Quality Assurance Auditor

A company is looking for an Auditor. Key Responsibilities : Review and audit medical claims for accuracy and compliance with company policies Listen to customer service phone calls for accuracy and professionalism Provide feedback and coaching to claims and customer service staff on best practices and compliance issues Qualifications : Minimum of 2 years of experience in customer service or claims processing, preferably in healthcare or employee benefits Strong knowledge of benefits plan design, auditing processes, and medical terminology Experience with ICD-10 and CPT coding Exceptional attention to detail and accuracy Ability to analyze issues and implement effective solutions