Audit Specialist

Job description

Job Description Audit Specialist Serves as audit coordinator/representative for broader department audits, determining information needed and coordinating the information gathering process for the department. Using information from audits, identifies errors, determines root cause of issues, and formulates tactical recommendations for quality and process improvements. In addition, performs quality audits/reviews of departmental operations functions to determine effectiveness of the customer experience based on established policies, procedures and company guidelines. Provides effective feedback and coaching directly to operations staff and leadership to improve performance levels and ensure understanding of departmental processes and procedures. Supports the implementation of necessary remediation strategies as needed. Operational functions audited may include review of claims processing, customer service call quality, membership processing, or sales or financial process reviews. Audits may be for varied purposes, including peer reviews, high dollar claim processing, improvement of effectiveness of customer interactions and/or other individual or departmental performance improvement....