Investigating claims liability, the full-time Senior Claims Auditor will process claims according to established policies, audit submitted documents for accuracy, and communicate findings to clients and internal teams while working remotely from Minnesota. Key Responsibilities Review and interpret employer health coverage plans and excess insurance policies for individual claims Audit claim documents for data sufficiency, verify correct benefit payments, and determine liability Monitor reserve reports and authorize checks for claim liabilities, communicating with clients regarding any discrepancies Required Qualifications Strong medical knowledge including ICD, CPT, medical terminology, COBRA, and HIPAA Ability to read and interpret complex documents such as Plan of Benefits and procedural manuals Broad knowledge of principles, practices, and procedures related to claims auditing Intermediate proficiency in Microsoft Office applications, particularly Excel and Access Exceptional organizational and analytical skills to manage multiple tasks effectively