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  • Field Premium Auditor

    Encova Insurance

    Data processing auditor job in Columbus, OH

    The salary range for this job posting is $49,225.00 - $78,759.00 annually + bonus + benefits. Pay Type: Salary The above represents the full salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors, and will fall within the stated range. Your recruiter can share more information about the specific salary range during the hiring process. The ideal candidate will work a hybrid schedule from our Columbus, Ohio office. However, we are also open to considering highly qualified candidates located outside the commuting range of our Columbus office for a home-based position. Are you a Referral? If you know a current Encova Insurance associate and would like to apply as a referral, please encourage them to submit your referral information before you submit your application. You will receive an email with a direct URL link to the Job Posting of interest. Applying through this URL link will create your referral relationship for our Talent Acquisition Team. Unique residence requirements are listed in each job posting, please review closely for details. Encova is only able to employ associates who reside and work within specific U.S. states. Our current policies are based on the laws in states in which we are registered for payroll. Our current footprint includes: Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin. JOB OBJECTIVE: The Field Premium Auditor performs professional auditing duties involving remote or on-site examination of the accounting systems, accounts, journals, invoices, and financial records of businesses and corporations to determine the proper reporting and payment of premiums. The Field Premium Auditor travels as needed within an assigned territory to perform auditing services. ESSENTIAL FUNCTIONS: 1. Conduct audits primarily remote or as needed on-site examination of an employer's accounting records to verify and record classification information and to ensure premium payments are correct and in compliance with applicable law. 2. Prepare audit worksheets to support audit adjustments and recommendations, and document audit trail. 3. Develop and determines premium basis, earned premium, and classification in accordance with company, industry and government rules and regulations. 4. Effectively communicate audit results to internal and external customers regarding classification/payroll variances. 5. Ensure quality of audit through proper risk classification and exposure basis identification. 6. Maintain knowledge of current trends and developments in the field. 7. Use PowerSuite, Guidewire and related internal systems as required to perform duties. OTHER FUNCTIONS: 1. Non-essential function: other duties as assigned. KNOWLEDGE, SKILLS AND ABILITIES: * Bachelor's degree from an accredited college or university required (Accounting emphasis is preferred); commensurate accounting, auditing, or commercial insurance experience may be substituted for degree. * Insurance experience strongly preferred. * Ability to analyze and interpret accounting records. * Proficient in use of spreadsheets to include but not limited to Excel. * Ability to navigate and effectively use accounting, auditing or insurance systems. * Ability to advise policyholders on how to provide proper records necessary to conduct audits using NCCI, ISO, and PCRB classifications and rules. * Ability to establish and maintain effective working relationships. * Strong customer service orientation. * Strong oral and written communication skills. * Ability to effectively organize, prioritize and complete assigned work. * Ability to work independently. * Ability to actively listen to internal and external customer requests and concerns and develop appropriate solutions. * Ability to identify customer needs and take appropriate action to meet those needs. * Ability to safely operate a motor vehicle. * Must hold a valid driver's license. This position has been evaluated in accordance with the Americans with Disabilities Act. Encova Insurance makes every effort to reasonably accommodate disabilities to permit performance of the essential functions and candidates who need such accommodation are encouraged to seek it. This description reflects the nature and level of work performed by associates in this position. It is not an all-inclusive inventory of duties, responsibilities and qualifications required. It provides an accurate overview of the work and skills needed to perform this position. Because job content may change from time to time, Encova Insurance reserves the right to add and/or delete functions from this job as it deems necessary for business reasons. Ready to join our team? At Encova Insurance, we firmly believe that our associates drive our company's success by delivering unrivaled service to our customers. With success in mind, we make an ongoing effort to provide an environment that offers challenging, stimulating, and financially rewarding opportunities. Join us to discover a work experience where you can learn and grow to your fullest potential. What you can expect from us In addition to a competitive compensation package, we offer a comprehensive benefits package designed to support the well-being and growth of our associates. Available benefits (subject to any policy or plan changes) include, but are not limited to: Health, Dental & Vision Insurance Company-provided life and income protection plans Eligibility to participate in a company incentive bonus program 401(k) Retirement Plan - 100% company match up to 7% on annual salary Paid Time Off, Paid Holidays, and Floating Holidays Flexible Work Arrangements - Hybrid and remote depending on the role We believe that happy, healthy associates are the foundation of great work. Join us and thrive both professionally and personally. Encova Insurance is an EOE/E-Verify employer. #LI-Hybrid#LI-LP1
    $49.2k-78.8k yearly 1d ago
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  • Audit Staff - Audit - Wheeling, WV

    Wesbanco Bank Inc. 4.3company rating

    Remote data processing auditor job

    Back Audit Staff - Audit #51-8453 Multiple Locations Apply X Facebook LinkedIn Email Copy Location This position is 100% remote within the Bank's footprint. Employee will work full time remote outside of a WesBanco location (may occasionally attend in person meetings, although primary functions of the role are performed remotely). Market Wheeling Work Hours per Week 37.5 Requirements Bachelor's degree with a preference in Accounting, Finance or related field; or an Associate's Degree and two years of related Accounting, Audit (External or Internal) and/or Risk Management work experience required. Job Description SUMMARY: Responsible for completing various risk-based internal audits, interacting with various levels of management, and assisting with other audit and special projects, all in accordance with the annual audit plan and global internal audit standards. ESSENTIAL DUTIES AND RESPONSIBILITIES: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Works under the supervision of the Audit Manager(s). Performs assigned work within the structure of the departmental procedures and the Global Internal Audit Standards published by the Institute of Internal Auditors. Conducts audit testing of assigned areas within established/modified timelines. Assists in the completion of risk-based audit programs. Evaluates or assists in the evaluation of the adequacy and effectiveness of the company's internal control processes. Completes assigned audit procedures that test the accuracy and effectiveness of policies, procedures, risk assessments and other documentation. Prepares work papers that record and summarize assigned audit procedures. Assists in the development of recommendation(s) for corrective action/improvement. Maintains and adheres to information security and confidentiality requirements. OTHER REQUIREMENTS: Banking is a highly regulated industry and you will be expected to acquire and maintain a proficiency in the Bank's policies and procedures, and adhere to all laws, rules and regulations that are applicable to your conduct and the work you will be performing. You will also be expected to complete all assigned compliance training in a timely manner. Ability to adapt to corporate-wide systems routinely utilized by internal audit staff. Display personal initiative to foster professional development through formal education and cross training of department functions. Ability to complete multiple tasks while meeting assigned deadlines. Ability to complete and comprehend audit processes such as system documentation walk-throughs, source documentation, internal control questionnaires, yield analysis, and lead schedules. Ability to execute assigned audit areas including inquiry/observation, substantive procedures, analytical review procedures, attribute testing, and concluding on assigned test work. Possess clear, concise, effective written and oral communication skills to effectively express thoughts, ideas, and concepts to management and bank employees in a collaborative and solutions oriented manner. Possess strong analytical abilities and skills. Ability to utilize information systems hardware and information systems applications. Proficient in Microsoft Office including Word, Excel and Outlook. Full-Time/Part-Time Full-time Area of Interest Audit All Locations Uniontown, Ohio, United StatesAnn Arbor, Michigan, United StatesCincinnati, Ohio, United StatesIndependence, Ohio, United StatesColumbus, Ohio, United StatesDefiance, Ohio, United StatesFairmont, West Virginia, United StatesFindlay, Ohio, United StatesFort Wayne, Indiana, United StatesFrankfort, Kentucky, United StatesHuntington, West Virginia, United StatesIndianapolis, Indiana, United StatesIronton, Ohio, United StatesNew Albany, Indiana, United StatesParkersburg, West Virginia, United StatesPittsburgh, Pennsylvania, United StatesToledo, Ohio, United StatesWheeling, West Virginia, United StatesYoungstown, Ohio, United States Show more
    $44k-53k yearly est. 3d ago
  • 2027 Audit or Tax Entry Level Staff

