Insurance auditor vs internal audit manager

Differences between insurance auditor and internal audit manager 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 manager example responsibilities.

• Manage financial reconciliation, bill pay, and budgeting using Quickbooks.
• Manage and coordinate annual external business evaluation in conjunction with CPA consultants.
• Define metrics to determine ROI of programs.
• Assist external CPA firm with annual financial statement audits.
• Provide oversight and monitoring of provision accounts, fee waivers, and reps and warranties.
• Provide oversight and expertise for internal investigators.
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