Insurance Auditor Resume Samples

An Insurance Auditor is a premium auditor, who undertakes the job of reviewing business documents and financial records of the company and ensures paying the proper amount of insurance premiums. Other core duties are listed on the Insurance Auditor Resume as – determining the worker’s compensation and liability insurance; auditing payroll and personnel records, collecting and analyzing data to detect deficient controls, duplicated efforts, and non-compliance with laws, regulations, and management policies; conferring with company officials about financial and regulatory matters, examining and evaluating financial and information systems, recommending controls; and examining inventory to verify journal and ledger entries.

Those at this position normally possess the following core skills – working knowledge of relevant software, excellent customer service skills, strong math, and accounting skills, accurate data entry skills, and sound independent judgment abilities. Insurance companies want their auditors to have at least a degree in accounting, finance, or economics.

 

Insurance Auditor Resume example

Insurance Auditor Resume

Objective : Motivated Insurance Auditor with over 4 years of customer service in a face past environment. Dedicated customer service representative with the motivation to maintain customer satisfaction and contribute to company success. Excellent communicator with 2+ years of experience working in a demanding call center environment as a customer service representative.

Skills : Customer Service, Logistics, Food Service, Insurance.

Description :

    1. Examine claims forms and other records to determine insurance coverage.
    2. Obtain credit information from banks and other credit services.
    3. Process and record new insurance policies and claims.
    4. Correspond with insured or agent to obtain information or inform them of account status or changes.
    5. Collect initial premiums and issue receipts.
    6. Modify, update, and process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance.
    7. Prepared personal and business income taxes.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
B.A. In Communications Candidate


Insurance Auditor Resume

Headline : Strongly driven team player with superior interpersonal communication skills. Actively seeking career opportunities in the Communication field to fulfill best corporate qualities post-graduation July 2015 with a supportive Bachelor's degree.

Skills : Auditing, Accounts Receivables, Accounts Payable, Financial Reporting, Invoicing, Account Reconciliation, Sarbanes-Oxley Act, Journal Entries, US GAAP; Accounting Software: Quickbooks; Microsoft Office: Word, Excel, PowerPoint, Outlook, Access, Publisher, Visio, Project.

Description :

    1. Monitor and evaluate monitored call center agent calls in accordance with UPMC Health Plan guidelines.
    2. Identify error trends to make recommendations regarding customer service training needs.
    3. Participate in all training programs to develop a thorough understanding of the materials presented to the customer service staff.
    4. Maintain or exceed designated quality and production goals.
    5. Responds to the needs of internal Health Plan Departments.
    6. Maintain employee/insured confidentiality.
    7. Train new employees in all phases of company protocol.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
B.S. In Mass Media And Corporate Communication


Insurance Auditor Resume

Objective : Seeks to secure a position with a company that will allow utilizing strengths and abilities, which includes strong communication, leadership, motivational, and negotiating skills to further the progress and success of your company.

Skills : Marketing Strategy, Analytical, Business Development.

Description :

    1. Daily research and auditing of client accounts within over 50 banks and credit unions.
    2. Call clients and loan officers to verify/transfer information.
    3. Complete reports and notice worksheets; Process payment information and forced placed policies for various accounts.
    4. Answer incoming calls and make outgoing calls to clients.
    5. Explain products, procedures, and next steps.
    6. Investigate insurance policies to confirm accurate coverage has been issued to cover the banks and credit unions.
    7. Scanning artifacts and creating digital files of old records.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Project Management

Insurance Auditor Resume

Summary : Maintain accounts for physicians for reimbursement from insurance companies and patients. Process incoming correspondence entering payments, adjustments, refunds, and update information. Counsel patients with questions or problems. Work outside agencies for collections. Working knowledge of ICD-9, ICD-10, and CPT-4 codes.

Skills : Microsoft Office, Excel, Retail Management, Data Entry, Customer Service.

Description :

    1. Performed audits for an independent insurance auditing firm that worked for several insurance companies.
    2. Policies audited were mainly worker's compensation and liability.
    3. Travel to different businesses that were insured by our clients and audit various records, including payroll and sales records.
    4. Determine how much these businesses owed our clients for the different insurance policies they carried.
    5. Scheduled the appointments, met with the businessmen and audited the necessary records, summarized findings (determined what the premium was), and remitted results to our clients.
    6. Investigate medical claims and determine what carrier pays as primary.
    7. Recoup all money paid out if it is determined that the wrong carrier paid.
Years of Experience
Experience
10+ Years
Experience Level
Level
Management
Education
Education
BS In Accounting

Insurance Auditor Resume

Summary : Interested in a management position with a firm that utilizes job training to promote individual opportunities and professional growth while making a positive contribution to the company.