    Plante Moran 4.7company rating

    Data processing auditor job in Columbus, OH

    Count on us. Our "we-care" culture is more than just a motto; it's a promise. From day one, we prioritize your growth, well-being, and success. You can count on us to support your career journey and help you achieve your professional goals. Join us. Whether you intend to specialize or you'd rather gain exposure across many service lines, the sky's the limit. From day one, we invite you to make a difference-to be remarkable. Your role. You'll instillconfidence in organizations large and small by assuring their financial health.We'll give you theflexibilityto craft business solutions, not just spreadsheets.Your work will include, but notbelimited to: Participating indifferentphases of the auditand/ortaxengagement. Planning, testing, researching,and reporting. Working withcompilations, reviews, compliance, financialstatements,andbenefit plans. Engaging in corporate, partnership, individual, international federal, and state & local taxes. Meaningful interactions with staffat all levels as well aswith ourimpressive repertoire of clients. Experience working with a wealth of business opportunities throughoutaprofessional services firm. The qualifications. Detail-orientedleader withproblem solving, communication,andanalytical skills. Bachelor's degree with an emphasis in accounting; or Master's degree in accounting or tax. Academicsuccess(a minimumcumulative GPA of 3.0). Completion of therequisite degree and supporting credits to sit for the CPA exam,with the goal of successfully obtaining your CPA license. This is an exempt position that may require some local, national, and occasional international travel. What makes us different? On the surface, we're one of the nation's largest audit, tax, consulting, and wealth management firms. But dig a little deeper, and you'll see what makes us different: we're a relatively jerk-free firm (hey, nobody 's perfect) with a world-class culture, consistent recognition as one of Fortune Magazine's "100 Best Companies to Work For," and an endless array of opportunities.At Plante Moran, diversity, equity and inclusion means that all staff members have equitable and fair opportunities to succeed, in an inclusive environment, with their individual, unique identities. So,what are you waiting for? Apply now. Plante Moran enjoys a "Workplace for Your Day" model which, simply put, means we strive for flexibility and balance while staying true to our principally in-person model. We believe that face-to-face interactions are paramount for individual and collective development, but also encourage individuals to work with their supervisor and team to determine their optimal working environment each day. Plante Moran is committed to a diverse workplace.We strive to create a culture where each person feels accepted and valued. We believe that each person's ultimate potential begins with first acknowledging their inherent dignity. When we can recognize - and celebrate - our many human differences, we're able to create a workplace where all staff feel a sense of belonging and an opportunity to succeed. This allows us to attract and retain the best talent, serve clients through diverse thinking, and better represent and support the various communities in which we live and work.Plante Moran is an Equal Opportunity Employer. Plante Moran maintains a drug-free workplace. Interestedapplicantsmust submit their resume for consideration using our applicant tracking system. Due to the high volume of interest in our positions, only candidates selected for interviews will be contacted. Candidates must be legally authorized to work in the United States without sponsorship, with the exception of qualified candidates who are bilingual in either Japanese and English or Chinese and English. Unsolicited resumes from search firms or employment agencies, or similar, will not be paid a fee and become the property of Plante Moran. The specific statements above are not intended to be all-inclusive. We are pleased to offer eligible staff a robust benefits package. Eligibility and contribution requirements for some of these benefits vary based on the number of hours staff work per week. Highlights include health, dental, vision, disability, and life insurance. In addition to this, eligible staff are able to take advantage of our Flexible Time Off and various pre-determined holidays, as well as a 401(k) plan, flexible benefits plans, business-related travel expense, lodging, and meal reimbursement for business-related use. A pension plan is also available for eligible administrative and paraprofessional staff. A discretionary bonus plan is available for eligible staff. Plante Moran also offers some contingent staff positions the option to elect health insurance in addition to limited paid sick time. The compensation range reflects the base salary we reasonably expect to pay for this position across our offices in the following regions: CO, IL, OH, and MA. Please review theposition description for theapplicable geographic location. Generally, experienced hires are not hired at or near the maximum salary range, as compensation decisions take into account a wide variety of factors, including but not limited to: responsibilities, education, experience, knowledge, skills, and geography. For early career roles, including campus hires, we offer standardized, market-based starting salaries among individuals within the same hiring group. This approach ensures fairness and reflects current industry benchmarks for entry-level talent. Under Colorado's Job Application Fairness Act, you have the right to redact, from any documents that you submit in connection with your application, information that identifies your age, date of birth, or dates of attendance at or graduation from an educational institution. Should you wish to exercise your right to redact such information, please redact it prior to submitting documentation. The compensation range for this role in CO, IL, OH, and MA is: $74,000.00 - $83,000.00
    $74k-83k yearly 1d ago
  • Data Quality Auditor

    Dodge Construction Network

    Data processing auditor job in Columbus, OH

    The Data Quality Auditor ensures the accuracy, completeness, and reliability of Dodge Content's project reporting data. This role is responsible for conducting systematic audits of Dodge Reports, performing verification calls with industry professionals, and identifying opportunities to improve data quality and workflow consistency. The Data Quality Auditor will collaborate closely with Data Stewards, Content Managers, and Operational Leadership to uphold and enhance Dodge's data quality standards. This is a full-time position and reports directly to the Sr. Manager, Operational Performance Management. **_Preferred Location_** This is a remote, home-office based role and candidates located in the continental United States will be considered. For this position, there is a preference to hire in Eastern time zone, however candidates in other area/time zones would be considered as well. **_Travel Requirements_** Expected travel is minor for this role. **_Essential Functions_** + Conduct routine audits of project records to ensure accuracy, completeness, and adherence to established data standards + Review sampled Dodge Reports to ensure data reflected on report aligns with the data available + Perform verification calls and emails with architects, contractors, and other project participants to confirm key project details + Analyze audit results to identify data gaps, recurring errors, and opportunities for process improvement + Provide timely feedback to Data Stewards and managers regarding audit outcomes and corrective actions + Maintain detailed documentation of audit findings and contribute to data quality scorecards + Collaborate with the Data Quality Management team to refine audit criteria and improve data governance frameworks + Support process calibration and QA initiatives to drive consistent performance across the Content organization **_Education Requirement_** Bachelor's degree in business, data management, or related field; or equivalent education and work experience. **_Required Experience, Knowledge and Skills_** + 2+ years of experience in data auditing, quality assurance, or content verification + Excellent attention to detail and analytical skills + Strong verbal communication skills and comfort with professional phone verification + Proficiency in Microsoft Excel and other data review tools **_Preferred Experience, Knowledge and Skills_** + Familiarity with Salesforce, Oracle, or similar CRM systems + Knowledge of construction industry data or content workflows + Data Visualization tools such as Tableau, AWS QuickSight, PowerBI or charting via Microsoft Excel **_About Dodge Construction Network_** Dodge Construction Network exists to deliver the comprehensive data and connections the construction industry needs to build thriving communities. Our legacy is deeply rooted in empowering our customers with transformative insights, igniting their journey towards unparalleled business expansion and success. We serve decision-makers who seek reliable growth and who value relationships built on trust and quality. By combining our proprietary data with cutting-edge software, we deliver to our customers the essential intelligence needed to excel within their respective landscapes. We propel the construction industry forward by transforming data into tangible guidance, driving unparalleled advancement. Dodge is the catalyst for modern construction. **_Salary Disclosure_** Base Salary Range: $48,800-$61,000 This represents the expected salary range for this job requisition. Final offers may vary from the amount listed based on factors including geography, candidate experience and expertise, and other job-related factors. Dodge Construction Network's compensation and rewards package for full time roles includes a market competitive salary, comprehensive benefits, and, for applicable roles, uncapped commissions plans or an annual discretionary performance bonus. **For this role, we are only considering candidates who are legally authorized to work in the United States and who do not now or in the future require sponsorship for employment visa status.** **A background check is required after a conditional job offer is made. Consideration of the background check will be tailored to the requirements of the job and consistent with all federal state and local ordinances.** **Reasonable Accommodation** **Dodge Construction Network is committed to recruiting, hiring, and promoting people with disabilities. If you need an accommodation or assistance completing the online application, please email ** ******************************* **.** **Equal Employment Opportunity Statement** **Dodge Construction Network is an Equal Opportunity Employer. We are committed to leveraging the talent of a diverse workforce to create great opportunities for our business and our people. All employment decisions shall be based on merit, qualifications, and business needs without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, pregnancy, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law.** \#LI-Remote \#LI-SB1 \#DE-Remote \#DE-2026-8
    $48.8k-61k yearly 16d ago
  • Premium Insurance Auditor (Hybrid)

