Remote Insurance Claims Quality Audit Professional 2

Job Summary

A health insurance company has an open position for a Remote Insurance Claims Quality Audit Professional 2.

Core Responsibilities of this position include:

• Performing quality audits on internal/vendor associates
• Seeking audit clarifications where appropriate
• Being the subject matter expert on the assigned processes

Qualifications Include:

• Special Investigations Unit experience/Healthcare Fraud, Waste, Abuse Investigation
• Ability to track and trend data and use findings to make recommendations
• Must provide a high-speed DSL or cable modem for a workspace
• Ability to handle multiple tasks simultaneously