Claims Specialist Ii Jobs
By Everest Re Group, Ltd. At , Township Of Warren, 07059, Nj $90,000 - $135,000 a year
Management and direction of outside counsel as well as reviewing and approving legal and/or expense budgets and bills
Determine and resolve workload and assignment issues to ensure effective claims processing, expense management and claims disposition
Vendor oversight and management, including auditing of same
The ideal candidate will have 5+ years of Commercial Property claims experience and current, working knowledge of jurisdictional laws and regulations.
Ability to and willingness to present to senior management and other group settings
Execution: Delivering outstanding support to the organization through strong day-to-day business operations, effective project management, and careful oversight of vendors.

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