Job Description
Claims Auditor
Location: Sarasota, FL or Orlando FL | Full-Time Onsite
Our client is seeking a detail-oriented and analytical Claims Auditor to support and enhance their internal claims audit program. This role is ideal for an experienced claims professional who thrives on evaluating processes, identifying opportunities for improvement, and ensuring compliance with regulatory standards and best practices. You'll work closely with leadership to strengthen audit quality, improve claims handling consistency, and drive operational excellence across the organization.
Key Responsibilities
- Conduct comprehensive audits of claim files to ensure compliance with internal policies, regulatory requirements, and industry standards
- Evaluate claim handling including coverage analysis, investigations, documentation, reserving, and settlement practices
- Identify compliance risks, procedural gaps, and areas for operational improvement
- Prepare detailed audit reports and clearly communicate findings and recommendations to leadership
- Analyze audit results and trends to support performance improvement initiatives
- Participate in internal and external audits, including regulatory and reinsurer reviews
- Maintain accurate audit records and ensure compliance with documentation and retention standards
- Assist with audit planning, scheduling, file selection, and quality monitoring processes
- Collaborate with Claims Leadership to implement corrective actions and improve outcomes
- Support training and continuous improvement initiatives based on audit findings
Numbers & Facts
| Location | Orlando, FL |
| Industry | Staffing/Employment Agencies |
| Company Size | 100 to 499 employees |
| Year Founded | 2004 |
| Website | https://impactbusinessgroup.com |
About Company
Working with iMPact
Here at iMPact we have helped connect candidates to opportunities available in Information Technology, Accounting/Finance, Engineering, and Business Process/Administration. We have full-time, part-time and contract positions available in Michigan, Florida as well as nationwide.
Our headquarters is located in Grand Rapids, MI and we also have an office in Tampa, FL. When you’re working with us, one of our experienced recruiters will connect you with matching opportunities and they will be there every step of the way to help you through the application, interviewing and onboarding process to ensure success.
To connect with one of our recruiters, submit your application for one of our open positions, or visit our website www.impactbusinessgroup.com to submit your resume for general consideration. We look forward to hearing from you!
Skills
- Analysis Skillsunmatched
- Auditingunmatched
- Best Practicesunmatched
- Calendar Managementunmatched
- Claims Processingunmatched
- Communication Skillsunmatched
- Continuous Improvementunmatched
- Corrective Actionunmatched
- Detail Orientedunmatched
- Documentationunmatched
- Documentation Standardsunmatched
- External Auditunmatched
- File Auditsunmatched
- Industry Standardsunmatched
- Internal Auditunmatched
- Leadershipunmatched
- Maintain Complianceunmatched
- Operational Improvementunmatched
- Performance Managementunmatched
- Quality Monitoringunmatched
- Record Keepingunmatched
- Regulationsunmatched
- Regulatory Complianceunmatched
- Regulatory Requirementsunmatched
- Risk Analysisunmatched
- Trend Analysisunmatched
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