Top 12409 Records auditor Jobs

Auditor/Investigator II
Qlarant —Remote
- $57,512 - $85,839 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
Auditor
Contact Government Services, LLC —Remote
- $50,000 - $100,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Technical Reviewer & Auditor – Meat, Dairy & Food Manufacturing
IFANCA —Des Plaines, IL
- $60,000 - $75,000 a year
- Full-time
- Up to 50% travel
- Customer service
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Policy Management ERM Specialist
CONTINENTAL SERVICE GROUP LLC —Fairport, NY
- $62,353.20 - $71,706.18 a year
- 8 hour shift
- Microsoft Word
- Microsoft Excel
- Mid-level
Quick Apply
Coding and Compliance Auditor
South Shore Health —Weymouth, MA
- $73,000 - $104,400 a year
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Acute care experience
QCM/SSHO ( Qualitiy Control Manager and Site Safety Health Officer)
BryMak & Associates —Groton, CT
- $90,000 - $100,000 a year
- Full-time
- Background check
- CPR Certification
- Engineering
- Health insurance
- Dental insurance
Quick Apply
Deputy Treasurer, Land Bank Administrator
Hocking County Local Government —Logan, OH
- $67,600 - $74,360 a year
- Full-time
- Management
- Sales
- Office
- Travel reimbursement
- Health insurance
Quick Apply
Production Manager - 3rd Shift
Norwich Pharmaceuticals Inc —Norwich, NY
- $85,000 - $95,000 a year
- Full-time
- Bachelor of Science
- Employment & labor law
- 3 years
- Wellness program
- Health savings account
Quick Apply
Executive Director
Captiva Erosion Prevention District —Captiva, FL
- $120,000 - $130,000 a year
- Full-time
- Background check
- Office
- Administrative experience
- Health insurance
- Dental insurance
Quick Apply
Quality Compliance Auditor
Camco Chemical —Florence, KY
- Ability to climb stairs
- Ability to lift 50 pounds
- Bachelor's degree
Quality Engineer - II
Medbio —Orchard Park, NY
- $85,000 - $95,000 a year
- Overtime
- Mid-level
- 3 years
- Business development experience
- Health savings account
- Health insurance
Quick Apply
9d
Senior Accountant (Accountant II)
Hawaii Community Lending —Hawaii
- From $75,000 a year
- Weekends as needed
- Background check
- 18 years or older
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Auditor
Cambridge Savings Bank —Waltham, MA
- $70,000 - $100,000 a year
- Full-time
- Hybrid work
- Microsoft Word
- Computer literacy
- Mid-level
- Health insurance
- 401(k) matching
Quick Apply
Controller - Roofing/Construction
Madsen Roofing —Lacey, WA
- $82,321.20 - $98,785.44 a year
- Full-time
- CPA
- Writing skills
- Office
- Health insurance
- Dental insurance
Quick Apply
Finance Manager
Alliance on Aging —Salinas, CA
- $120,000 - $150,000 a year
- Email
- CPA
- Customer service
- Office
- Health savings account
- Health insurance
Quick Apply
8d
Medical Device Quality Management System Specialist
Vector Surgical —Menomonee Falls, WI
- Full-time
- Microsoft Word
- Surgery
- Engineering
- Health insurance
- Dental insurance
Quick Apply
11d
Quality Engineer - II
AGC/ GarKenyon —Meriden, CT
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Writing skills
Quick Apply
Assistant Real Property Lister and Real Estate/Vital Records Clerk
Ashland County —Ashland, WI
- $18.57 - $20.16 an hour
- Full-time
- Office
- In-person
- 1 year
- Health insurance
- Dental insurance
Quick Apply
10d
Finance Manager
Holy Family Retreat and Conference Center —West Hartford, CT
- Full-time
- Background check
- Oracle
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Staff Accountant
Manchester Band of Pomo Indians —Point Arena, CA
- $72,800 a year
- Full-time
- Hybrid work
- Background check
- Finance
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply

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Auditor/Investigator II

Qlarant -
Remote

Quick Apply

Job Details

Full-time
$57,512 - $85,839 a year

Qualifications

Stakeholder management

Full Job Description

Job Summary:

Ensures the integrity and accuracy of claims processes and protocols. Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Identifies opportunities to target fraud, waste, and abuse or discrepancies in claims submissions. Adheres to industry regulations and policies for managerial follow-up. Analyzes data in order to effectively assess the validity of claims. Provides accurate recommendations to management for claim resolution and closure. Documents and inputs all findings, while preparing comprehensive reports that may be used for legal or audit/investigative purposes.

Essential Functions:

Conducts routine and impartial audits/investigations from start to closure into customer claims, ensuring accurate and fair assessments of claims validity.
Provides customer service by addressing inquiries and concerns, and escalates audit/investigation, as needed.
Compiles detailed and organized records of audit/investigation findings, ensuring accuracy and compliance with legal and regulatory requirements.
Applies functional knowledge to create and implement strategies to identify and prevent fraudulent activities, safeguarding the integrity of the claims process.
Conducts interviews with relevant witnesses, claimants, and other stakeholders to gather additional information and perspectives on claims.
Communicates with appropriate internal teams to ensure the proper processing of audits/investigations, while adhering to legal and regulatory standards.
Communicates audit/investigation findings clearly and professionally to customers, claimants, and other stakeholders, managing expectations and providing updates.
Assists in providing training and support to other auditors/investigators, contributing to the continuous improvement of investigative processes.

Level of Supervision Received:
Plans and arranges own work; works with manager to prioritize projects.

Education (can be substituted for experience):
Minimum Bachelor's Degree required

Work Experience (can be substituted for education):
2 - 4 years of experience required; 5 - 7 years preferred

Certification(s):
Certified Fraud Examiner preferred

Quick Apply

Refine Your Search

records auditor jobs

Auditor/Investigator II

Auditor

Technical Reviewer & Auditor – Meat, Dairy & Food Manufacturing

Policy Management ERM Specialist

Coding and Compliance Auditor

QCM/SSHO ( Qualitiy Control Manager and Site Safety Health Officer)

Deputy Treasurer, Land Bank Administrator

Production Manager - 3rd Shift

Executive Director

Quality Compliance Auditor

Quality Engineer - II

Senior Accountant (Accountant II)

Auditor

Controller - Roofing/Construction

Finance Manager

Medical Device Quality Management System Specialist

Quality Engineer - II

Assistant Real Property Lister and Real Estate/Vital Records Clerk

Finance Manager

Staff Accountant

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