Auditor

• Conduct detailed audits of healthcare claims to ensure accuracy, compliance with regulations, and adherence to organizational policies.
• Analyze claim data and documentation to identify errors, inconsistencies, or potential fraud.
• Prepare comprehensive audit reports with findings, recommendations, and corrective actions for management and stakeholders.
• Collaborate with claims teams and healthcare providers to resolve discrepancies and drive process improvements.
• Stay updated on healthcare regulations and industry best practices, while supporting internal and external audits with relevant documentation and insights.

Claims Auditor

Senior IT Auditor