    Armstrong Insurance Services 4.0company rating

    Remote data processing auditor job

    Job Description ARMStrong Insurance Services is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the parent company, ARMStrong is proud to own and operate Brown & Joseph, Paragon, SubroIQ, and NEIS each a powerhouse in their own right, providing specialized expertise in debt management and financial services. NEIS, LLC has been a leader in the insurance audit and loss control prevention industry since 1945 and seeking a Premium Auditor as we continue to grow our team. Premium Auditors examine the financial records of businesses insured by commercial property and casualty insurers to make sure they are following laws and regulations. As a premium auditor, looking for evidence of fraud and checking that insured businesses adhere to these regulations are your primary responsibilities. Your job will be based from home with required daily travel to each audit location. Car travel will be on average of 2-4 days per week within your assigned territory. Job Responsibilities: Conduct insurance premium audits for Workers Compensation, General Liability, and Automobile policies by auditing policyholder's records, and applying manual rules and company standards. Prepare for the audit by identifying the necessary information and type of records needed Prepare schedule to maximize optimal use of time Correspond with insured via phone, email and mail to setup audit appointments. Examine the policyholder's records, gather data to determine correct classifications for business activities and write an effective description of operations Prepare complete audit document, explain results to insured and communicate the results to the home office Travel to multiple audit locations Hybrid position - work from home and complete remote audits 2-3 days per week Job Requirements: Associate's Degree or equivalent plus two years' performing premium audits or equivalent combination of education and experience highly desired Ability to read, analyze and interpret financial documents General PC knowledge including Microsoft Excel and Word. Knowledge of Visual Audit is a plus. Ability to communicate well with customers and staff. Valid driver's license and satisfactory driving record Maintain automobile insurance while employed with bodily injury limits equal to or greater than $100,000 per person and $300,000 per accident or $300,000 combined Compensation and Benefits: Benefit package with health, dental, vision, life and disability coverage options 401(k) retirement plan option with company matching Generous paid time off policy and 7 paid holidays Salary is $45.00 - $50.00 per billable hour Weekly pay 401(k) plan with company matching and immediate vesting We look forward to you joining the team! ARMStrong Insurance Services is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. Powered by JazzHR LX6Zfaivvh
    $45-50 hourly 28d ago
  • Medical Claim Lead Auditor (Remote)

    WTW External

    Remote data processing auditor job

    As a Medical Claim Lead Auditor, you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader and primary interface with administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims, resolve open issues, and draft the final report. You will contribute to the creation of new tools and approaches. The Responsibilities Conduct pre-implementation and coverage specific audits and accurately document and record all audit findings Understand client's plans and apprise team of unique provisions/issues prior to audit Adjust workloads as necessary to achieve successful completion of project Clearly communicate and professionally interact with vendor and audit team Review documentation of potential discrepancies for thoroughness and accuracy Resolve post-audit activities in an accurate and timely fashion Write quality value-added draft report in a timely manner Participate in client presentation of findings, when requested Understand vendors' processes, operating environment, and specific challenges and take them into account with daily work Develop working relationship with vendor counterparts Distribute individual claim/work queues to team in a timely manner Efficiently utilize audit-specific analytic techniques, tools and processes Ensure that Professional Excellence protocols are followed Meet billable hours target Seek opportunities to improve work processes and methods in pursuit of quality output and service delivery Role will be working remotely within the posted locations. Qualifications 5+ years' experience in health claims adjudication gained preferably in a consulting environment and/or in a major insurance claims administrator or health plan environment Solid understanding of health and welfare plan design and all areas of claims administration, as well as of vendors' processes and operating environment Familiarity with all plan types including consumer-driven, PPO, Indemnity and Managed Care Must demonstrate a high level of claims administration knowledge, including experience with medical, dental, mental health and Medicare Detailed knowledge of ICD-10 and CPT codes and coding protocols Excellent oral and written communications skills Team player with strong work ethic Self-directed; requiring very little supervision Previous internal audit experience at a carrier or third-party external audit experience a plus Bachelor's Degree preferred; High School Diploma required Compensation and Benefits Base salary range and benefits information for this position are being included in accordance with requirements of various state/local pay transparency legislation. Please note that base salaries may vary for different individuals in the same role based on several factors, including but not limited to location of the role, individual competencies, education/professional certifications, qualifications/experience, performance in the role and potential for revenue generation. Compensation The base salary compensation range being offered for this role is $90,000 to $98,000 USD per year. This role is also eligible for an annual short-term incentive bonus. Company Benefits WTW provides a competitive benefit package which includes the following (eligibility requirements apply): Health and Welfare: Mental health/emotional wellbeing (including Employee Assistance Program), medical (including prescription drug coverage and fertility benefits), dental, vision, Health Savings Account, Commuter Accounts, Health Care and Dependent Care Flexible Spending Accounts, company-paid life insurance, supplemental life insurance, AD&D, group accident, group critical illness, group legal, identity theft protection, wellbeing program, adoption assistance, surrogacy assistance, auto/home insurance, pet insurance, and other work/life resources. Leave Benefits: Paid Holidays, Annual Paid Time Off (includes paid state/local paid leave where required), Short-Term Disability, Long-Term Disability, Other Leaves (e.g., Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption Leave), Paid Time Off Retirement Benefits: Contributory Pension Plan and Savings Plan (401k). All Level 38 and more senior roles may also be eligible for non-qualified Deferred Compensation and Deferred Savings Plans. Pursuant to the San Francisco Fair Chance Ordinance and Los Angeles County Fair Chance Ordinance for Employers, we will consider for employment qualified applicants with arrest and conviction records. Note that visa employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity. This position will remain posted for a minimum of three business days from the date posted or until sufficient/appropriate candidate slate has been identified. EOE, including disability/vets
    $90k-98k yearly Auto-Apply 13d ago
  • NE Region Commodity Lead Auditor (Remote)

    TUV Rheinland 4.6company rating

    Remote data processing auditor job

    Joining TÜV Rheinland means working for one of the world's leading testing, inspection, and certification service providers with more than 20,000 employees globally. Our employees are our most important asset. That is why we invest in their development and offer competitive pay, multiple health insurance plan options, and a 401(k) with up to 6% company match. At the same time we live an international, team-oriented culture characterized by respect, collegiality and openness. This enables our employees to develop their potential, apply new knowledge and methods directly - and plan a long-term career with real opportunities for advancement. SUMMARY: Plan and perform independent audits to evaluate and determine customer's quality systems and/or products compliance to applicable standards and regulatory requirements. PRINCIPAL DUTIES AND RESPONSIBILITIES: * Perform and document pre-audits, registration audits, re-audits and surveillance audits following relevant published standard(s), regulatory requirements and company procedures. May lead audit team and be responsible for successful accomplishment of assigned project * Review and forward audit reports, client responses to audit non conformities, and other technical documentation reports to Certification Specialist * Inform client management through verbal and written communication of compliance issues, relevant standards and regulatory requirements * Evaluate product nonconformance related to product processes and specifications * Establish and maintain strong professional relationships with customers * Maintain and expand technical expertise in specific product fields * Perform other duties as assigned QUALIFICATIONS & REQUIREMENTS: Knowledge, Skill, & Abilities * Broad knowledge of domestic and international regulatory compliance laws and regulations, including specific product directives * Ability to read and interpret documentation for compliance with procedures, standards and regulations * Ability to communicate with client's highly specialized engineers, scientists and regulatory employees * Must be highly organized and able to work independently * Technical expertise in product field * Ability to travel domestically and internationally. Valid passport and driver's license required. Education * Bachelor's Degree in an Engineering or Life Science discipline or equivalent education and/or experience Experience * 2 years of experience in conducting global regulatory compliance audits * 4 years of experience in the product industry with at least 2 years experience in quality assurance or regulatory affairs * Computer literacy required including Microsoft Office applications. Certifications * Commodity approved ISO 9001, ISO 14001, and ISO 4500 Lead Auditor Certification PHYSICAL DEMANDS & WORK ENVIRONMENT: * Office, manufacturing and laboratory environments. Equipment Used: * Laptop Computer Travel Required: * Ability to travel up to 100% of time, both domestically and internationally. TUV Rheinland North America EEO Statement As a global business, TUV Rheinland North America relies on diversity of culture and thought to deliver on our goal of Creative People, Practical solutions serving our client needs, and ensures nondiscrimination in all programs and activities in accordance with Title VI and VII of the Civil rights Act of 1964. We continuously seek talented, qualified employees in our world-wide operations regardless of race, color, sex/gender, including gender identity and expression, sexual orientation, pregnancy, national origin, religion, disability, age, marital status, citizen status, protected veteran status, or any other protected classification under country or local law. TUV Rheinland North America is proud to be an Equal Employment Opportunity/ Affirmative Action Employer/ Federal Contractor desiring priority referrals of all protected veterans for job openings. #LI-remote
    $84k-118k yearly est. 50d ago
  • Aerospace Lead Auditor (Remote)

