Description
The Medical Claims Auditor reviews and inspects operational claim processes and adjudication, audits medical records and providers, applies coding and reimbursement guidelines, validates claims documents, identifies coding and documentation errors, and prepares audit findings and recommendations. The role requires a bachelor’s degree in a medical, paramedical, or related field, 3–5 years of customer-focused experience, knowledge of medical claims processes, and proficiency with Microsoft Office. A hybrid work option is available, and the role is associated with Allianz Partners’ AI-driven claims management environment.
