Claim & Quality Auditor

Job Summary:We are seeking a detail-oriented and experienced Claim & Quality Auditor to ensure accuracy, compliance, and efficiency across the claims process. The ideal candidate will be responsible for reviewing claim files, identifying process gaps, ensuring adherence to company and regulatory standards, and recommending corrective actions to improve...

**Job Role**:QA -Claim Adjudication **Location**: Indore **Shifts**: US Shift Both the way cab available 5 Days working (Saturday & Sunday fixed off) **Salary**:5.5-6 LPA + incentives + allowance **Experience**:Minimum 4.6 years of experience in claims adjudication, with at least 1 year in a SME on papers. **Key Responsibilities** - Auditing Claims:...

**Job Description: Psychologist Auditor - Quality Control** **About Visit**: Visit App is a 360° integrated, full-stack, and highly engaging Health Benefits Platform that holistically covers preventive to curative care, including: - Daily Health Goals Management & Wellness (Step Tracking, Sleep Tracking, Calorie Counter, Risk Profiling, etc.),...

**Position Description**: The Quality Auditor will be responsible for conducting audits, ensuring that company processes, products, and services meet both internal and external quality standards. They will work closely with team members to identify areas of improvement, ensure compliance with established quality parameters, and help enhance overall...

We are looking for a Sales Call Quality Auditor to evaluate and ensure that sales calls meet company standards for performance, compliance, and customer satisfaction. The role involves providing feedback to sales agents to enhance their skills and drive sales effectiveness. **Key Responsibilities**: - Evaluate inbound and outbound sales calls for quality,...

**Job Description: Quality Auditor - Collections Process (Mid - Level)** **Position: Quality Auditor - Collections Process** - Total positions - 10 - 3 - Bengali - 3 - Marathi - 2 - Tamil & Telgue - 2 - Kannada. - Location: Noida Sector 63 - Employment Type: Full-Time - Experience Required: Minimum 1 year in Collections process - Level: Mid-Level **About...

Job Title: Team Lead – Claims AdjudicationLocation: IndoreExperience: 5–8 years in US Healthcare Claims Adjudication with minimum 2+ years in a Team Lead roleKey Responsibilities:Supervise and manage a team of claims adjudicators ensuring daily targets and quality standards are met.Monitor team performance, allocate workload, and ensure timely processing...

Identifying testing parameters for products. - Evaluating production stages and testing the composition, appearance, and functionality of completed products. - Ensuring that Audit comply with industry standards. - Documenting defects and recommendations for improvement. - Preparing and presenting quality audit reports to management. - Keeping abreast of...

Executive-Appeal & Specialised Claims DescriptionReview the MIS on an on-going basis for claims closure, claim size and settlement ratio for the allocated region. Propose the amount that needs to be reserved for each case after consultation with claims team to the based on case facts Collect all evidences relevant to the case in coordination with...

Qima Division Consumer Products Rerefence NO REF2707I Location Indore India Date of Publication 2025 10 24 At QIMA we re on a mission to help our clients make products consumers can trust Working with over 30 000 global brands retailers manufacturers and food growers we are on the ground wherever products are made We help businesses secure every step of...