Clinical Provider Auditor II responsible for examining claims and identifying fraud risks at Elevance Health. Collaborating with internal teams and assisting in training new associates.
About the role
- Premium Auditor examining financial records for compliance in insurance industry. Conducting audits, preparing reports, and traveling to various locations within assigned territory.
Responsibilities
- Conduct insurance premium audits for Workers Compensation, General Liability, and Automobile policies by auditing policyholders’ records and applying manual rules and company standards
- Prepare for the audit by identifying the necessary information and the type of records needed
- Prepare a schedule to maximize the optimal use of time
- Correspond with insured via phone, email, and mail to set up audit appointments.
- Examine the policyholder’s records, gather data to determine correct classifications for business activities, and write an effective description of operations
- Prepare a complete audit document, explain the results to the insured, and communicate the results to the home office
- Travel to multiple audit locations
Requirements
- Associate’s Degree or equivalent plus two years’ performing premium audits or equivalent combination of education and experience highly desired
- Ability to read, analyze, and interpret financial documents
- General PC knowledge, including Microsoft Excel and Word
- Knowledge of Visual Audit is a plus
- Valid driver’s license and satisfactory driving record
- Maintain automobile insurance while employed with bodily injury limits equal to or greater than $100,000 per person and $300,000 per accident or $300,000 combined
Benefits
- Benefit package with health, dental, vision, life, and disability coverage options
- 401(k) retirement plan option with company matching
- Generous paid time off policy and 7 paid holidays
- Weekly pay
- 401(k) plan with company matching and immediate vesting
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