Claims Quality Assurance Auditor

A company is looking for a Claims Quality Assurance Auditor. Key Responsibilities Conduct regular audits and assessments of claims handling processes for compliance with standards and guidelines Document audit findings and prepare comprehensive reports with recommendations for improvement Collaborate with various teams to develop and implement quality control policies and training programs Required Qualifications High School diploma or GED required; Bachelor's degree in Business Administration, Risk Management, or related field preferred 5+ years of workers' compensation claims experience with a strong understanding of claim handling practices 2+ years of experience in claims auditing, quality assurance, or compliance roles preferred Strong knowledge of Claims Best Practices and regulatory requirements across multiple jurisdictions Experience conducting claim file reviews and documenting audit findings