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Claims Auditor Ii Jobs

Warranty Claims Representative Ii
By Rheem Manufacturing At Montgomery, AL, United States
2 years of experience in data entry, claims, warranty, or accounts receivable (or equivalent education)
Good organizational, time management and multi-tasking skills.
Process a basic warranty claim in Oracle Trade Management.
Receive inbound phone calls from homeowners, distributors, retailers, and plumbers and handle calls in all the warranty related queues.
High school diploma or general education degree (GED)
Call center or call center related experience and customer needs.
Medical Claims Auditor Jobs
By Imagine360 At United States
Elevate complex claim issues for clinician or management review
Facilitate financing of approved claims with finance
5+ years' experience in medical claims administration (carrier or provider); Understanding of medical Third Party Administration functions preferred
Knowledge of medical terminology required
Working knowledge of computers and software including but not limited to Microsoft Office products
Demonstrated organizational skills, problem-solving, analytical skills and detail oriented
Auditor Ii Jobs
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
A Bachelor's degree in Accounting, Finance, Business Administration or other job-related field of study.
Three years of auditing experience.
Knowledge of the principles and practices of auditing.
Knowledge of Microsoft Office applications.
Affordable Care Act (ACA)/healthcare regulation experience.
Our Comprehensive Benefits Package Includes
Auditor Ii Jobs
By Virgin Islands Water & Power Authority At , , Vi $59,212 a year
Required Knowledge, Skills & Abilities
Prepares reports for management concerning scope of audit, financial conditions found, and source and application of funds.
Reviews data regarding material assets, net worth, liabilities, capital stock, surplus, income, and expenditures.
Thorough knowledge of accounting and auditing theory and procedures.
Thorough knowledge of accounting and operating systems and controls.
Performs audit of financial, accounting, and operating procedures.
Claims Processor Ii (Remote After Onsite Training)
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
2 years of experience processing, researching and adjudicating claims.
Our Comprehensive Benefits Package Includes
Must have high-speed internet (non-satellite) and a private space in your home for an office.
Work hours: 8:00 am to 4:30 pm Monday through Friday.
Ensures that claims are processing according to established quality and production standards. Corrects processing errors by reprocessing, adjusting, and/or recouping claims.
High School Diploma or equivalent
Quality Auditor Ii Jobs
By Agiliti At , Eden Prairie, 55344, Mn
Perform Quality Management System (QMS) internal audit activities to ISO 13485 and 21 CFR 820 standards
Participate in the creation and maintenance of Management Review materials including the oversight and reporting of Quality Objectives
Bachelor’s degree in Quality Management, Engineering, Life Sciences or Business preferred
Minimum 3-5 years Quality or other applicable experience
ISO 13485 Accredited Lead Auditor Certification strongly preferred
Experience conducting internal audits in accordance with ISO 13485 and/or 21 CFR Part 820 in a medical device setting strongly preferred
Claims Quality Auditor Jobs
By LA Healthcare Connections At , United, La

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll ...

Auditor Ii Jobs
By Mississippi State Personnel Board At , , Ms $51,719 - $77,807 a year

Typically requires a Bachelor’s Degree and 1-3 years of experience.

See MSPB Careers for information regarding this classifications

Auditor Ii Jobs
By The State of New Hampshire At , Concord, 03305, Nh Up to $500 a day
The State of NH total compensation package features an outstanding set of employee benefits, including:
HMO or POS Medical and Prescription Drug Benefits:
See this link for details on State-paid health benefits:
Employee Benefits | NH Dept. of Administrative Services
*State defined benefit retirement plan and Deferred Compensation 457(b) plan
Want the specifics? Explore the Benefits of State Employment on our website:
Auditor Ii (Retail) Jobs
By Cotiviti At , Remote $29.20 - $32.00 an hour
Apply critical thinking skills to compare payments to client contracts
At least 2 years of auditing experience required. For the Auditor II role, retail auditing experience is highly preferred
Excellent verbal and written communication skills
Solve problems by identifying errors and over-payments for our retail clients
Use your creativity to help generate new ideas for claim concepts and recovery opportunities
Learn and use multiple computer software, systems and technology

Are you looking for an exciting opportunity to use your auditing skills to help protect the financial interests of a company? If so, then we have the perfect job for you! We are looking for a Claims Auditor II to join our team and help us ensure that all claims are accurate and compliant with regulations. You will be responsible for reviewing and analyzing claims data, identifying discrepancies, and making recommendations for corrective action. If you are detail-oriented, have excellent problem-solving skills, and are passionate about protecting the financial interests of a company, then this is the job for you!

Overview:

Claims Auditor II is responsible for auditing and verifying insurance claims to ensure accuracy and compliance with applicable laws and regulations. They review claims for accuracy and completeness, investigate discrepancies, and recommend corrective action. They also provide guidance and advice to claims adjusters and other staff on claims processing and related matters.

Detailed Job Description:

Claims Auditor II is responsible for auditing and verifying insurance claims to ensure accuracy and compliance with applicable laws and regulations. They review claims for accuracy and completeness, investigate discrepancies, and recommend corrective action. They also provide guidance and advice to claims adjusters and other staff on claims processing and related matters. They may also be responsible for preparing reports, analyzing data, and making recommendations for improvement.

What is Claims Auditor Ii Job Skills Required?

• Knowledge of insurance claims processing and related regulations
• Excellent analytical and problem-solving skills
• Ability to work independently and as part of a team
• Excellent communication and interpersonal skills
• Proficiency in Microsoft Office Suite
• Ability to work with large amounts of data
• Ability to work under pressure and meet deadlines

What is Claims Auditor Ii Job Qualifications?

• Bachelor’s degree in accounting, finance, or related field
• At least two years of experience in insurance claims auditing
• Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) certification preferred

What is Claims Auditor Ii Job Knowledge?

• Knowledge of insurance claims processing and related regulations
• Knowledge of auditing principles and practices
• Knowledge of accounting principles and practices

What is Claims Auditor Ii Job Experience?

• At least two years of experience in insurance claims auditing

What is Claims Auditor Ii Job Responsibilities?

• Review and audit insurance claims for accuracy and completeness
• Investigate discrepancies and recommend corrective action
• Provide guidance and advice to claims adjusters and other staff on claims processing and related matters
• Prepare reports, analyze data, and make recommendations for improvement
• Monitor claims processing activities to ensure compliance with applicable laws and regulations
• Maintain accurate records and documentation of audit findings and recommendations