Underwriting Auditor II (Stop Loss)
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Job Location:
Monthly Salary:
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Summary
Responsible for providing a full range of risk compliance and operational underwriting audits. ( business advisory and consultation services investigations internal controls accountability and use of resources.)
Description
Location: This position is full-time(40-hours/week) Remote.
Position Purpose: Oversees a full range of risk compliance and operational underwriting audits including business advisory and consultation services investigations evaluation of internal controls and oversight of accountability and resource utilization.
What Youll Do:
In this role you will assist with conduct and administer underwriting audits for both internal and external partners non-major medical and stop loss business. You will evaluate partner activities prepare detailed case-level reports and lead review processes to ensure compliance with contractual agreements and adherence to business best practices.
Communicate with partners monitor annual audit plan schedules and follow up on progress to meet department objectives.
Assist or lead on-site and remote audit projects to ensure objectives are met.
Conduct special audit requests for senior management.
Create and review audit reports; discuss findings with partners.
Periodic travel for audits within the U.S. will be required.
To Qualify For This Position Youll Need The Following:
Required Education: Bachelors
Degree Equivalency: 4 years job related work experience or Associates and 2 years job related work experience
Required Work Experience: 5 Years underwriting experience.
Required Skills and Abilities: Excellent organizational customer service oral and written communication skills. Excellent mathematical analytical and critical thinking skills. Good judgment. Ability to handle confidential or sensitive information with discretion. Proficient spelling punctuation and grammar. Extensive knowledge of underwriting and risk principles and their application.
Required Software and Other Tools: Microsoft Office.
We Prefer That You Have The Following:
Preferred Education: Bachelors degree-Accounting Finance Business or Healthcare Administration Statistics Mathematics or related field
Preferred Work Experience: 7 Years-underwriting experience.
Preferred Skills and Abilities: Insurance course work in FLMI HIAA or BCA.
Preferred Software and Other Tools: Knowledge of database software and computer systems support.
*This position can be remote but will require some travel
Our Comprehensive Benefits Package Includes The Following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.
Subsidized health plans dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition National discounts to movies theaters zoos theme parks and more.
What We Can Do for You:
We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills advance their careers and contribute their unique abilities to the growth of our company.
What to Expect Next:
After submitting your application our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age race color national origin sex religion veteran status disability weight sexual orientation gender identity genetic information or any other legally protected status. Additionally as a federal contractor the company maintains affirmative action programs to promote employment opportunities for individuals with disabilitiesand protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with disabilities pregnant individuals individuals with pregnancy-related conditions and individuals needing accommodations for sincerely held religious beliefs provided that those accommodations do not impose an undue hardship on the Company.
If you need special assistance or an accommodation while seeking employment please email or call ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Heres moreinformation.
Some states have required notifications. Heres more information.
Key Skills
- Auditing
- Time Management
- ICD-10
- Accounting
- Component evaluation
- Workers' Compensation Law
- SOX
- Microsoft Excel
- CPT Coding
- Internal Audits
- Medicare
- Bookkeeping
About Company
You can’t reach new heights of performance unless you’re willing to invest in others. That people-first mantra has been our guiding light since we started in the Medicare business in 1965. Headquartered in Columbia, S.C., and with offices in Augusta, Ga.; Birmingham, Ala.; Camden, S.C ... View more
