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Insurance Audit Reviewer
ReSource Pro
posted 1d ago
Job Role Insights
Fixed timing
Key skills for the job
Job Description
- Primary reviewer of all premium audits including physical, virtual and phone.
- Effectively manage and review audit queue.
- Ensure audits align with industry standards, LAI, state-specific rules, and carrier specific guidelines.
- Mentor auditors to increase audit quality.
- Provide clear communication to auditors during the review process (via phone and/or email).
- Maintaining production and quality standards as directed.
What you need to be successful:
- 1-2 years insurance audit experience (Preferred)
- A strong understanding of audit processes and procedures
- Working knowledge of PASS, ASUM, and Nexus (Preferred)
- WCRIB Certification (Preferred)
- APA designation (Preferred)
- Strong organizational and time-management skills
- Excellent written and verbal communication skills
- Proficient computer skills
- Ability to multitask and prioritize tasks
- Detail-oriented and accurate
- Positive and proactive attitude
- Flexibility and adaptability to changing priorities.
- A strong understanding of audit processes and procedures.
Your Benefits and Perks:
- Eligible for all medical dental benefits on Day 1
- Eligible for 401k with employer match after 12 months of employment
- Generous PTO plan with paid holidays floating holidays
- Development growth opportunities
- Teamwork-oriented work environment
Employment Type: Full Time, Permanent
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