Claims Auditor Salary in District of Columbia - District Average

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Average Salary for Claims Auditor in District of Columbia - District Average

The average salary of a(n) Claims Auditor in District of Columbia - District Average is $45,349.

The average hourly rate of a(n) Claims Auditor in District of Columbia - District Average is $21.80.

The average bonus of a(n) Claims Auditor in District of Columbia - District Average is $1,134.00.

Job Description:

Audits claims to ensure accuracy of claims determinations. Manages and coordinates the reporting, review, and maintenance of data for use in supporting audit functions. Performs claims audits based on audit program and specified target audits as assigned. Documents audit findings accurately. Assures quality of claim determinations and ensures compliance with regulations and plan requirements. Researches, analyzes, and understands claims processing and payment regulations. Understands and applies standard pricing methodologies for claims. Identifies underpayments/overpayments and generates reports to quantify amounts detected through audit process. Communicates errors to Production Manager or Supervisor and trends errors for corrective actions. Identifies and develops potential areas for claim audits. Evaluates audit initiatives and identifies enhancements to the audit processes and procedures as needed. Determines whether to accept, reject, or request additional information based on policies and procedures. Less

Audits claims to ensure accuracy of claims determinations. Manages and coordinates the reporting, review, and maintenance of data for use in supporting audit functions. Performs claims audits based on audit program and specified target audits as assigned. Documents audit findings... More

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Results for Claims Auditor in District of Columbia - District Average

Construction Claims Auditor - Washington, DC

Hill International, Inc

Construction Claims Auditor. Construction Claims Auditor in Washington DC. Billing, or claims procedures. Based Project Management and Claims Consultancy firm....

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Health Insurance Payment Analyst - Rockville, MD

Hendall Inc.

Experience working as a data analyst, auditor, quality control / assurance reviewer, or with Medicaid or other health insurance claims is preferred....

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Premium Auditor Associate - Washington, DC

Travelers

Provides external customers (i.e., agents and insureds) and internal customers (i.e., underwriting, policy processing, claims and accounting) with information...

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Benefits Analyst - The Office of Human Resources - Washington, DC

Howard University

Processes long-term disability claims, death claims, request for pension certification, and unemployment verification....

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Actuarial Consultant - Washington, DC

DIT Inc

The contractor shall analyze and include case claim reserve increases in the actuarial report to enable the external auditors to address the adequacy of the...

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