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Claims QA Auditor

Centivo 🏥📊💰

The Claims QA Auditor is primarily responsible for pre-payment, post-payment, and adjudication audits of claims across multiple employer groups and products, including complex high-dollar claims. Responsibilities include performing auditing of claims, ensuring processing, payment, and financial accuracy, completing reporting of audits finalized with decision methodology, communicating corrections and adjustments to Examiners, identifying and escalating trends, and more.