    Tuv Rheinland of North America

    Remote data processing auditor job

    Joining TÜV Rheinland means working for one of the world's leading testing, inspection, and certification service providers with more than 20,000 employees globally. Our employees are our most important asset. That is why we invest in their development and offer competitive pay, multiple health insurance plan options, and a 401(k) with up to 6% company match. At the same time we live an international, team-oriented culture characterized by respect, collegiality and openness. This enables our employees to develop their potential, apply new knowledge and methods directly - and plan a long-term career with real opportunities for advancement. SUMMARY: Plan and perform independent audits to evaluate and determine customer's quality systems and/or products compliance to applicable standards and regulatory requirements. PRINCIPAL DUTIES AND RESPONSIBILITIES: Perform and document pre-audits, registration audits, re-audits and surveillance audits following relevant published standard(s), regulatory requirements and company procedures. May lead audit team and be responsible for successful accomplishment of assigned project Review and forward audit reports, client responses to audit non conformities, and other technical documentation reports to Certification Specialist Inform client management through verbal and written communication of compliance issues, relevant standards and regulatory requirements Evaluate product nonconformance related to product processes and specifications Establish and maintain strong professional relationships with customers Maintain and expand technical expertise in specific product fields Perform other duties as assigned QUALIFICATIONS & REQUIREMENTS: Knowledge, Skill, & Abilities Broad knowledge of domestic and international regulatory compliance laws and regulations, including specific product directives Ability to read and interpret documentation for compliance with procedures, standards and regulations Ability to communicate with client's highly specialized engineers, scientists and regulatory employees Must be highly organized and able to work independently Technical expertise in product field Ability to travel domestically and internationally. Valid passport and driver's license required. Education Bachelor's Degree in an Engineering or Life Science discipline or equivalent education and/or experience Experience 2 years of experience in conducting global regulatory compliance audits 4 years of experience in the product industry with at least 2 years experience in quality assurance or regulatory affairs Computer literacy required including Microsoft Office applications. Certifications Aerospace approved AS9100, AS9110 or AS9120 Lead Auditor Certification PHYSICAL DEMANDS & WORK ENVIRONMENT: Office, manufacturing and laboratory environments. Equipment Used: Laptop Computer Travel Required: Ability to travel up to 100% of time, both domestically and internationally. TUV Rheinland North America EEO Statement As a global business, TUV Rheinland North America relies on diversity of culture and thought to deliver on our goal of Creative People, Practical solutions serving our client needs, and ensures nondiscrimination in all programs and activities in accordance with Title VI and VII of the Civil rights Act of 1964. We continuously seek talented, qualified employees in our world-wide operations regardless of race, color, sex/gender, including gender identity and expression, sexual orientation, pregnancy, national origin, religion, disability, age, marital status, citizen status, protected veteran status, or any other protected classification under country or local law. TUV Rheinland North America is proud to be an Equal Employment Opportunity/ Affirmative Action Employer/ Federal Contractor desiring priority referrals of all protected veterans for job openings. #LI-remote
    $71k-102k yearly est. Auto-Apply 60d+ ago
  • Medical Claim Lead Auditor (Remote)

    Willis Towers Watson

    Remote data processing auditor job

    As a Medical Claim Lead Auditor, you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader and primary interface with administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims, resolve open issues, and draft the final report. You will contribute to the creation of new tools and approaches. The Responsibilities * Conduct pre-implementation and coverage specific audits and accurately document and record all audit findings * Understand client's plans and apprise team of unique provisions/issues prior to audit * Adjust workloads as necessary to achieve successful completion of project * Clearly communicate and professionally interact with vendor and audit team * Review documentation of potential discrepancies for thoroughness and accuracy * Resolve post-audit activities in an accurate and timely fashion * Write quality value-added draft report in a timely manner * Participate in client presentation of findings, when requested * Understand vendors' processes, operating environment, and specific challenges and take them into account with daily work * Develop working relationship with vendor counterparts * Distribute individual claim/work queues to team in a timely manner * Efficiently utilize audit-specific analytic techniques, tools and processes * Ensure that Professional Excellence protocols are followed * Meet billable hours target * Seek opportunities to improve work processes and methods in pursuit of quality output and service delivery * Role will be working remotely within the posted locations. Qualifications * 5+ years' experience in health claims adjudication gained preferably in a consulting environment and/or in a major insurance claims administrator or health plan environment * Solid understanding of health and welfare plan design and all areas of claims administration, as well as of vendors' processes and operating environment * Familiarity with all plan types including consumer-driven, PPO, Indemnity and Managed Care * Must demonstrate a high level of claims administration knowledge, including experience with medical, dental, mental health and Medicare * Detailed knowledge of ICD-10 and CPT codes and coding protocols * Excellent oral and written communications skills * Team player with strong work ethic * Self-directed; requiring very little supervision * Previous internal audit experience at a carrier or third-party external audit experience a plus * Bachelor's Degree preferred; High School Diploma required Qualifications Compensation and Benefits Base salary range and benefits information for this position are being included in accordance with requirements of various state/local pay transparency legislation. Please note that base salaries may vary for different individuals in the same role based on several factors, including but not limited to location of the role, individual competencies, education/professional certifications, qualifications/experience, performance in the role and potential for revenue generation. Compensation The base salary compensation range being offered for this role is $90,000 to $98,000 USD per year. This role is also eligible for an annual short-term incentive bonus. Company Benefits WTW provides a competitive benefit package which includes the following (eligibility requirements apply): * Health and Welfare: Mental health/emotional wellbeing (including Employee Assistance Program), medical (including prescription drug coverage and fertility benefits), dental, vision, Health Savings Account, Commuter Accounts, Health Care and Dependent Care Flexible Spending Accounts, company-paid life insurance, supplemental life insurance, AD&D, group accident, group critical illness, group legal, identity theft protection, wellbeing program, adoption assistance, surrogacy assistance, auto/home insurance, pet insurance, and other work/life resources. * Leave Benefits: Paid Holidays, Annual Paid Time Off (includes paid state/local paid leave where required), Short-Term Disability, Long-Term Disability, Other Leaves (e.g., Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption Leave), Paid Time Off * Retirement Benefits: Contributory Pension Plan and Savings Plan (401k). All Level 38 and more senior roles may also be eligible for non-qualified Deferred Compensation and Deferred Savings Plans. Pursuant to the San Francisco Fair Chance Ordinance and Los Angeles County Fair Chance Ordinance for Employers, we will consider for employment qualified applicants with arrest and conviction records. Note that visa employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity. This position will remain posted for a minimum of three business days from the date posted or until sufficient/appropriate candidate slate has been identified. EOE, including disability/vets
    $90k-98k yearly 8d ago
  • Medical Claim Lead Auditor (Remote)

