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
- Elite Premium Auditor responsible for performing insurance audits remotely and physically. Conducting investigations and producing reports for insurance carriers in Philadelphia, PA.
Responsibilities
- Performs physical and remote audits of insured’s business.
- Interviews, investigates, collects, and records information to be used in a written report that is provided to the insurance carrier.
Requirements
- 5+ years’ experience performing remote/field Premium Insurance Audits
- Ability to work independently from home
- Experience with the MS Office Suite (excel, word, outlook, etc.)
- Must be self-motivated, self-disciplined and exhibit a willingness to learn
- Excellent time management
- Excellent verbal and written communication skills
- High School Diploma or GED required.
Benefits
- 17 days paid vacation, plus 10 paid holidays
- Work from home when not in the field
- Competitive base compensation, including performance-based bonuses.
- Benefits package that includes medical, dental, vision, disability coverage, and 401k
- Career advancement opportunities
- Laptop and other necessary office equipment provided
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