Supervisor, Claims Quality Auditor

Centivo

Supervisor of Claims Quality Auditor overseeing quality review processes for healthcare claims. Managing teams, reviewing accuracy, and collaborating with leadership for improvements.

Posted 4/25/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $65,000 - $70,000 per yearWebsite

About the role

Key responsibilities & impact

Oversight and management of the Claims Quality Assurance Team, including mentoring the team, implementing and coaching through performance improvement plans, and training auditors on job performance expectations.
Reviewing audits of claims, ensuring processing accuracy by verifying all aspects of the audit have been handled correctly and according to both standard processes and the Client’s summary plan description.
Managing the inventory of audits against standard service level agreements (SLA’s) and reporting requirements.
Compiling reporting of audits completed, with decision methodology for procedural and monetary errors which are used for quality reporting and trending analysis utilizing quality tools.
Identifying trends based on the quality reviews, identifies quality improvement opportunities and partners with training team to develop programs.
Partnering with Claims Department Leadership and Training Lead on any problematic issues warranting immediate corrective action.

Requirements

What you’ll need

High School diploma or GED required, Associate or Bachelor’s degree preferred.
Minimum of three (3) years of experience in a claim examiner or quality assurance role with a health care company, meeting production and quality goals/ standards.
Detailed knowledge of relevant systems and proven understanding of processing principles, techniques, and guidelines.
Ability to acquire and perform progressively more complex skills and tasks in a production environment.
Proficient experience in MS Word, Excel, Outlook, and PowerPoint.
Experience with a highly automated and integrated claim adjudication system.

Benefits

Comp & perks

Offers Equity
Offers Bonus

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims quality assuranceauditingperformance improvement plansquality reportingtrending analysisprocessing principlesquality improvementclaim adjudication

Soft Skills

mentoringcoachingproblem-solvingcollaborationattention to detail

Certifications

High School diplomaGEDAssociate degreeBachelor’s degree