Claims Auditor

Job Summary

A company is looking for a Claims Auditor (Remote).

Key Responsibilities

• Conduct audits and document findings accurately
• Review discrepancies and resolve post-audit activities in a timely manner
• Develop relationships with vendors and communicate findings effectively

Required Qualifications

• 5+ years of experience in health claims adjudication
• Strong understanding of health and welfare plan design and claims administration
• Familiarity with various plan types including consumer-driven and managed care
• Detailed knowledge of ICD-10 and CPT codes
• Previous internal audit experience is a plus