    WTW

    Remote data processing auditor job

    As a Medical Claim Lead Auditor, you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader and primary interface with administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims, resolve open issues, and draft the final report. You will contribute to the creation of new tools and approaches. **The Responsibilities** + Conduct pre-implementation and coverage specific audits and accurately document and record all audit findings + Understand client's plans and apprise team of unique provisions/issues prior to audit + Adjust workloads as necessary to achieve successful completion of project + Clearly communicate and professionally interact with vendor and audit team + Review documentation of potential discrepancies for thoroughness and accuracy + Resolve post-audit activities in an accurate and timely fashion + Write quality value-added draft report in a timely manner + Participate in client presentation of findings, when requested + Understand vendors' processes, operating environment, and specific challenges and take them into account with daily work + Develop working relationship with vendor counterparts + Distribute individual claim/work queues to team in a timely manner + Efficiently utilize audit-specific analytic techniques, tools and processes + Ensure that Professional Excellence protocols are followed + Meet billable hours target + Seek opportunities to improve work processes and methods in pursuit of quality output and service delivery + Role will be working remotely within the posted locations. **Qualifications** + 5+ years' experience in health claims adjudication gained preferably in a consulting environment and/or in a major insurance claims administrator or health plan environment + Solid understanding of health and welfare plan design and all areas of claims administration, as well as of vendors' processes and operating environment + Familiarity with all plan types including consumer-driven, PPO, Indemnity and Managed Care + Must demonstrate a high level of claims administration knowledge, including experience with medical, dental, mental health and Medicare + Detailed knowledge of ICD-10 and CPT codes and coding protocols + Excellent oral and written communications skills + Team player with strong work ethic + Self-directed; requiring very little supervision + Previous internal audit experience at a carrier or third-party external audit experience a plus + Bachelor's Degree preferred; High School Diploma required **Qualifications** **Compensation and Benefits** Base salary range and benefits information for this position are being included in accordance with requirements of various state/local pay transparency legislation. Please note that base salaries may vary for different individuals in the same role based on several factors, including but not limited to location of the role, individual competencies, education/professional certifications, qualifications/experience, performance in the role and potential for revenue generation. **Compensation** The base salary compensation range being offered for this role is $90,000 to $98,000 USD per year. This role is also eligible for an annual short-term incentive bonus. **Company Benefits** WTW provides a competitive benefit package which includes the following (eligibility requirements apply): + **Health and Welfare:** Mental health/emotional wellbeing (including Employee Assistance Program), medical (including prescription drug coverage and fertility benefits), dental, vision, Health Savings Account, Commuter Accounts, Health Care and Dependent Care Flexible Spending Accounts, company-paid life insurance, supplemental life insurance, AD&D, group accident, group critical illness, group legal, identity theft protection, wellbeing program, adoption assistance, surrogacy assistance, auto/home insurance, pet insurance, and other work/life resources. + **Leave Benefits:** Paid Holidays, Annual Paid Time Off (includes paid state/local paid leave where required), Short-Term Disability, Long-Term Disability, Other Leaves (e.g., Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption Leave), Paid Time Off (*********************************************************************************************************** + **Retirement Benefits:** Contributory Pension Plan and Savings Plan (401k). All Level 38 and more senior roles may also be eligible for non-qualified Deferred Compensation and Deferred Savings Plans. Pursuant to the San Francisco Fair Chance Ordinance and Los Angeles County Fair Chance Ordinance for Employers, we will consider for employment qualified applicants with arrest and conviction records. Note that visa employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity. This position will remain posted for a minimum of three business days from the date posted or until sufficient/appropriate candidate slate has been identified. **EOE, including disability/vets**
    $90k-98k yearly 12d ago
  • Lead Auditor - Engineering

    FCA Us LLC 4.2company rating

    Remote data processing auditor job

    Lead Auditor: Come join our Audit & Compliance Team where we are committed to promoting a culture of ethics and integrity amongst our employees, suppliers, and the communities in which we operate. Be a part of a multidisciplinary team, filled with collaborative, resourceful and determined professionals who play a vital role in our business activities. As an Engineering Lead Auditor, you will play a critical role in assessing compliance, evaluating internal controls, and identifying opportunities for continuous improvement in engineering processes that shape our innovative automotive products. Job responsibilities include but are not limited to: Develop and execute detailed audit plans in Product Development & Technology/Engineering areas to identify potential risks by assessing internal controls, compliance with regulations and policies, and evaluating operational efficiency. Conduct detailed process reviews, including pre-implementation assessments, to identify improvement opportunities and implementation targets. Demonstrate a strong appetite for analyzing complex processes and diving into granular details to uncover risks and improvement opportunities. Use advanced data analytics and AI to identify risks, uncover trends, and provide actionable insights that drive business improvements. Demonstrate the ability to manage ambiguity and prioritize effectively in a fast-paced, deadline-driven environment, handling multiple projects while delivering on commitments with ownership and accountability. Build and maintain strong working relationships with team members and management to gather information, communicate audit findings, and provide recommendations for business and process improvements using both informal and formal reporting channels. Participate in risk assessment activities across the organization using analytics, process interviews, and internal/external research. Coach and develop other audit team members. Contribute to special projects including department initiatives, trainings, and investigations.
    $77k-103k yearly est. 22h ago
  • Lead Auditor - Engineering

    Stellantis

    Remote data processing auditor job

    Lead Auditor: Come join our Audit & Compliance Team where we are committed to promoting a culture of ethics and integrity amongst our employees, suppliers, and the communities in which we operate. Be a part of a multidisciplinary team, filled with collaborative, resourceful and determined professionals who play a vital role in our business activities. As an Engineering Lead Auditor, you will play a critical role in assessing compliance, evaluating internal controls, and identifying opportunities for continuous improvement in engineering processes that shape our innovative automotive products. Job responsibilities include but are not limited to: Develop and execute detailed audit plans in Product Development & Technology/Engineering areas to identify potential risks by assessing internal controls, compliance with regulations and policies, and evaluating operational efficiency. Conduct detailed process reviews, including pre-implementation assessments, to identify improvement opportunities and implementation targets. Demonstrate a strong appetite for analyzing complex processes and diving into granular details to uncover risks and improvement opportunities. Use advanced data analytics and AI to identify risks, uncover trends, and provide actionable insights that drive business improvements. Demonstrate the ability to manage ambiguity and prioritize effectively in a fast-paced, deadline-driven environment, handling multiple projects while delivering on commitments with ownership and accountability. Build and maintain strong working relationships with team members and management to gather information, communicate audit findings, and provide recommendations for business and process improvements using both informal and formal reporting channels. Participate in risk assessment activities across the organization using analytics, process interviews, and internal/external research. Coach and develop other audit team members. Contribute to special projects including department initiatives, trainings, and investigations.
    $72k-100k yearly est. 22h ago
  • Provider Audit and Reimbursement - Lead Auditor (CMS)

