Perform various levels of premium audits on auditable exposure types using a technology-enabled proprietary platform. Utilize predictive modeling and machine learning tools to identify policy misclassifications and optimize audit methods.
Remote Auditor Jobs (518)
Search = auditor
Perform physical and remote audits of insured businesses to investigate and collect necessary information. Prepare detailed written reports for insurance carriers based on the findings of these audits.
Conduct thorough animal welfare audits of facilities, suppliers, and partners to ensure adherence to ethical standards. Prepare detailed audit reports and communicate findings to clients and management while maintaining strict confidentiality.
Perform physical and remote audits of insured businesses to investigate and collect necessary information. Prepare detailed written reports for insurance carriers based on the findings of these audits.
Conduct detailed audits of high-complexity health claims files to ensure accuracy and regulatory compliance. Document findings, identify trends, and collaborate with departments to improve claim practices.
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Responsible for conducting insurance premium audits and scheduling appointments with insured parties. The role ensures all audits comply with client and quality standards.
Lead complex audits of high-risk emerging technologies, specifically focusing on AI, generative AI, and data-driven systems. Design tailored audit methodologies and evaluate AI governance to ensure secure, ethical, and well-controlled adoption.
The Forestry Lead Auditor oversees the audit process, technical activities, and governance for forestry certification programs to ensure compliance and maintain the client base. This includes conducting audits, managing nonconformities, and serving as the primary technical liaison for clients and oversight bodies.
Investigates claims liability and audits submitted documents to ensure benefits are paid correctly according to employer plans and policies. Manages claims reserves and communicates with third-party administrators to resolve processing issues.
Deliver AS9100 and ISO9001 audit services to clients, including preparing assessment reports and recommending certification decisions. Manage client accounts, schedule visits, and lead assessment teams to ensure high-quality service delivery.
Lead Auditor - Standards & ISO Audit Management w/m/d
Computacenter AG & Co. oHG
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Full Time
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7 Weeks Ago
Computacenter AG & Co. oHG
Plan and execute internal audits across various business units to ensure compliance with international standards and certification requirements. Manage the full audit lifecycle, including reporting, tracking corrective actions, and coordinating with external certification bodies.
Conducts monthly and quarterly quality assessments of medical codes to ensure accuracy and compliance with CMS and AMA standards. Provides education, training, and guidance to coding associates while serving as a subject matter expert for professional fee coding.
Perform audits and certifications for food-related companies to ensure compliance with quality, safety, and environmental standards. Responsibilities include conducting preliminary research, writing audit reports, and providing oral feedback on findings.
The role involves managing risk and strengthening controls through operational, financial, and compliance audits, specifically focusing on SOX compliance. Responsibilities include preparing risk assessments, documenting IT controls, and collaborating with external auditors to ensure data integrity.
DRG Validation Auditor - Off Hours Work (2nd, 3rd, or weekend shift work)
Cotiviti
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Full Time
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7 Weeks Ago
Cotiviti
Perform DRG validation and clinical reviews for inpatient claims to ensure coding accuracy and appropriateness of treatment settings. Document audit results and utilize proprietary systems to generate audit determinations and letters.
Independent Contractor -Senior Aerospace Auditor (Remote U.S.)
NSF International
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Full Time
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7 Weeks Ago
NSF International
Conduct 3rd party audits for aerospace clients to ensure compliance with industry standards. Communicate effectively with external clients and internal Account Managers to facilitate the certification process.
Virtual Premium Auditor (Commercial P&C)
Amerisure Insurance
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Full Time
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7 Weeks Ago
Amerisure Insurance
Conduct audits to acquire financial and operational data to ensure accurate audited premiums in compliance with industry regulations. Collaborate with policyholders and agents to reconcile discrepancies and maintain strong professional relationships.
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Internal Auditor (Part Time)
Montrose Environmental Group
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Full Time
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7 Weeks Ago
Montrose Environmental Group
Perform testing of controls and participate in financial and operational audits to report findings. Analyze financial statements and collaborate with management to resolve audit-related issues.
The IT Internal Auditor is responsible for auditing information systems, platforms, and operating procedures to ensure efficiency, accuracy, and security. This includes executing organization-wide SOX control tests and recommending improvements to risk management controls.
Perform medical record and claims audits to ensure coding accuracy and compliance with CMS and regulatory guidelines. Develop audit methodologies, analyze findings to identify trends, and generate expert reports for healthcare clients.
Plan, implement, and oversee complex auditing investigations to support DOJ litigation. Direct the work of junior auditors and prepare final reports and recommendations for trial staff.
Internal Auditor - Profee
Omega Healthcare Solutions
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Full Time
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7 Weeks Ago
Omega Healthcare Solutions
Perform reviews of physician services medical records to ensure coding accuracy for ICD-10 and CPT codes. Identify coding trends and utilize audit software to report quality and statistical data to management and clients.
Execute internal audit engagements including planning, fieldwork, and reporting to assess internal controls and risk management. Collaborate with cross-functional teams and external auditors to identify control gaps and implement corrective actions.
High-Cost Claimant Review Unit Nurse Auditor
Blue Cross Blue Shield of Arizona
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Full Time
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7 Weeks Ago
Blue Cross Blue Shield of Arizona
Responsible for assessing member utilization and predicting future spend to improve member outcomes and optimize resource use. Collaborates with multi-disciplinary teams to identify community resources and lead process improvement initiatives for high-cost claimants.
The Lead Auditor is responsible for developing audit scopes, managing audit teams, and assessing management system conformance to aerospace standards. They document audit results, prepare reports, and assist in the training and evaluation of other auditors.
Execute risk-based cybersecurity audits to evaluate the effectiveness of IT controls and security settings. Develop formal testing, communicate risks to technical and non-technical audiences, and prepare final effectiveness reports.
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Perform medical device audits at client locations and manage audit team activities. Develop audit scopes and plans while presenting conclusions and reviewing nonconformity resolutions with customers.
Conduct aerospace management system audits and manage audit team activities to ensure compliance. Develop audit scopes and plans while presenting conclusions and reviewing nonconformity resolutions with customers.
Perform independent management system assessments and ISO 9001:2015 audits at client locations. Collaborate with schedulers to ensure audits are conducted as specified to help clients improve business processes.
Perform lead audits and assessments for ISO 14001, 45001, and RC standards to ensure customer compliance and quality. Evaluate customer needs and satisfaction while maintaining a professional image in a virtual and travel-based environment.
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