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.
Job listings
$81,000–$138,000
USD/year
The Senior Internal Controls Analyst assesses Internal Controls over Financial Reporting (ICFR) within the Controllership function of Prime. This position assesses internal control design, testing control operating effectiveness, and partners with functional area owners to develop value-added recommendations to improve the internal control environment within the department. The Senior Internal Controls Analyst will play a critical role in the advancement of the ICFR program.
The purpose of this job is to provide supervision and administration for the assigned audit function (i.e. Compliance, Corporate Governance, Information Technology, Financial and Wealth Management). Evaluate significance and degree of risk in activities subject to audit coverage. Manage in charge and staff auditors during examinations.