    Arc Group 4.3company rating

    Remote data processing auditor job

    PROVIDER AUDIT AND REIMBURSEMENT LEAD AUDITOR (CMS) - REMOTE ARC Group has an immediate opportunity for a Provider Audit and Reimbursement Lead Auditor (CMS)! This position is 100% remote working eastern time zone business hours. This is a direct hire FTE position and a fantastic opportunity to join a well-respected organization offering tremendous career growth potential. 100% REMOTE! Candidates must currently have PERMANENT US work authorization. Job Description: The Provider Audit and Reimbursement Lead utilizes advanced knowledge of Medicare laws, regulations, instructions from the Centers for Medicare and Medicaid Services (CMS), and provider policies to perform desk reviews and audits of the annual Medicare cost reports, as well as interim rate review/reimbursement, and/or settlement acceptance/finalization for all provider types, including complex and organ transplant hospitals, as both a preparer and reviewer of work product based on established performance goals. The position will mentor and train Auditors and In-Charge Auditors and oversee daily workload of unit team. ESSENTIAL DUTIES & RESPONSIBILITIES Lead Accountabilities (60%): Coordinates with management by overseeing the unit's daily workload. Routinely uses independent judgment and discretion to make decisions for self and less experienced auditors with regard to additional time and procedures; identifies and raises errors to the attention of supervisor and/or provider and identifies and communicates actions to correct same. Prioritizes auditor work and ensures that audit work is completed on time. Recognizes data needs for self and other auditors; develops plan of work for less experienced auditors (10%) Analyzes working papers and cost reports for errors. (10%) Reviews workpapers of auditors for correctness, control and adherence to Generally Accepted Accounting Practices (GAAP), Generally Accepted Accounting Standards (GAAS) and Government Auditing Standards (GAS) as required. Examines and reviews workpapers upon completion of the audit to ensure compliance with CMS Uniform Desk Review (UDR), policy, or technical direction and reflects proper reference, clear and concise conclusion of the major audit categories and assembly of working papers into logical sequence. (10%) Reviews, evaluates and approves the disbursement of tentative cost settlements in compliance with Federal and State Government regulations for each class/type of provider within area of responsibility. (5%) Develops technical competence and constructive work attitudes in self and less experienced auditors; strives to build an effective team and to develop the growth needs of individual members of his/her team. (10%) Coordinates the assignments and subsequent development of auditors based on their training needs; explains work to be performed and principle or objective of procedure; provides accurate and constructive coaching, mentoring, and training of team members. Identifies training needs within the team and/or department. (5%) Manages, implements and coordinates an internal quality control program in conjunction with the Internal Quality Control (IQC) department and provides reasonable assurance that the Provider Audit and Reimbursement Department has established, as well as is following, adequate policies, procedures, and is following applicable auditing standards. (5%) Facilitates the development of Quality Management System (QMS) policies and procedures. (5%) Auditor Accountabilities (40%) Performs audit functions including those which are non-routine; keeps track of instructions for many projects simultaneously. Presents and defends adjustments and workpapers to provider with minimal consultation from manager. (10%) Coordinates large audits and/ or diverse audits independently while seeking help on truly unusual or major items. (10%) Uses professional communication techniques in own and auditor's work and in conclusions drawn from the work. (5%) Establishes and maintains constructive provider relations by demonstrating a professional approach, expressing positive corporate image. Advises providers on Medicare policy questions and directs other questions to responsible departments or personnel. (5%) Conducts entrance and exit conferences and meetings away from office as needed. (5%) Perform other duties as the manager may deem necessary (5%) REQUIRED QUALIFICATIONS Bachelors' degree or a combination of education and experience in disciplines such as auditing, accounting, analytics, finance or similar experience in lieu of a degree In addition to having a thorough understanding of the Medicare cost report, including the step-down method, the candidate must possess the required work experience to independently perform the duties of the position. To demonstrate the necessary experience, the candidate must have performed the following tasks at a sufficiently successful level to show understanding of the work, judgment, and the ability to perform these tasks independent of supervision, which is generally gained through 2.5 to 3 years of Medicare cost report auditing experience: A Uniform Desk Review (UDR) and an audit for a large or complex hospital, as the in-charge auditor A review of Medicare Bad Debts, inclusive of all relevant sample selection and testing according to CMS standards A review of DSH, inclusive of all relevant sample selection and testing according to CMS standards A review of IME/GME, inclusive of reviewing rotation schedules, bed count and all relevant testing according to CMS standards A review and appropriate approval of an audit's scope A supervisory review and approval of all work papers* Sample testing, transferring of testing to the audit adjustment report, and explaining the adjustments to a provider with the achievement of understanding by the provider* Assistance to audit management in the assignment and monitoring of workload, as well as leading junior team members Additionally: The auditor must display leadership skills by being integrally involved in junior auditor formal training or assisting on special projects, or have been a Subject Matter Expert (SME)* The auditor must be able to prepare workpapers according to CMS standards The auditor must have a good working knowledge of all applicable software applications The auditor must be able to serve as an effective mentor for less experienced staff The auditor must demonstrate engagement, commitment to departmental success, and professionalism by completing their work within prescribed deadlines, taking ownership of their work and setting an example for more junior auditors and staff by consistently and reliably working the time necessary to properly complete their duties, timely attending meetings, providing adequate notice to management and co-workers when unexpected issues arise, and ensuring work is properly covered in the auditor's absence. Demonstrated oral and written communications skills Demonstrated ability to exercise independent judgement and discretion Demonstrated attention to detail PREFERRED QUALIFICATIONS 3 to 4 years of Medicare cost report auditing experience Demonstrated work experience to independently perform: A review of Nursing & Allied Health Education (NAHE), inclusive of calculating the additional add-on payment and all relevant testing A review of Organ Acquisition costs, inclusive of all relevant testing Requirements This opportunity is open to remote work in the following approved states: AL, AR, FL, GA, ID, IN, IO, KS, KY, LA, MS, NE, NC, ND, OH, PA, SC, TN, TX, UT, WV, WI, WY. Specific counties and cities within these states may require further approval. In FL and PA in-office and hybrid work may also be available. Would you like to know more about our new opportunity? For immediate consideration, please send your resume directly to John Burke ******************** or apply online while viewing all of our open positions at ******************* ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. At ARC Group, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us know. Position is offered with no fee to candidate.
    $64k-93k yearly est. Easy Apply 11d ago
  • Social Compliance Lead Auditor (Remote)

    Eurofins USA Consumer Product Testing

    Remote data processing auditor job

    Eurofins Scientific is an international life sciences company, providing a unique range of analytical testing services to clients across multiple industries, to make life and our environment safer, healthier and more sustainable. From the food you eat, to the water you drink, to the medicines you rely on, Eurofins works with the biggest companies in the world to ensure the products they supply are safe, their ingredients are authentic and labelling is accurate. Eurofins is the global leader in food, environment, pharmaceutical and cosmetic product testing and in agroscience Contract Research Organisation services. Eurofins is one of the market leaders in certain testing and laboratory services for genomics, discovery pharmacology, forensics, advanced material sciences and in the support of clinical studies, as well as having an emerging global presence in Contract Development and Manufacturing Organisations. The Group also has a rapidly developing presence in highly specialised and molecular clinical diagnostic testing and in-vitro diagnostic products. In over just 30 years, Eurofins has grown from one laboratory in Nantes, France to 55,000 staff across a decentralised and entrepreneurial network of 900 laboratories in over 50 countries. Eurofins offers a portfolio of over 200,000 analytical methods to evaluate the safety, identity, composition, authenticity, origin, traceability and purity of biological substances and products. Job Description Position Summary: The core responsibility of the Consumer Products Assurance Social Compliance Lead Auditor will be to execute assigned social compliance audits for Eurofins' clients - primarily in the US. As a lead auditor, the role will involve managing and developing social compliance auditors - in addition to leading audit executions. Objectives: Audit Execution Lead auditor will support the operating results of the business through the execution of audit services - with approximately 14 billable days per month. In audit execution, the lead auditor will be responsible to for supporting the training and development of junior auditors - participating in audits as a team member. Technical Support and Governance As a member of the audit team, the lead auditor will contribute technical input and perspective to the development of operating procedures and methodologies to ensure audit service delivery capabilities support client service delivery objectives - enhancing satisfaction among clients. Customer Service Provide customer support as the audit service stream program managers for selected large global accounts and collaborative programs. Roles and Responsibilities: Audit Execution and Reporting Perform audits consistent with Eurofins' client and program instructions in accordance with established protocols Prepare audit reports in a complete, accurate and timely manner for submission to the Eurofins ARCC Respond timely to any post audit queries from ARCC to close and finalize audit report Technical Support and Governance Ensure the integrity and consistency of the delivery of CPA audit services though support for the continuous improvement of operating procedures and methodologies to ensure service delivery capabilities support client service delivery objectives on a global basis. Provide subject matter support for the effective and timely resolution of issues and problems with audits related in other key sourcing markets. Qualifications Bachelors or advanced degree in Business, Finance or a related field of study. At least 5 years' experience in professional services and/or auditing. At least 3years' experience managing teams of professionals. APSCA CSCA certificate/license Key Skills Subject Matter Significant knowledge of audit subject matter - particularly social audits, service delivery methodologies for audit services and the demonstrated ability to implement them General knowledge of risk management, auditing, and process management consulting concepts and the demonstrated ability to implement them Client interaction Demonstrated ability to work with clients and facilities to be audited, understand their requirements, define and assist in solving problems, and generally ensure client's total satisfaction with Eurofins Management/Leadership Effective oral and written communications skills including professional English presentation Strong skills as a team leader and ability to work well with peers. Highly developed organizational and interpersonal skills. Ability to interpret regulations and standards. Technical aptitude, the ability to quickly assimilate and assess new information and develop plans to capitalize or react to it Additional Information Schedule: 40 hours per week What we offer: Excellent full time benefits including comprehensive medical coverage, dental, and vision options Life and disability insurance 401(k) with company match Paid vacation and holidays Eurofins USA Consumer Product Testing is a Disabled and Veteran Equal Employment Opportunity employer.
    $55k-76k yearly est. 5d ago
  • Insurance Premium Auditor - Physical - Tampa Bay, FL