Skills : Talent Acquisition, Content Sourcing, Customer Service, Human Resources, Project Management.

Description :

    1. Calculated and analyzed all contracts with insurance companies.
    2. Analyzed charges on the itemized statements, review statements for daily accounts.
    3. Researched problem accounts and filing.
    4. Process insurance audits for 26 local franchises.
    5. Answer phones, expense reports, training for new franchises.
    6. Chemical and product inventory, assist in payroll.
    7. Auditor Verification of reported payrolls and sales Assignment of payrolls and sales to classifications Computer - Windows 98 audit report program.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
BS In Accounting

Insurance Auditor Resume

Summary : Interested in a long-term career, involving extensive people interaction and diverse corporate projects, would like a challenging position, which rewards ambition, initiative and offers opportunities for professional and financial growth.

Skills : Coordinating, Planning, Managing, Strong Leadership, Team Player.

Description :

    1. Reviewed medical documentation and doctor prescriptions to determine whether certain medical procedures would be covered by the insurance company.
    2. Scheduled audit appointments with clients.
    3. Examined client's records regarding insurance policies.
    4. Completed insurance audits and transfer to the company.
    5. Gathered audit information over the phone.
    6. Wrote of completed audits in FA3 Independent worker and self-motivation.
    7. Rewarded work in a productive and creative environment.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
BS In Accounting

Insurance Auditor Resume

Summary : Seeks to obtain a position that will utilize and challenge the professional skills and field experience that have been acquired, while offering positive growth and development within the organization.

Skills : Payroll journals, General Ledgers, Cash Receipts.

Description :

    1. Setup workers comp and general liability audit appointments with the insured via letters, phone, and email.
    2. Called agent to notify insured.
    3. Responsible for auditing insurance for patients on a daily basis.
    4. Requires great attention to detail and the ability to research in order to collect, prepare, and organize the proper insurance information.
    5. Document control.
    6. Coordinated and executed on-site field audits of Workers Comp insurance policies of businesses.
    7. Worked collaboratively with peers, customers, and stakeholders.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
BS In Accounting

Insurance Auditor Resume

Summary : Providing great customer service with a growing company. Assertive, self-motivated, goal-oriented, organized, and efficient. A team player, bringing enthusiasm and energy into group efforts.

Skills : General Ledgers, Cash Receipts, and Disbursement Journals.

Description :

    1. Coordinated and executed on-site physical workers Comp and General liability audits of small and large businesses.
    2. Methodically and systematically analyzed Payroll journals,  Financial Report.
    3. Investigated and utilized the classification guidelines according to NCCI WC Manual Rules, and PAAS bulletins, to help determine actual exposure.
    4. Investigated medical claims and determine what carrier pays as primary.
    5. Assisted in the contracting and credentialing of primary and specialty care physicians and contracting with ancillary service providers.
    6. Provided support to other areas of the department in identifying and addressing opportunities for process improvement relating to managed care.
    7. Effectively communicated in a variety of settings, including presenting technical information.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Project Management

Insurance Auditor Resume

Summary : Highly motivated, results-oriented, self-starter prepared to make an immediate impact. Able to manage time effectively, meet project deadlines, and work independently.

Skills : Onboarding, Customer Service, Inventory Management.

Description :

    1. Provides support to Facility CFO and submits reports of analytical findings.
    2. Audited various forms of businesses and government entities including those in manufacturing, commercial and residential contractors, mercantile.
    3. Independent Insurance Premium Auditor for various general liability and workers compensation insurance underwriters.
    4. Review and verify data, such as age, name, address, and principal sum and value of the property on insurance applications and policies.
    5. Completes established competencies for the position within the designated introductory period.
    6. Part-time work involving the auditing of company payroll and sales data for workers' compensation and general liability insurance policies of companies.
    7. Interpreted, applied, and enforced laws, rules, and regulations.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Project Management

Insurance Auditor Resume

Summary : Seeks to attain a most challenging position addressing the needs of inner-city youth through community outreach and diverse avenues of communication.

Skills : Managing Skills, HR.

Description :

    1. Planned and organized daily trips to conduct audits on adjustable commercial accounts.
    2. Reviewed financial statements, such as payroll records, general ledgers, and cash disbursement journals to ensure that casual and subcontract labor was covered by workmen's compensation and to capture any unreported exposures.
    3. Interviewed upper management or appointed representatives to classify employee's jobs and duties to ensure all employees were correctly identified and defined.
    4. Summarized audit information using industry and governmental rules and regulations.
    5. Process insurance audits; physical, phone, and mail audits, for insurance carriers in the local area.
    6. Full-charge bookkeeper; accounts payables, accounts receivables, payroll, and bank reconciliations.
    7. Maintained human resources files and workers' compensation claims.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Project Management