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Claims auditor • boulder co
Claims Auditor
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ACRISUREBOULDER, COClaims Auditor
VirtualVocationsBoulder, Colorado, United States- serp_jobs.job_card.full_time
A company is looking for a Claims Auditor who will conduct audits across various employer groups and product lines to ensure claims processing integrity.
Key Responsibilities
Perform auditing of claims to ensure accuracy in processing, payment, and adherence to client specifications
Complete audit reporting and communicate necessary corrections to Examiners based on pre-payment audits
Identify trends from quality reviews and collaborate with team members on corrective actions
Required Qualifications
High School diploma or GED required; Associate or bachelor's degree preferred
Minimum of three (3) years of experience as a claim examiner and / or auditor in a TPA environment
Prior experience with automated claims processing systems, preferably El Dorado-Javelina or Health Rules Payer (HRP)
Proficient in MS Word, Excel, Outlook, and PowerPoint
Detailed knowledge of processing principles and guidelines