Insurance auditor vs staff auditor

Differences between insurance auditor and staff 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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Staff auditor example responsibilities.

• Manage accounting operations, accounting close, account reporting and reconciliations for internal corporate and bank transactions.
• Review consolidated GAAP financial statements, inter-company eliminations and fluctuations between budget verses actual results.
• Ensure engagements are in compliance with generally accept accounting principles (GAAP) and generally accept auditing standards (GAAS).
• Conduct financial audits in accordance with GAAS to establish compliance with policies and procedures and to determine effectiveness of internal controls.
• Collaborate closely with clients by educating them on new opportunities and conduct tax research and planning; train clients on QuickBooks.
• Collaborate with the quality department in authoring ISO procedures for manufacturing engineering; key contributor on quality and ISO auditing teams.
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