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Claims Auditor
Chicago, IL
Job Description
CLAIMS AUDITOR
POSITION SUMMARY
The claims auditor will be responsible for coordinating and completing audits as well as compiling and reporting results and trends accurately, appropriately, and timely.
ESSENTIAL FUNCTIONS
- Logging/Tracking all Claims/Tasks to be audited
- Audit for accuracy as well as workflow compliance; Release of appropriate claims using established workflows
- Assist with all audit programs currently in place as well as identifying issues for future audit programs
- Assist with other tasks as needed and identified by Claims Management
- Monthly meetings with Claims Management to report on audit trends and training suggestions
- Other duties as assigned
EDUCATION
- High School Grad or GED required
EXPERIENCE AND SKILLS
- At least 5 years of comprehensive experience with the processing or auditing of medical, dental and vision claims.
- Auditing experience is preferred, but not required.
- Must be proficient in the use of the Excel and Word programs
- Excellent written and verbal communicate skills required.
COMPETENCIES
- Job Knowledge
- Time Management
- Accountability
- Communication
- Initiative
- Customer Focus
Physical Demand
This role requires long periods of typing, sitting, and computer work
WORK ENVIRONMENT
Remote
Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
High School or Equivalent
Required Experience
5+ years
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