Claims Payment Auditor Lead

Job Summary

A company is looking for a Payment Auditor Lead specializing in Workers' Compensation and Liability claims.

Key Responsibilities

• Conduct detailed audits of Workers' Compensation and Liability claim payments to identify potential fraud, errors, and non-compliance
• Review supporting documentation for accuracy and alignment with policy
• Collaborate with teams to resolve discrepancies and enhance audit procedures

Required Qualifications

• Associate degree in a related field
• 5-7 years of experience in claims auditing or a related discipline
• Strong understanding of Workers' Compensation and Liability regulations
• Proficiency with audit software and Microsoft Office, especially Excel
• High ethical standards and ability to apply professional skepticism