Description
Centivo is hiring a Claims Auditor to conduct pre-payment, post-payment, and claims adjudication audits across employer groups and product lines, including complex, high-dollar claims. The role supports the Claims Quality Review program, establishes processing standards, responds to quality findings, assists with performance improvement plans, verifies claim corrections, identifies trends, and provides data for service-level agreements. Candidates need a high school diploma or GED, at least three years of experience as a claim adjustor or auditor in a self-funded health-care plan and TPA environment, and proficiency with Microsoft Office. The position may be in-person or hybrid for candidates near the Buffalo office or fully remote for others.
