Prepay Claims Auditor

YOUR JOB

• Perform audits on Prepay claims to determine accuracy, consistency, and compliance regarding established procedures.
• Proactively flag possible issues and risks.
• Participate in focus audits, projects and third-party.
• Perform root cause analysis on audit findings to understand why the findings occurred and communicate those in the monthly meetings with Operations.
• Identify improvements to both audit and operational processes and procedures.
• Assist in the development of audits and audit processes and procedures.
• Support auditors in other audit lines with specific language knowledge and cross support when required.

SCOPE AND DIMENSIONS

• Reports directly to the Claims Supervisor.
• Audits communications across EGS regions, primarily AP Claim.

Experience Required

• Ideally AP Claims experience of at least 2 years.
• Experience...

Ready to Apply?

Submit your application today and join our talented team at The Cigna Group.