Senior Claims Quality Auditor

Job Summary

A company is looking for a Senior Claims Quality Audit Representative for a national remote position.

Key Responsibilities:

• Review, research, investigate, and audit problematic claims
• Analyze and identify trends to reduce errors and improve claims processes
• Conduct internal claim reviews related to individual processor, customer, and auto adjudication

Required Qualifications:

• High school diploma or equivalent work experience
• 1+ years of experience in quality assurance/auditing within the healthcare insurance industry
• 1+ years of experience with claims processing (medical or dental)
• Current experience working with specific members
• Experience with Microsoft applications and ability to work flexible shifts