Claims Audit Specialist

What role you will play in team: Ensure the accuracy and compliance of insurance claims processing by conducting audits of claims files.

What you will do: Review claim documentation, identify discrepancies, and ensure adherence to company policies and regulatory requirements.

Key responsibility:

• Conduct thorough audits of insurance claims files, ensuring compliance with company policies and regulatory guidelines.
• Review supporting documentation for accuracy and completeness.
• Identify and report any discrepancies or fraudulent activities.
• Collaborate with claims adjusters and other stakeholders to resolve issues.

• Maintain accurate records and documentation of audit findings.
• Develop and implement process improvements to enhance claims processing efficiency and accuracy.

Required Qualification and Skills:

• Bachelor's degree in Insurance, Finance, or a related field.
• 2-4 years of experience in insurance claims processing or auditing.
• Strong understanding of insurance claims procedures and regulations.
• Excellent analytical and investigative skills.
• Strong attention to detail and accuracy.

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• Proficient in MS Office Suite.

Benefits Included:

• Competitive salary and benefits package.
• Professional development opportunities within the insurance industry.
• Supportive and collaborative team environment.
• Opportunities for career advancement.

A Day in the Life: Reviewing claims files, identifying discrepancies, documenting findings, and collaborating with claims adjusters to resolve issues.