    Insurance Services Group of The Southeast

    Remote data processing auditor job

    This is a 'physical' auditor role, where, although you work remotely, the portions of the work require physically being on site at the insured's premises in the general geography indicated. We ❣️ love ❣️our auditors! At ISG, we are committed to forming a partnership with our premium auditors that is based on integrity and open, honest communication. We hire the right auditors - those focused on quality - with the right experience and the interpersonal skills required to build relationships in our industry. In turn, we offer a challenging environment, training, educational opportunities, and experience using the most current and up to date technology. The ISG difference is the caliber of our team. Join our market-leading, insurance premium audit team! At ISG, you can expect to: Be challenged - We provide you with exciting, challenging, and diverse audit projects. Grow your skills - Expand your knowledge and skills with our proprietary training and development program. Have pride in your firm - Join a top rated, highly respected and fast growing company. Expand your knowledge base - We serve a wide variety of clients, including policies from workers' compensation to general liability and commercial auto. Key experience and skills required: Minimum of three years' prior experience in auditing Workers Compensation and General Liability policies A working knowledge of state, NCCI, and ISO guidelines Superior communication and organization skills Excellent computer skills (Microsoft Applications such as Excel, Word, and Outlook); experience with Visual Audit is helpful Strong work ethic and commitment to excellence ISG values high caliber, experienced professionals and compensates at 💰 top industry rates 💰! Apply today if you meet the above criteria!
    $34k-59k yearly est. 60d+ ago
  • Premium insurance Filed Auditor - Los Angeles, CA

    EXL Talent Acquisition Team

    Remote data processing auditor job

    About the EXL Insurance Premium Audit Group: A leader in the field, EXL can complete all levels of premium audits on all auditable exposure types. We train our 450+ highly skilled professionals worldwide utilizing our industry-leading training platform and curriculum. This expertise is combined with a technology-enabled proprietary platform, with predictive modeling capabilities. Using a Premium Audit selection model, the team can predict the likelihood of policy misclassification, automatically assign audit methods to save carriers time and money, and use machine learning to continuously improve correlation and prediction accuracy. To learn more about the EXL Insurance Premium Audit Group visit us at ***************************************************** Why work for the EXL Insurance Premium Audit Team? No experience? No problem! We provide up to 8 weeks of paid training, depending on experience 17 days paid vacation, plus 8 paid holidays Additional 10 paid sick days Superb training program Work from home when not in the field Competitive total compensation package and benefits with 401k Career advancement opportunities Discounted health club benefits in many areas around the U.S. Paid Parental Leave Laptop and other necessary office equipment provided Compensation: Pay Type: Hourly plus production bonus incentives, in accordance with EXL's policies Total compensation for this position, which is a combination of an hourly base rate plus production bonus incentives, is targeted between $40K-$60K in total earnings within the first year.: Hourly base rate is dependent upon job specific experience and location. There is no cap on production bonus incentives “For more information on benefits and what we offer please visit us at *************************************************** Qualifications: MUST be in current possession of reliable transportation and a valid driver's license Ability to work independently from home Experience with the MS Office Suite (excel, word, outlook, etc.) Must be self-motivated, self-disciplined and exhibit a willingness to learn Excellent time management Excellent verbal and written communication skills Working knowledge of insurance and / or basic accounting principles is a plus High School Diploma or GED required. #RSREXL To view our total rewards offered click here -> ************************************************** Base Salary Range Disclaimer: The base salary range represents the low and high end of the EXL salary range for this position. Actual salaries will vary depending on factors including but not limited to location and experience. The base salary range listed is just one component of EXL's total compensation package for employees. Other rewards may include bonuses, a Paid Time Off policy, and many region-specific benefits. RSREXL Please also note that the data shared through the job application will be stored and processed by EXL in accordance with the EXL Privacy Policy. EEO/Minorities/Females/Vets/Disabilities Application & Interview Impersonation Warning - Purposely impersonating another individual when applying and / or participating in an interview in order to obtain employment with EXL Service Holdings, Inc. (the “Company”) for yourself or for the other individual is a crime. We have implemented measures to deter and to uncover such unlawful conduct. If the Company identifies such fraudulent conduct, it will result in, as applicable, the application being rejected, an offer (if made) being rescinded, or termination of employment as well as possible legal action against the impersonator(s). EXL may use artificial intelligence to create insights on how your candidate information matches the requirements of the job for which you applied. While AI may be used in the recruiting process, all final decisions in the recruiting and hiring process will be taken by the recruiting and hiring teams after considering a candidate's full profile. As a candidate, you can choose to opt out of this artificial intelligence screening process. Your decision to opt out will not negatively impact your opportunity for employment with EXL. The Role and Responsibilities: The Premium Insurance Field Auditor conducts insurance policy audits for Worker's Compensation, Auto and General Liability policies. This is done by auditing the policyholder's records according to client company standards. If you are looking for a fast paced, self-motivating work environment from home, this job may be for you! Working from your home office, this role requires scheduling appointments with the insured to be audited, and travel on an average of 4 days per week within your assigned territory to meet with the insured and obtain necessary documentation for our insurance company client audits all while adhering to customer requirements and quality standards. Territory: Los Angeles, CA and surrounding areas
    $40k-60k yearly Auto-Apply 60d+ ago
  • Sealants Auditor - Independent Contractor

    Performance Review Institute

    Remote data processing auditor job

    This Sealants auditor position is an excellent opportunity for recent retirees or consultants that have experience in product specific, manufacturing (Mixing, Packaging, Storage, etc), testing and inspection. Our auditors enjoy traveling domestically and/or internationally, a flexible schedule (some auditors perform 1 or 2 audits a month, while others desire to audit every week), competitive compensation that includes a daily rate plus travel expenses, meeting new people and keeping in touch with technology and the latest developments, networking with other industry professionals. To learn more about this auditor position, please review these General Guidelines. Qualifications The ideal auditor candidate will possess most of the following criteria: 3 or more years experience in Sealants, Chemical Coatings, Adhesives, Wet Processing or other relating chemical processing 3 or more years experience as a Laboratory Technician Knowledge of Two-Part Polysulfide Sealants, Silicones and Fluorosilicones, Polyurethanes, Adhesion Promoters, Coatings and Coating Processes and Peel Panels, Shear Specimens, and Tensile Bars
    $33k-57k yearly est. Auto-Apply 60d+ ago
  • Audit Lead - P&C Actuary

