Senior Audit & Compliance Specialist – Commercial Multiperil
ICW Group
full-time
Posted on:
Location Type: Hybrid
Location: San Diego • California • Illinois • United States
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Salary
💰 $78,678 - $132,686 per year
Job Level
About the role
- The purpose of this job is to develop audit schedules based on best practices for procedural claims audits using various sampling methods
- Performs procedural claims audits based on various sampling methods
- Provides analysis and improvement planning based on audit results
- Conducts double reviews to ensure continuous calibration and consistent understanding and adherence to claims best practices
- Analyzes quality issues and provides feedback to stakeholders
- Develops audit schedules for the department
- Develops questionnaires and manages assessments for internal audit tools
- Oversees and prepares responses to all audits, whether internal or external
- Develop workflows and implement training for technical and non-technical employees to ensure operational integrity
- Plans, develops, and provides ongoing technical training and staff development programs
- Updates the claims procedures accordingly on the department’s SharePoint site
- Provides performance and skill assessments to managers and supervisors on an ongoing basis
- Collaborates with multiple employees on auditing, training and customer service issues for the department
- Partners with leadership to ensure service and quality levels are within standard operating procedures for the department.
Requirements
- High school diploma or General Education Degree (GED), required
- Bachelor's degree preferred
- Minimum 6 years of technical claims handling experience is required
- Prior audit experience is highly desirable
Benefits
- We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match
- Bonus potential for all positions
- Paid Time Off
- Paid holidays throughout the calendar year
- Want to continue learning? We’ll support you 100%
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
audit schedulesprocedural claims auditssampling methodsanalysisimprovement planningdouble reviewsquality analysisworkflow developmenttechnical trainingclaims procedures
Soft Skills
collaborationcommunicationfeedback provisionstaff developmenttraining managementperformance assessmentleadership partnershipoperational integritycustomer servicecontinuous improvement