piece of the pie (in the form of equity)

Comprehensive health plans