Insurance auditor vs quality control auditor

Differences between insurance auditor and quality control auditor 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.
Show more

Quality control auditor example responsibilities.

• Manage the collection, analysis and verification of managerial payroll information to detect fraud and/or unethical practices.
• Conduct internal analysis /inspection to evaluate ISO and NEMA compliance.
• Ensure facility-wide compliance to FDA and ISO quality process regulations.
• Inspect vendors, contractor sites, control procedures, and processes ensuring compliance with applicable GMP regulations and procedures.
• Perform routine production line GMP audits to ensure that all workers are in strict compliance with regards to food safety regulations.
• Assist LIMS system administrator with implementation and troubleshooting.
Show more