claims auditor

  • 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.