02/02/2026
Position Summary We are seeking an experienced and detail-oriented Senior Accident and Health Claims Auditor to join our team. The ideal candidate will have extensive knowledge of insurance claims processes, auditing standards, and regulatory requirements related to accident and health insurance. The Senior Auditor will play a key role in ensuring the accuracy, compliance, and integrity of claims processed, identifying potential areas of improvement, and providing leadership in audit initiatives. Essential Duties and Responsibilities Claims Audit: Conduct thorough audits of accident and health insurance claims to verify accuracy, policy compliance, and proper adjudication. Compliance Verification: Ensure claims adhere to company policies, industry regulations, and legal requirements, including HIPAA. Data Analysis: Analyze claims data to identify patterns, discrepancies, and opportunities for process improvement. Reporting: Prepare detailed audit reports and...
Skyward Specialty Insurance
Kennesaw, GA, USA
Full Time
