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Claims Auditor

7/11/2025

Remote

Job Summary

A company is looking for a Claims Auditor (Remote).

Key Responsibilities
  • Conduct audits and document findings accurately
  • Review discrepancies and resolve post-audit activities in a timely manner
  • Develop relationships with vendors and communicate findings effectively
Required Qualifications
  • 5+ years of experience in health claims adjudication
  • Strong understanding of health and welfare plan design and claims administration
  • Familiarity with various plan types including consumer-driven and managed care
  • Detailed knowledge of ICD-10 and CPT codes
  • Previous internal audit experience is a plus

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