Relation Insurance Inc.
ClaimsAuditor
“Claims Auditor at Relation Insurance Inc.. Skills: Claims processing, Auditing, Accuracy, Compliance. Perform operational and quality audits of claims processing activity. Review claims files, documentation, and processing workflows”
What You'll Achieve.
ensure claims are processed in accordance with contractual, regulatory, and internal performance requirements; supports quality assurance efforts; contributing to the continuous improvement of operational standards and compliance; ensure accuracy, compliance, and adherence to contractual, regulatory, and internal guidelines; confirm established procedures and standards are being followed; promote consistent claims processing practices
Industry & Context.
analytical skills; identifies trends; recurring issues; opportunities for improvement
What They're Looking For.
Must Have
Minimum 2 years of experience in claims processing and auditing, Demonstrated ability to review claims activity for accuracy, consistency, and compliance with established rules and guidelines, attention to detail and analytical skills, Effective verbal and written communication skills, Ability to document findings clearly and maintain accurate records, Proficiency in Microsoft Word, ability to learn new systems and software applications, Ability to manage multiple priorities and meet deadlines in a structured environment, Commitment to confidentiality and appropriate handling of sensitive information, Consistently demonstrates professionalism, tact, and discretion
What You'll Do.
Perform operational and quality audits of claims processing activity
and processing workflows
Document audit results and prepare audit reports
Track audit outcomes and identify trends
Communicate audit findings to stakeholders
Participate in development of operational policies
Support internal performance and compliance initiatives
Facilitate collaboration and feedback across functional teams
Facilitate meetings related to audits
Utilize technology and tools for efficient workflows
How You'll Work.
Team & Collaboration
Facilitates collaboration and feedback across functional teams; Communicates audit findings to appropriate stakeholders
Communication Scope
Effective verbal and written communication skills
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