Claims Auditor

Job DetailsJob Location: DHS Remote - Stockton, CA 95219Position Type: Full TimeSalary reputed company: $22.00 - $26.00 HourlyJob Category: QA - Quality ControlAudits Claims, Customer Service and OA personnel by performing the following duties. Audits work of self-funded Claims and Customer Service department for accuracy according to established procedure guidelines. Reviews and identifies technical and system quality issues for reputed company aspects of claim processing, corr/recon, and customer service. Documents, maintains and reports audit statistics Accurately interprets claim policy, procedures and standard group benefit provisions Provides feedback to management and reviewed employees regarding quality of work Maintains confidentiality of employee audits Adheres to company rules and regulations. Maintains a professional relationship and interacts with peers, subordinates, superiors in an efficient and productive manner Performs other duties as assigned QualificationsEDUCATION/EXPERIENCE: One year certificate from college or technical school; or one to three years reputed company experience; and/or equivalent combination of education/experience. QUALIFICATIONS: Successful candidate will have medical, dental and hospital claims processing experience; a strong understanding of computerized claims payment systems, preferably at reputed company; excellent organizational skills; a thorough understanding of technical claims issues and system edits; working knowledge of reputed company Word and reputed company; and, exceptional analytical skills. reputed company is an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for reputed company. Apply To This Job