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Claims Department Auditor

Company: Allied Benefit Systems
Location: Chicago
Posted on: June 14, 2018

Job Description:



Job Description

Job Title: Claims Department Auditor

Department: Claim Department FLSA

Status: Exempt Job

Status: FT

Reports To: Claims Management Team

Positions Supervised: None

Work Schedule: Flexible

full-time hours

POSITION SUMMARY

The Claims Department 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
  • Communicating and

    coordinating with other departments involved in the audit process

  • 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
  • Develop and communicate monthly training reminders and feedback

    based on audit results
  • Assist with other tasks as needed and identified by Claims

    Management
  • Monthly meetings with Claims Management to report on audit trends

    and training suggestions


    POSITION QUALIFICATIONS




    • Accountable ' Follows through in all areas;

      accepts and delivers on responsibilities, requires others to follow

      through on commitments
    • Analytical
      ' Logical, systematic and methodical in working through a plan or

      problem; provides solid research on which to base decisions; establishes

      process for workflow
    • Communicator ' Proactively conveys a clear,

      convincing and timely message; possesses strong verbal, written and

      presentation skills
    • Problem Solver ' Uses data and logic to

      quickly find solutions to difficult challenges
    • Quality Conscious ' Delivers accuracy and

      precision in work products; mindful of technical requirements, rules and

      standards
    • Technically Competent ' Possesses and

      maintains the functional and technical knowledge and skills to

      successfully perform job
    • Time-Wise ' Prioritizes; respects others'

      time; adheres to schedules and agendas


      SKILLS & ABILITIES

      Applicant should be proficient in the use of

      the Excel and Word programs and able to communicate effectively by email.

      Experience

      Applicants must have 5 years of comprehensive

      experience with the processing or auditing of medical, dental and vision claims.

      The applicant must have a history of excellent quality results and the desire

      to take on a new challenge if currently employed at Allied. Auditing experience is preferred, but not

      required.

      Education

      High School Graduate

      WORK ENVIRONMENT - This will be an off-site

      position with the applicant providing their own internet service.

      Keywords: Allied Benefit Systems, Chicago, Claims Department Auditor, Accounting, Auditing, Chicago, Illinois

      Click here to apply!

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