Insurance Claims Auditor Salary in Stoughton, Massachusetts

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Average Salary for Insurance Claims Auditor in Stoughton, Massachusetts

The average salary of a(n) Insurance Claims Auditor in Stoughton, Massachusetts is $48,321.

The average hourly rate of a(n) Insurance Claims Auditor in Stoughton, Massachusetts is $23.23.

The average bonus of a(n) Insurance Claims Auditor in Stoughton, Massachusetts is $1,242.00.

Job Description:

Settles benefits claims and processes claims for payment. Assesses and answers inquiries regarding claim adjudication, including method of payment, co-pay or deductible amounts, and/or reason for denial. Requests all information from internal or outside sources to ascertain completeness and validity of claim including coordination of benefits information. Researches claim as needed. Analyzes claims to determine extent of liability, and settles claims with claimants in accordance with policy provisions. Compares data on claim application, death certificate, or physician's statement with policy file and other company records to ascertain validity and to adjudicate the claim. Corresponds with agents and claimants, or interviews them in person to correct errors or omissions on claim forms and to investigate questionable entries. Refers most questionable claims to Claims Adjuster for further investigation and settlement. Pays claimant amount due. May investigate claims in field. Less

Settles benefits claims and processes claims for payment. Assesses and answers inquiries regarding claim adjudication, including method of payment, co-pay or deductible amounts, and/or reason for denial. Requests all information from internal or outside sources to ascertain completeness and validity... More

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Benefits Specialist - Boston, MA

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Collaborates with consultants and insurance company member services representatives to resolve issues. Serves as primary contact for employee telephone and e...

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Quality Review Specialist - Quincy, MA

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Complete Claim Quality Audit(s) as identified/scheduled. Acts as a liaison for internal/external auditors; Ensure compliance with QFR completion standards for...

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Claims Manager - Boston, MA

BOSTON MEDICAL CENTER

In addition, the Claims Manager is responsible for providing reports and data to insurance brokers, re-insurers, and auditors, providing education to hospital...

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