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Would you like to be part of a growing national healthcare solutions company?
We are hiring for a Claims Department Auditor to join our team.
Who we are
Allied is a national healthcare solutions company that supports healthy workplace cultures.
What we do
We are problem-solvers, innovators, and collaborators. Our purpose is to work with employers to take care of their employees and their families every day – and it all starts with the Allied family.
What’s in it for you?
Allied supports an inclusive culture focused on developing employees to succeed, innovate & impact the community.
Here’s how we do it
Training and Development: Allied offers tailored learning and development curriculums for all employees and a Learning Management Database with thousands of courses for professional and personal development.
Career Mobility: Growth opportunities are endless at Allied. In 2021 alone, one in five employees had a job change. 75% of these job changes were promotions!
Employee Engagement: We pride ourselves on employee engagement! With our recognition program, employees recognize their colleagues monthly or donate to charities with cash rewards. Allied has a dedicated committee planning monthly engagement activities to create endless opportunities to get to know your peers and destress in this new remote world.
Employee Feedback: We regularly survey our employees throughout the year to seek continuous feedback, ideas and suggestions on new initiatives.
Community Outreach: We have dedicated committees focused on fundraising efforts supporting our employees and their families, furthering education goals and providing funds for charitable organizations outside of Allied.
What will you be doing?
The claim department auditor will be responsible for coordinating and completing audits as well as compiling and reporting results and trends accurately, appropriately, and timely.
ESSENTIAL FUNCTIONS
- Perform all claims operations audit functions, including logging, tracking, and auditing quantifiable metrics & data.
- Performs audit functions for accuracy and workflow process.
- Utilize proprietary and industry standard audit programs and processes to identify trends and provide recommended improvements.
- Provide operational support as needed and identified by Management.
- Collaboratively report audit trends and training suggestions to Management and participate in meetings.
SKILLS & ABILITIES
The ideal candidate should be proficient in the use of MS Office Suite, specifically Excel and Word programs and able to communicate effectively by email. Must possess critical thinking & analytical skills.
Experience
The ideal candidate will have 3-5 years’ experience in group health/ dental insurance claims auditing and/ or processing. Additionally, the ideal candidate will be able to provide historical examples of work quality and results. Prior auditing experience is preferred, but not required.
Education
High School Graduate/ GED
WORK ENVIRONMENT
This will be an off-site position with the applicant providing their own internet service.
Hiring is contingent upon successful completion of our background and drug screening process. Allied is a drug-free and tobacco-free workplace.
Diversity creates a healthier atmosphere: Allied is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
#LI-KF1 #LI-REMOTE
