Insurance auditor vs senior internal auditor

Differences between insurance auditor and senior internal 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.
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Senior internal auditor example responsibilities.

• Schedule, plan, conduct fieldwork and report writing of audits using a COSO base audit methodology managing staff on audits.
• Manage and coordinate annual external business evaluation in conjunction with CPA consultants.
• Conduct audit reviews, document business processes, and evaluate internal controls base on Sarbanes-Oxley good governance standards and policies.
• Execute or review Sarbanes-Oxley internal controls testing for various business processes and evaluate business systems to determine their efficiency and effectiveness
• Enhance work paper standards according to IIA framework.
• Confirm that internal controls are properly map to financial statement assertions to ensure that all COSO assertions are met.
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