Claims QA Auditor Lead

Oversees the Claims Quality Team and ensures accuracy in claims processing.

• •The Claims Auditor Lead is responsible for overseeing the daily operation of the Claims Quality Team, handling all aspects of the Claims Quality Review program.
• •Key Responsibilities Oversight and management of the Claims Quality Assurance Team.
• •Reviewing audits of claims to ensure processing accuracy.
• •Compiling reporting of audits completed with decision methodology for procedural and monetary errors.
• •Requirements Excellent verbal and written communication skills.
• •Proven organizational, rational reasoning, and problem-solving skills.
• •Proficiency in MS Office applications.