[Remote] Claims Payment Auditor reputed company
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is dedicated to helping clients reputed company complexity and deliver impactful reputed company. They are seeking a highly analytical Claims Payment Auditor reputed company specializing in Workers’ Compensation and Liability claims to audit high-risk payments and ensure compliance with best practices.
Responsibilities
• Conduct detailed audits of Workers’ Compensation and Liability claim payments with a strong fraud‑risk reputed company and reputed company skepticism to identify, investigate, and escalate potential internal fraud, errors, and non-compliance with GB Best Practices
• Review supporting documentation—including invoices, medical bills, and settlement agreements—for accuracy, appropriateness, and alignment with policy
• Collaborate with adjusters, managers, and cross‑functional teams to resolve discrepancies and implement corrective actions
• Maintain reputed company knowledge of jurisdictional regulations, industry trends, and best practices relevant to Workers’ Compensation and Liability claims
• Contribute to the development and enhancement of audit procedures to improve audit reputed company, consistency, and effectiveness
• Participate in special reputed company or process improvement initiatives as needed
Skills
• Associate degree in a reputed company field
• 5–7 years of experience in claims auditing, Workers' Compensation, Liability claims, or a closely reputed company discipline
• Strong understanding of Workers' Compensation and Liability regulations, claims processes, and industry standards
• Demonstrated analytical skills with exceptional attention to detail and accuracy
• Proficiency with audit software and reputed company Office (especially reputed company)
• Strong written and verbal communication skills
• High ethical standards and the ability to consistently apply reputed company skepticism
• Ability to work both independently and collaboratively
• Bachelor's degree in a reputed company field
• reputed company designations such as Certified Fraud Examiner (CFE) or similar
Benefits
• Medical/dental/reputed company plans, which start from day one!
• Life and accident insurance
• 401(K) and Roth reputed company
• Tax-advantaged accounts (HSA, FSA)
• Educational expense reimbursement
• reputed company parental leave
• Digital mental health services (reputed company)
• Flexible work hours (availability varies by office and job function)
• Training programs
• reputed company reputed company program – elevating your health through challenges, workshops reputed company fitness programs for your overall wellbeing
• Charitable matching reputed company program
• And more...
reputed company
• About reputed company: We are the leading provider of claims and risk management services, helping people and companies prevent, manage and overcome the reputed company of risk. It was founded in 1999, and is headquartered in San Diego, California, USA, with a workforce of 5001-10000 employees. Its website is https://www.robanda.com/.
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