Insurance Audit Reviewer

Summary

Join ReSource Pro as an Insurance Audit Reviewer and contribute to our premium audit operations and processes. This role requires strong organizational and communication skills, along with the ability to multitask and prioritize. You will review premium audits, ensuring alignment with industry standards and carrier guidelines, and mentor auditors to enhance quality. The position offers a competitive salary, comprehensive benefits, and growth opportunities. Experience in insurance audits is preferred, but not required. This is a remote position.

Requirements

• Strong understanding of audit processes and procedures
• Strong organizational and time-management skills
• Excellent written and verbal communication skills
• Proficient computer skills
• Ability to multitask and prioritize tasks
• Detail-oriented and accurate
• Positive and proactive attitude
• Flexibility and adaptability to changing priorities
• A strong understanding of audit processes and procedures

Responsibilities

• Provide review support, quality assurance and support for our premium audit operations and audit processes
• Primary reviewer of all premium audits including physical, virtual and phone
• Effectively manage and review audit queue
• Ensure audits align with industry standards, LAI, state-specific rules, and carrier specific guidelines
• Mentor auditors to increase audit quality
• Provide clear communication to auditors during the review process (via phone and/or email)
• Maintaining production and quality standards as directed

Preferred Qualifications

• 1-2 years insurance audit experience
• Working knowledge of PASS, ASUM, and Nexus
• WCRIB Certification
• APA designation

Benefits

• Eligible for all medical & dental benefits on Day 1
• Eligible for 401k with employer match after 12 months of employment
• Generous PTO plan with paid holidays & floating holidays
• Development & growth opportunities
• Teamwork-oriented work environment