Premium Audit Jobs in Woodlawn, MD
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.
- Annapolis, MD (24 miles from Woodlawn, MD)
- 3 days ago
- Annapolis, MD (24 miles from Woodlawn, MD)
- 3 days ago
Remote Inpatient Coding Auditor (Full Time & PRN Openings) Join a large healthcare organization on the East Coast, and be part of a team that values precision, professionalism, and progress. We...
Remote Work- Elkridge, MD (8 miles from Woodlawn, MD)
- 4 days ago
- Elkridge, MD (8 miles from Woodlawn, MD)
- 4 days ago
Position: Quality Assurance Auditor II Department: Quality Assurance Quality Assurance is a support group to the Operational Departments of Manufacturing, Quality Control, Warehouse, and...
- Columbia, MD (12 miles from Woodlawn, MD)
- 7 days ago
- Columbia, MD (12 miles from Woodlawn, MD)
- 7 days ago
Asset Auditor CyberCore Technologies Yesterday Top Secret/SCI Unspecified Polygraph Columbia, MD (ON-SITE/OFFICE) Performing physical inventory of technology assets in offices and data centers....
Senior Analyst - IT Auditor (Remote Consideration)
- Annapolis, MD (24 miles from Woodlawn, MD)
- 7 days ago
- Annapolis, MD (24 miles from Woodlawn, MD)
- 7 days ago
Alternate Locations:** Radnor, PA (Pennsylvania); Charlotte, NC (North Carolina); Fort Wayne, IN (Indiana); Greensboro, NC (North Carolina); Hartford, CT (Connecticut); Omaha, NE (Nebraska); Work...
Remote Work- Baltimore, MD (5 miles from Woodlawn, MD)
- 8 days ago
- Baltimore, MD (5 miles from Woodlawn, MD)
- 8 days ago
This job posting is for two positions: 60081816 and 60081804. These positions are fully remote. The North Carolina Department of Revenue (NCDOR) currently has two openings for Interstate Field...
Remote WorkAsset Auditor/Quality Specialist
- Columbia, MD (12 miles from Woodlawn, MD)
- 10 days ago
- Columbia, MD (12 miles from Woodlawn, MD)
- 10 days ago
Immediate Need for AN ASSET AUDITOR/Quality Specialist! Must have TS/SCI with active polygraph security clearance! Performing physical inventory of technology assets in offices and data centers....
- Hanover, MD (10 miles from Woodlawn, MD)
- 10 days ago
- Hanover, MD (10 miles from Woodlawn, MD)
- 10 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...
- Hanover, MD (10 miles from Woodlawn, MD)
- 17 days ago
- Hanover, MD (10 miles from Woodlawn, MD)
- 17 days ago
Clinical Provider Auditor I Supports Payment Integrity & Behavioral Health Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal...
- Hanover, MD (10 miles from Woodlawn, MD)
- 19 days ago
- Hanover, MD (10 miles from Woodlawn, MD)
- 19 days ago
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...
- Hanover, MD (10 miles from Woodlawn, MD)
- 30+ days ago
- Hanover, MD (10 miles from Woodlawn, MD)
- 30+ days ago
Anticipated End Date: 2025-04-30 Position Title: Clinical Provider Auditor II Job Description: Clinical Provider Auditor II Supports the Payment Integrity line of business Location: Alternate...
- Baltimore, MD (5 miles from Woodlawn, MD)
- 60+ days ago
- Baltimore, MD (5 miles from Woodlawn, MD)
- 60+ days ago
Summary Assists with the coding and documentation auditing function of Corporate Compliance. At the recommendation of the Director-Compliance Audits and Training, acts as an in-house consultant...
Diagnosis Related Group Clinical Validation Auditor-RN
- Hanover, MD (10 miles from Woodlawn, MD)
- 90+ days ago
- Hanover, MD (10 miles from Woodlawn, MD)
- 90+ days ago
Anticipated End Date: 2025-04-25 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN Job Description: Diagnosis Related Group Clinical Validation Auditor-RN Location: This...
- Baltimore, MD (5 miles from Woodlawn, MD)
- 90+ days ago
- Baltimore, MD (5 miles from Woodlawn, MD)
- 90+ days ago
Auditor Employment Type: Full-Time, Mid-Level Department: Financial CGS is seeking a highly skilled Auditor to provide general auditing and accounting services in support of fraud investigations...
- Baltimore, MD (5 miles from Woodlawn, MD)
- 25 days ago
- Baltimore, MD (5 miles from Woodlawn, MD)
- 25 days ago
Responsibilities include: * Conduct premium audits in compliance with established policies and guidelines and industry standards * Provide routine auditing support to premium fraud on selected accounts...
Clinical Provider Auditor Senior - Maryland Behavioral Health
- Hanover, MD (10 miles from Woodlawn, MD)
- 26 days ago
- Hanover, MD (10 miles from Woodlawn, MD)
- 26 days ago
Anticipated End Date: 2025-04-24 Position Title: Clinical Provider Auditor Senior - Maryland Behavioral Health Job Description: Clinical Provider Auditor Senior Supports Payment Integrity line of...
Demographic Data for Woodlawn, MD
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Salary for Premium Audit Jobs in Woodlawn, MD
Required or preferred licenses and certifications for Premium Audit positions.
Highest Education Level
Premium Audits in Woodlawn, MD 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
- 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
- Financial Audits
- General Liability
- Loss Control
- Annuities
- Premium Audit
- Medical Claims
- Accounting Software
- Claims
- Generally Accepted Accounting Principles
- Internal Control
- Workers' Compensation
- Fraud Investigation
- Medical Billing
- Reimbursement
- Risk Management
- Interviewing
- Finance
- Billing
- Military Background
- Process Improvement
- Accounting
- High School Diploma
- Investigation
- Written Communication
- Writing Skills
- Auditing
- Events
- Documentation
- Collaboration
- Quality Assurance
- Data Analysis
- Reporting
- Microsoft PowerPoint
- Policy Development
- Problem Solving
- Microsoft Office
- Microsoft Excel
- Staff Supervision
- Organization
- Customer Service
- Scheduling
- Leadership
- Communication Skills
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