Insurance auditor vs internal audit director

Differences between insurance auditor and internal audit director duties and responsibilities

Insurance auditor example responsibilities.

• Manage the collection, analysis and verification of managerial payroll information to detect fraud and/or unethical practices.
• Prepare the audit report as prescribed by the insurance company within the time allow and within NCCI and ISO rules.
• Modify claim files upon customer request using proprietary software under strict HIPAA guidelines.
• Provide contract audit services to monitor the field sales force compliance with internal policies on promotional spending on healthcare providers.
• Audit paperwork to ensure products are produced within company and FDA specification.
• Develop and implement the recovery audit program for post-payment audit of dental Medicaid programs.
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Internal audit director example responsibilities.

• Implement COSO framework to achieve objectives relate to financial reporting, regulatory compliance, and operational effectiveness and efficiency.
• Manage Sarbanes-Oxley implementation and internal audit outsourcing and co-sourcing activities for clients in multiple industries including financial services and manufacturing companies.
• Develop internal audit risk assessments base on COSO internal control framework.
• Establish internal quality control standards which enable maximum SOX reliance strategy by external auditors resulting in reduce external audit fees.
• Review detailed work papers and reports in accordance with the department and IIA standards.
• Establish compliance program which include all internal company investigations and ethics training for all employees.
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