Claims Auditor (2300 & 2301)

- OUR VALUES MAKE US A BETTER COMPANY FOR ALL -

 

Our values including RESPECT FOR PEOPLE, INTEGRITY, INITIATIVE, COMPETENCE, AND LEARNING guide us to be the best company for both our employees and customers.  People who share our values, you have an excellent opportunity to thrive in our open, progressive and team-oriented environment. Long Term Care Group (LTCG) is the nation’s largest administrator of long term care insurance services.  We provide a sophisticated and broad platform of services, including full policy administration, clinical expertise, and product design and development for both group and individual long term care insurance products.

 

ABOUT OUR BENEFITS

Long Term Care Group offers a very complete competitive benefits package including health, dental, life and long term care insurance.  We also offer a 401k plan, vacation, and a flexible spending plan for medical and dependent care expenses.

 

ABOUT THIS OPPORTUNITY

In this role, you will develop audit programs for Claims functions.  You will have the primary responsibility to conduct internal audits, document findings and report to internal management and clients, as may be required.  This position interacts with co-workers and external clients as well as work cooperatively with supervisors in the Claims area. 

 

Schedule: Full-time, Monday – Friday

# of People on Team: 9  

# of People in Dept.: 30

 

RESPONSIBILITIES

1.  Monitor the day to day adherence to quality standards based on guidelines set by our clients and internal management. 

2.  Review quality of work done by Claims staff.

3.  Compile findings in spreadsheet for presentation to management and team members on a monthly (or more frequent) basis.

4.  Consult with subject matter experts when necessary to develop alternative work process solutions.

5.  Assist department managers/supervisors in development and implementation of new procedures. 

6.  Identify training needs to increase quality of work.

7.  Other duties and responsibilities as assigned. 

 

QUALIFICATIONSAt least a High School diplomaAA certificate preferred, but not required5 years Claims experience required with some previous auditing experience preferredProficient with Windows including MS Word, Excel, and OutlookExcellent organization skills and attention to detail, with the ability to meet established deadlinesAbility to analyze processes and implement plans to improve efficienciesExcellent communication skills both verbal and writtenAbility to multitask and still meet established service requirements and standards



TO APPLY CLICK THIS LINK>> https://home.eease.com/recruit/?id=54418

 

TO LEARN MORE ABOUT US visit http://www.ltcg.com/.  While we do not sell or distribute long-term care insurance, our goal is to make a difference in the lives of the people we serve at a time when they need it the most.

 

EOE m/f/d/v