Insurance Audit Reviewer – Remote | USA |Full-Time
Job Description
Job Title and Overview
Job Title: Insurance Audit Reviewer
Industry: Insurance
Location: Remote
Job Type: Full-Time
Salary: $18.00 – $22.00 per hour (varies by geographic location)
Expected Hours: 40 hours per week
Job Description
Are you passionate about working on both technical and creative projects? Do you enjoy providing solutions that meet your clients’ needs while ensuring accuracy and compliance? If yes, then ReSource Pro is looking for a highly organized and adaptable Insurance Audit Reviewer to join our team.
In this role, you will be responsible for providing review support and ensuring premium audit operations comply with industry standards, LAI, and state-specific rules. You will collaborate closely with auditors, providing clear communication and mentorship to help them maintain high standards of quality and accuracy.
As a Primary Reviewer, you will evaluate audits (physical, virtual, and phone), manage the audit queue, and ensure that audits align with carrier-specific guidelines. The role will allow you to work both independently and collaboratively in a dynamic, fast-paced environment.
Responsibilities of Insurance Audit Reviewer
- Serve as the primary reviewer for all premium audits, including physical, virtual, and phone audits.
- Ensure that all audits comply with industry standards, LAI, state-specific regulations, and carrier-specific guidelines.
- Manage and prioritize the audit queue to maintain a steady workflow while meeting deadlines.
- Provide mentorship to auditors, offering guidance and feedback to improve audit quality and accuracy.
- Communicate clearly with auditors during the review process, either via phone or email, to address any issues or discrepancies.
- Maintain production and quality standards as directed by management.
- Regularly collaborate with team members to optimize auditing processes and achieve company goals.
Requirements
Qualifications:
- Bachelor’s degree in a related field is preferred but not required.
- WCRIB Certification or APA designation is a plus.
- Active industry certifications are highly preferred.
Experience:
- 1-2 years of insurance audit experience (Preferred).
- Working knowledge of PASS, ASUM, and Nexus systems is advantageous.
- Experience with audit processes, procedures, and industry standards is crucial.
- Proven ability to mentor and guide other auditors.
Skills:
- Strong understanding of audit procedures and insurance-specific regulations.
- Exceptional organizational skills with the ability to manage multiple tasks efficiently.
- Excellent verbal and written communication skills, with a keen eye for detail.
- Proficiency in using computers and audit-specific software.
- Ability to multitask and prioritize work effectively in a dynamic environment.
- Positive, proactive attitude with flexibility to adapt to changing priorities.
Benefits
- Eligible for all medical and dental benefits on Day 1.
- 401k with employer match, available after 12 months of employment.
- Generous PTO plan, including paid holidays and floating holidays.
- Development and growth opportunities within the company.
- Teamwork-oriented work environment that fosters collaboration.
- Long-term and short-term disability insurance.
- Internet stipend eligibility for remote positions.
- Comprehensive wellness program promoting employee health and well-being.
Shifts
This is a full-time, remote position with flexible working hours, allowing you to work from the comfort of your home while managing a full workload.
How to Apply
Want to join? Apply the link given below!
https://career.resourcepro.com/jobs/
If your qualifications match the requirements for the role, a member of our Talent Acquisition team will contact you to schedule an interview via Zoom.
Work Authorization
Candidates must be authorized to work in the United States. Unfortunately, we are unable to sponsor work visas for this role.
Equal Opportunity Employer
ReSource Pro provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment based on race, color, religion, age, sex, national origin, disability status, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by law.
Company Overview
ReSource Pro is a global leader in providing strategic operations support to insurance organizations. With a dedicated team of 10,000+ professionals, the company helps clients improve productivity and profitability. Serving 1,800+ clients in the insurance sector, ReSource Pro offers cutting-edge business process management, data, and technology solutions. Recognized on the Inc. 5000 list as one of the fastest-growing companies in the U.S., ReSource Pro is proud of its long-standing client retention rate of over 96%.
Expiry Date
Apply before April 07, 2025, to be considered for the Insurance audit reviewer role!
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