Premium Audit Jobs in South Portland, ME
A Premium Auditor serves a pivotal role in the insurance industry by determining the final earned premium for policyholders. This job requires a detailed examination of a policyholder's operations, records, and books to assess the actual exposure and ensure accurate premium calculation. Premium Auditors verify that the classifications and exposure basis applied to a policy accurately reflect the insured's operations. Their duties involve conducting both physical audits (on-site) and virtual audits, providing customer service, and preparing detailed audit reports.
Potential Premium Auditors should ideally possess a background in accounting, finance, or a related field, as well as a keen understanding of insurance coverages. They must have strong analytical, communication, and customer service skills. Additionally, a Certified Insurance Premium Auditor (CIPA) or Certified Premium Auditor Specialist (CPAS) certification could enhance their credibility. Prior to becoming a Premium Auditor, one might have roles such as an Insurance Underwriter, Claims Adjuster, or an Insurance Sales Agent, which provide a strong foundation in understanding insurance policies and procedures.
Registered Nurse - Diagnosis Related Group (DRG) Coding Auditor Principal - Carelon Payment Integrit
- South Portland, ME
- 3 days ago
- South Portland, ME
- 3 days ago
at Elevance Health in South Portland, Maine, United States Job Description Registered Nurse Diagnosis Related Group Coding Auditor Principal Carelon Payment Integrity Location: Alternate locations...
- South Portland, ME
- 5 days ago
- South Portland, ME
- 5 days ago
Anticipated End Date: 2025-04-21 Position Title: Registered Nurse - Diagnosis Related Group (DRG) Coding Auditor Principal - Carelon Payment Integrity Job Description: Registered Nurse - Diagnosis...
- Portland, ME (3 miles from South Portland, ME)
- 5 days ago
- Portland, ME (3 miles from South Portland, ME)
- 5 days ago
About Team / Role The Internal Auditor will join the Internal Audit team, reporting directly to the Internal Audit Manager. You will join a dynamic and collaborative team that supports the SOX...
- Portland, ME (3 miles from South Portland, ME)
- 11 days ago
- Portland, ME (3 miles from South Portland, ME)
- 11 days ago
at Sedgwick in Portland, Maine, United States Job Description Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at...
Anticipated End Date: 2025-04-25 Position Title: DRG Coding Auditor Job Description: DRG CODING AUDITOR Location: This position will work virtually. Alternate locations may be considered. The DRG...
- Scarborough, ME (3 miles from South Portland, ME)
- 17 days ago
- Scarborough, ME (3 miles from South Portland, ME)
- 17 days ago
The Medical Auditor role reviews medical necessity and Correct Coding Initiative claim edits. Assesses clinical documentation for supporting medical necessity to appeal denials or audits. Required...
- Portland, ME (3 miles from South Portland, ME)
- 22 days ago
- Portland, ME (3 miles from South Portland, ME)
- 22 days ago
About the Team / Role We are seeking an Internal Auditor to join WEXs Global Internal Audit team to execute internal audit assignments including integrated audits and advisory engagements. Join us...
Internal Auditor, Senior Location: Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to...
Demographic Data for South Portland, ME
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Salary for Premium Audit Jobs in South Portland, ME
Required or preferred licenses and certifications for Premium Audit positions.
Highest Education Level
Premium Audits in South Portland, ME offer the following education backgroundQualifications / Skill Sets
The following top skills are often required or desired to land a Premium Audit position
- CPA
- Business Processes
- Regulations
- Data Analytics
- ICD-9 Coding
- Sarbanes-Oxley Compliance
- ICD-10 Coding
- Generally Accepted Auditing Standards
- Education Experience
- Certified in Risk and Information Systems Control
- Public Accounting
- Governmental Accounting
- Certified Fraud Examiner
- Certified Internal Auditor
- COSO
- IT Audit
- Control Objectives for Information and Related Tec
- Certified Information Systems Auditor
- Internal Audits
- IT Governance
- Certified Information Security Manager
- Financial Audits
- General Liability
- Loss Control
- Annuities
- Premium Audit
- Medical Claims
- Accounting Software
- Claims
- Generally Accepted Accounting Principles
- Internal Control
- Fraud Investigation
- Medical Billing
- Reimbursement
- Risk Management
- Interviewing
- Finance
- Billing
- Military Background
- Accounting
- Process Improvement
- High School Diploma
- Investigation
- Written Communication
- Writing Skills
- Auditing
- Documentation
- Quality Assurance
- Data Analysis
- Reporting
- Collaboration
- Microsoft PowerPoint
- Policy Development
- Problem Solving
- Microsoft Office
- Microsoft Excel
- Staff Supervision
- Organization
- Customer Service
- Scheduling
- Leadership
- Communication Skills
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