Location
United States
Job Type
Full-time
Posted
July 04, 2026
Job Description
Our Client, a Health Insurance company, is looking for a Healthcare Claims Auditor II for their Detroit, MI location. Responsibilities:
+ Engagement Description – Supports audit by retrieving, validating, and compiling documentation from claims systems to meet quality and deadline requirements.
+ Partners with internal teams to respond to audit inquiries, resolve gaps, and ensure accurate submissions.
+ Tracks and manages audit inquiries and deliverables, proactively identifying risks and ensuring timely completion.
+ Conducts detailed claim reviews to validate audit samples and investigate errors.
+ Determines appropriate documentation to support claim payments.
+ Monitors implementation of corrective actions to ensure resolution.
+ Communicates findings clearly, both verbally and in writing, and prepares and refines audit responses to ensure accuracy and clarity.
Requirements:
+ To...
+ Engagement Description – Supports audit by retrieving, validating, and compiling documentation from claims systems to meet quality and deadline requirements.
+ Partners with internal teams to respond to audit inquiries, resolve gaps, and ensure accurate submissions.
+ Tracks and manages audit inquiries and deliverables, proactively identifying risks and ensuring timely completion.
+ Conducts detailed claim reviews to validate audit samples and investigate errors.
+ Determines appropriate documentation to support claim payments.
+ Monitors implementation of corrective actions to ensure resolution.
+ Communicates findings clearly, both verbally and in writing, and prepares and refines audit responses to ensure accuracy and clarity.
Requirements:
+ To...