Top 6544 Client Auditor Jobs

Auditor (Claims)
SOUTHWEST SERVICE ADMINISTRATORS INC —Remote
- $19.00 - $25.50 an hour
- Remote
- Microsoft Word
- Writing skills
- Research
- AD&D insurance
- Disability insurance
Quick Apply
9d
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Insurance Premium Auditor-Workers' Compensation
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McSoley McCoy & Co. —South Burlington, VT
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Policy Management ERM Specialist
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Meister Seelig & Fein PLLC —New York, NY
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AGC/ GarKenyon —Meriden, CT
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AUDITOR
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Auditor (Claims)

SOUTHWEST SERVICE ADMINISTRATORS INC -
Remote

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Job Details

$19.00 - $25.50 an hour
9 days ago

Benefits

AD&D insurance
Disability insurance
Health insurance
Dental insurance
Pension plan
Vision insurance
401(k) matching

Qualifications

Research
High school diploma or GED
Health insurance knowledge
Typing

Full Job Description

The Claims Auditor is responsible for all audit activities for medical and/or dental claims while supporting the team manager to create, maintain and provide statistical audit reports and documentation.

Responsibilities

Auditing & Reporting

Gain and maintain the understanding of the plan designs and effectively apply that knowledge.
Maintain a comprehensive working knowledge of Policies, Procedures, Compliance Regulations, Schedule of Benefits and turnaround times across all product lines
Research claim processing issues to determine the origin and appropriate resolution
Prepare reports for management summarizing observations and recommendations
Assist in testing system functionality during upgrades and implementations

Teamwork

Work cooperatively with other team members
Actively participate in team meetings and training activities.
Perform additional responsibilities and projects as periodically assigned.

Education/Certification:

High School Diploma/GED
Three (3) years recent experience analyzing medical claims

Skills/Abilities:

Ability to maintain production and quality standards.
Extensive knowledge of medical terminology, CPT Codes, ICD 9/10 and medical claim forms.
Ability to read, analyze and assess medical documentation and draw valid conclusions.
Minimum 40 WPM and 3,000 KPH proficiency
Solid knowledge of MS Excel & MS Word
Professional, client-focused approach to colleagues and assignments.
Strong oral and written communication skills with exceptional attention to details.
Ability to seek out experiences that may change perspective or provide an opportunity to learn new things.
Strong dedication to follow-through on all tasks and assignments.
Ability to organize, set priorities, work independently and complete multiple projects within established deadlines.
Ability to sit for long periods of time operating a computer keyboard.

Employee Benefits Program

COMPANY PROVIDES:

MEDICAL, DENTAL, VISION
SHORT-TERM DISABILITY
Full coverage benefits for a low weekly premium of $5 (Employee Only), $15 (for Child(ren) and $20 per week for full family or Employee/Spouse.
COMPANY PAID supplemental dental coverage of $1,000 per year for Employee.
COMPANY PAID LONG TERM Disability & Life/AD&D coverage.
401K Plan including company match up to 5%.
COMPANY PAID additional pension plan entirely funded by the company.
EXCEPTIONAL TIME OFF package including Paid Personal Leave (PPL) and Vacation with annual BUY BACK options!!!!
Annual, automatic pay increases.

Southwest Service Administrators provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, pregnancy, military and veteran status, age, physical and mental disability, genetic characteristics, or any other considerations made unlawful by applicable state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence compensation and training. Southwest Service Administrators expressly prohibits any form of workplace harassment based on race, color, religion, sex, national origin, pregnancy, military and veteran status, age physical and mental disability, or genetic characteristics.

Quick Apply

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Auditor (Claims)

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