    USAA 4.7company rating

    Remote data processing auditor job

    Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As an Audit Lead, you'll support audit engagements of varying complexity, often participating in cross-functional, risk-based assurance and advisory projects, contributing to the quality of audit work. A key aspect of this role involves testing models and model-related tools as part of audit engagements. You will support Auditor-In-Charge (AIC) responsibilities and maintain knowledge of financial services regulations, effectively responding to and interacting with regulators. This role provides support and oversight to multiple audit engagements and participates in the review of engagement planning, fieldwork, and reporting. You will also manage strategic initiatives and assist with the development and implementation of a risk-based audit plan. You will serve as, and/or partner with, subject matter expert(s) within audit or the business to analyze issues, establish collaborative client relationships, and proactively work with client management to assess risk and improve internal controls. You will also adhere to the Institute of Internal Auditors' International Standards for the Professional Practice of Internal Auditing (Standards) and Code of Ethics. We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position can be based in one of the following locations: San Antonio, TX, Plano, TX, or Charlotte, NC. Relocation assistance is available for this position. What you'll do: Contribute to continuous monitoring, advisory activities, special reviews, and investigations. Ensure assigned audit engagements are completed objectively, professionally, and timely, adhering to audit standards. Identify control weaknesses and recommend improvements, drafting audit issues and reports for client leadership and conducting follow-up. Support quality of audit reviews and propose updates to the universe risk assessment based on audit results. Build client relationships to drive strategic objectives. Communicate effectively with business/clients, delivering risk-based and difficult messages, and potentially with regulators and executive leaders. Provide coaching and guidance to other auditors, ensuring timely and quality deliverables, and may provide engagement evaluations. Provide input into the internal audit universe and risk profiles, updating risk assessment information. Participate in the development and execution of the annual audit plan, assessing and covering risks. What you have: Bachelor's degree in Business or relevant field such as Finance, Accounting, Business, or Information Technology. Four additional years of related experience beyond minimum required may be substituted in lieu of a degree. 8 years of audit, financial, insurance, banking, information technology or related business and/or leadership experience. Experience performing internal audits, external audits, or applying audit, risk, or compliance acumen in a complex operational and regulatory environment. Broad and comprehensive experience in Audit theory, internal audit principles with demonstrated experience in audit examining, analyzing, assessing, and drawing conclusions from audit work. Demonstrated experience effectively communicating and challenging Controls with business partners and influencing business outcomes. Understanding of risks and internal controls and the ability to evaluate and determine adequacy and efficiency of controls. Experience in a support role, mentoring, and providing feedback to audit team members throughout the audit. Experience in overseeing work with both internal and external partners in a highly collaborative environment Demonstrated critical thinking and knowledge of data analysis tools and techniques and decision-making abilities. Demonstrated experience in highly dynamic environment undergoing change; ability to deal with competing priorities. What sets you apart: ACAS or FCAS designation. Proven background in P&C model frameworks, ranging from pricing, reserving, and catastrophe modeling to enterprise risk, across development, validation, or oversight risk. Advanced degree (e.g., Master's, PhD) in a quantitative field, such as Economics, Mathematics, Statistics, Actuarial Science, Data Science, Engineering, Computer Science, or Related Field with Core Quantitative Curriculum. Deep knowledge and experience with SR 11-7 and/or ASOP 56. Compensation range: The salary range for this position is: $143,320 - $273,930. USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com. Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $71k-87k yearly est. Auto-Apply 60d+ ago
  • Contract Management Auditor

    CPSI 4.7company rating

    Remote data processing auditor job

    The Contract Management Auditor is Responsible for reviewing, analyzing and resolving discrepancies in claim payments as determined by TruBridge Contract Management software. The Contract Management Auditor works closely with team members and the client to ensure necessary and up to date contract information is provided and works with the TruBridge modeling team to confirm terms are modeled correctly. Essential Functions: Proactively researches and identifies claim reimbursement discrepancies and takes the necessary steps to resolve the issue and collect maximum reimbursement from payers for services provided. Reviews and interprets payer contracts and associated documentation to ensure accurate modeling and works with the Contract Management modeling team to ensure accurate calculations and communicate any known updates or changes needed. Works with payors and client payor representatives through verbal, online and/or written communication as required by specific payor appeal processes to correct and collect underpayments on claims as well as identifying overpayment refunds due from the client to payors as required. Manage Contract Management processes for multiple clients. Maintain tracking system and reporting on appeals and under payment recoupments. Other duties as required. Minimum Requirements: 3 Years of health care billing multiple payors. 1 Year of Health care Contract Management Auditing or Comparable Experience Above average knowledge of healthcare billing processes. High degree of self-motivation, strong organizational skills. Ability to positively collaborate and communicate with the team. Can work independently and has a high degree of critical thinking skills. Business Support
    $29k-51k yearly est. Auto-Apply 60d+ ago
  • Audit Senior - Contract / Contract-to-Hire

    Crete Professionals Alliance

    Remote data processing auditor job

    Job Title: Audit Senior Employment Type: Temporary / Seasonal / Contract / Contract-to-Hire Average Hours per Week: 40 Fixed Term: Jan 1, 2026 - May 1, 2026 (contractors will be considered for full-time permanent opportunities with benefits after May 1st based on performance) Hourly Pay Range: $35 - $45 per hour depending on experience and skill set Eligible for Overtime: Yes Work Arrangement: 100% Remote Eligible for Benefits (during contract period): No Please note the following: Mortgage industry knowledge is a big plus for this role, but not required. Only US Residents will be considered at this time. Who We Are Founded in June 2023, Crete Professionals Alliance (Crete PA) aims to drive growth across accounting and professional service firms in the United States. Our initial venture in August 2023 involved acquiring a majority interest in the non-attest assets of a top 300 US-based national firm, positioning us alongside the top 100 US accounting firms based on cumulative revenue. With over 30 member firms, several deals under LOI, and substantial committed capital, Crete PA is poised to shortly become equivalent to a top 20 firm in terms of aggregate revenue, with ambitions to expand into a multi-country platform. Supported by ZBS Partners, a firm managing over $500 million in assets, and led by co-founders experienced in developing multi-industry platforms, Crete PA partners with local firms to enhance their independence while boosting their revenue and profitability. Our CPA member firm is hiring! We are seeking experienced auditors interested in seasonal or temporary opportunities to support our firm during periods of increased client demand. We are also open to contract-to-hire applicants. As a fully remote and fast-growing public accounting practice, we offer project-based audit assignments that allow you to apply your expertise, contribute meaningfully to client engagements, and enjoy the flexibility and independence of remote work. Key Responsibilities Execute and oversee audit assignments from start to finish, including coordinating with clients and audit staff to ensure timely and accurate completion of audits. Client Management: Utilize document management software and firm resources to efficiently complete audit assignments Serve as a point-of-contact to the client. Ensure that the client is fully informed of engagement progress and logistics. Build strong relationships with clients, addressing their needs and communicating concerns to the audit team. Compliance and Regulation: Ensure audits are conducted in accordance with GAAP, industry standards, and regulatory requirements specific to the mortgage sector. Risk Assessment: Identify and evaluate risks within client operations and provide recommendations for mitigating those risks. Reporting: Prepare audit reports, financial statements, and other documentation, ensuring accuracy and clarity. Continuous Improvement: Stay updated with industry trends, changes in regulations, and best practices to enhance audit processes and deliverables. Qualifications Education: Bachelor's degree in Accounting or related field; CPA certification preferred or actively pursuing. Experience: Minimum of 2 years of audit experience. Expertise / Knowledge Required: Mortgage Industry (no exceptions) Technical Skills: Proficiency in audit and accounting software including ProSystem fx, and Microsoft Office Suite. Analytical Skills: Strong analytical and problem-solving abilities, with a keen attention to detail. Communication: Excellent verbal and written communication skills, with the ability to present findings and recommendations clearly. Ethics: High level of integrity and professionalism, with a commitment to upholding ethical standards. We are committed to fostering a supportive and inclusive workplace where every team member can thrive. Apply today to be part of a company that values its people and their contributions! Ready to elevate your career in an environment where your impact matters? Apply today. Crete Professionals Alliance is an equal opportunity employer, considering all applicants for employment regardless of race, color, religion, sex, gender identity, pregnancy, national origin, ancestry, citizenship, age, marital status, physical disability, sexual orientation, genetic information, or any other characteristic protected by state of federal law. #LI-BP1
    $23k-37k yearly est. Auto-Apply 41d ago

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