Prepay Claims Auditor
The Cigna Group
Job Description
**Quality Management**
**Auditor**
**YOUR JOB**
+ Perform audits on Prepay claims to determine accuracy, consistency, and compliance regarding established procedures.
+ Proactively flag possible issues and risks.
+ You may participate in focus audits, projects and third-party.
+ You may perform root cause analysis on audit findings to understand why the findings occurred and communicate those in the monthly meetings with Operations.
+ Identifies improvements to both audit and operational processes and procedures.
+ Assists in the development of audits and audit processes and procedures.
+ Support auditors in other audit lines with specific language knowledge and cross support when required.
**SCOPE AND DIMENSIONS**
+ Reports directly to the Claims Supervisor.
+ Audits communications across EGS regions, primarily AP Claim.
**EXPERIENCE REQUIRED**
+ Ideally AP Claims experience of at least 2 years.
+ E...
**Auditor**
**YOUR JOB**
+ Perform audits on Prepay claims to determine accuracy, consistency, and compliance regarding established procedures.
+ Proactively flag possible issues and risks.
+ You may participate in focus audits, projects and third-party.
+ You may perform root cause analysis on audit findings to understand why the findings occurred and communicate those in the monthly meetings with Operations.
+ Identifies improvements to both audit and operational processes and procedures.
+ Assists in the development of audits and audit processes and procedures.
+ Support auditors in other audit lines with specific language knowledge and cross support when required.
**SCOPE AND DIMENSIONS**
+ Reports directly to the Claims Supervisor.
+ Audits communications across EGS regions, primarily AP Claim.
**EXPERIENCE REQUIRED**
+ Ideally AP Claims experience of at least 2 years.
+ E...