Claims Auditor

Job Summary

Ensuring compliance and accuracy in claims processing, the full-time Claims Auditor will conduct operational and quality audits, document findings, and contribute to continuous improvement efforts in a remote work environment.

Key responsibilities

• Perform operational and quality audits of claims processing activities to ensure adherence to guidelines
• Document audit results and prepare timely, accurate reports while tracking outcomes and identifying trends
• Facilitate collaboration across functional teams to promote consistent claims processing practices

Required qualifications

• High school diploma or equivalent
• Minimum 2 years of experience in claims processing and auditing
• Proficiency in Microsoft Word and Excel
• Demonstrated ability to review claims for accuracy and compliance
• Strong attention to detail and analytical skills