Coding Quality Auditor
Cleveland Clinic
Senior Claims Auditor
Risk Strategies Company
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $51,800 - $75,000 per year
Job Level
Senior
About the role
- Conduct detailed audits of high-complexity claims files for compliance, accuracy, and adherence to company procedures and regulatory requirements.
- Perform in-depth claims file reviews for accuracy and compliance.
- Document findings and provide recommendations for corrective action.
- Identify trends and collaborate with departments to improve claim practices.
- Support audit reporting and analytics.
Requirements
- Bachelor's degree preferred; CPCU, AIC, or other insurance certifications a plus.
- 4 - 6 years of claims or audit experience.
- Strong understanding of claims handling and insurance regulations.
- Analytical, organized, and skilled in Excel/audit systems.
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- Disability insurance
- Life insurance
- Retirement savings
- Paid time off
- Paid holidays
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims auditingclaims file reviewcompliance analysisdata analysisExcelaudit systems
Soft skills
analytical skillsorganizational skillscollaboration
Certifications
Bachelor's degreeCPCUAIC
