Claims Auditor and Trainer

Job Summary

A company is looking for a Claims Investigation Recovery and Resolution Auditor and Trainer.

Key Responsibilities

• Investigate, recover, and resolve claims for health plans, commercial customers, and government entities
• Develop and conduct training programs for new hires and ongoing staff development in Claims Investigation and Recovery
• Analyze trends and ensure compliance with state and federal policies

Required Qualifications

• High School Diploma / GED or equivalent work experience
• Must be 18 years of age or older
• 8+ years of training experience
• 8+ years of auditing experience
• 5+ years of experience with FACETS/Macess and insurance