Claims Quality Auditor

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

About the role

As a Claims Quality Auditor, you will be responsible for ensuring that all claims processed by the company adhere to internal policies and regulatory requirements. This includes reviewing claim documentation, verifying accuracy, and identifying areas for improvement.

Responsibilities

• Review and verify the accuracy of claims documentation
• Identify discrepancies and ensure compliance with internal policies and regulations
• Work closely with other departments to resolve issues and improve processes
• Provide feedback and recommendations to enhance quality control measures

Requirements

• Bachelor's degree in a related field (e.g., accounting, finance, or healthcare)
• At least 2 years of experience in a claims processing or auditing role
• Strong analytical and problem-solving skills
• Proficiency in Microsoft Office Suite

Qualifications

• Knowledge of healthcare regulations and standards
• Experience with data analysis and reporting tools
• Excellent communication and interpersonal skills

Skills

• Attention to detail
• Ability to work independently and manage multiple tasks simultaneously
• Strong organizational skills

Benefits

• Competitive salary
• Flexible remote work options
• Professional development opportunities
• Health insurance coverage
• 401(k) retirement plan

Pay

$50,000 - $60,000 annually

Schedule

Full-time, remote position