- develop best practice standard score sheet data base.
- Train internal customers on best practice standards
- communicate with senior management
- Lead and participate assigned projects.
senior claims auditor
- Lead and participate in claim reviews to evaluate compliance with best practice standards for internal and third party customers. Prepare a detailed analysis report, distribute to senior management and third party administrator.
- Follow up for completed management action plans.
- Report hard and soft leakage.
- Develop comparison reports.
- lead and participate in aggregate reserve reviews. prepare detailed analysis report and distribute to underwriting, senior management and third party administrator.
- Lead calibration sessions with colleagues and internal customers
- Develop best practice standards.