Claims Audit Specialist - Des Moines Iowa

Company: VirtualVocations
Location: Des Moines, Iowa
Posted On: 01/26/2025

A company is looking for a Specialist, Config Oversight who will conduct audits related to claims processing.



Key Responsibilities

Review documentation for updates and evaluate their accuracy in the core processing system
Conduct focal audits on processed transactions and vendor audits to ensure alignment with documentation
Prepare and present audit findings and recommendations to management


Required Qualifications

Associate's Degree or equivalent combination of education and experience
Minimum 2 years as an operational auditor in core operations
Previous experience in claims examination or processing
Experience with claims processing systems, specifically QNXT
Preferred: Bachelor's Degree or 3+ years of relevant experience More...

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