Sr Claims Auditor
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4-5years
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
The Senior Claims Auditor is responsible for evaluating audits ensuring compliance with preestablished Procedures Agreements and Audit Protocol. In addition the Senior Claims Auditor is responsible for upper level tasks such as report review and analysis correspondence with clients and thirdparties and all other tasks assigned by the Manager. The Senior Claims Auditor must be meticulous analytical and have knowledge of commonlyused concepts practices and audit procedures. The Senior Claims Auditor works under immediate supervision in a collaborative team environment.
Primary Responsibilities
1. Review and evaluate audits to ensure accuracy completeness eligibility and compliance with procedures.
2. Conduct secondary reviews of Claims Auditors work and provide necessary feedback to Manager.
3. Accountable for meeting deadlines as well as adhering to department and professional standards.
4. Allocate tasks to Claims Auditors.
5. Assist with the development of audit programs.
6. Assist with updating and continuous improvement of processes and policy changes.
7. Assessment and analysis of audit findings and writing recommendations.
8. Prepare recommendations and higherlevel analysis in the reports to clients.
9. Conduct followup and targeted audits to ensure implementation of recommendations.
10. Prepare client and thirdparty memorandums letters and other written communication.
11. Input on Claims Auditor training.
12. Meeting with management to discuss findings and audit outcomes.
13. Other duties as assigned.
WORKING CONDITIONS
Normal business office conditions. Working for prolonged periods of time at a computer screen. Consists of inoffice and remote work.
Requirements
1. Bachelors degree in accounting finance or related field.
2. Minimum of 5 years of audit experience and knowledge of auditing practices and procedures.
3. Excellent verbal and written communication skills.
4. Ability to multitask and meet deadlines.
5. Proactive approach to work tasks and forwardthinking when faced with challenges.
6. Solid problemsolving critical thinking and analytical skills.
7. Adaptability to changing policies procedures and systems.
8. Strong organizational skill and attention to detail.
9. Proficient in Microsoft Word and Excel.
Benefits
Requirements 1. Bachelor's degree in accounting, finance, or related field. 2. Minimum of 5 years of audit experience and knowledge of auditing practices and procedures. 3. Excellent verbal and written communication skills. 4. Ability to multitask and meet deadlines. 5. Proactive approach to work tasks and forward-thinking when faced with challenges. 6. Solid problem-solving, critical thinking, and analytical skills. 7. Adaptability to changing policies, procedures, and systems. 8. Strong organizational skill and attention to detail. 9. Proficient in Microsoft Word and Excel.
Employment Type
Full Time
