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Claims Auditor

None • FL, US • published 2026-09-29 02:55:16.028213

Description

**Position Purpose:** Claims Auditor is responsible for the quality audit of a variety of specific processes within the operations services for Claims to ensure quality service goals and standards are met and/or identify areas where improvement can be achieved. Provides audit feedback regarding the exceptions, patterns and trends to management. **Key Details:** Must be authorized to work in the U.S. without the need for employment\-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment\-based visa types H\-1B, L\-1, O\-1, H\-1B1, F\-1, J\-1, OPT, or CPT. * Performs routine and moderately complex audits to identify trends, issues, and exceptions to the established claims adjudication requirements. Reports to management when quality standards impact the business unit, company, affiliates and/or clients and customers. * Proactively identifies performance trends/patterns of audits to management, and makes recommendations to improve quality, workflow processes, policies and procedures. * Provides timely review and completion on all contested claims. * Researches claim processing problems and errors to ...

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