Claims Auditor Salary in St. Petersburg, Florida

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Average Salary for Claims Auditor in St. Petersburg, Florida

The average salary of a(n) Claims Auditor in St. Petersburg, Florida is $37,138.

The average hourly rate of a(n) Claims Auditor in St. Petersburg, Florida is $17.85.

The average bonus of a(n) Claims Auditor in St. Petersburg, Florida is $928.00.

Job Description:

Audits claims to ensure accuracy of claims determinations. Manages and coordinates the reporting, review, and maintenance of data for use in supporting audit functions. Performs claims audits based on audit program and specified target audits as assigned. Documents audit findings accurately. Assures quality of claim determinations and ensures compliance with regulations and plan requirements. Researches, analyzes, and understands claims processing and payment regulations. Understands and applies standard pricing methodologies for claims. Identifies underpayments/overpayments and generates reports to quantify amounts detected through audit process. Communicates errors to Production Manager or Supervisor and trends errors for corrective actions. Identifies and develops potential areas for claim audits. Evaluates audit initiatives and identifies enhancements to the audit processes and procedures as needed. Determines whether to accept, reject, or request additional information based on policies and procedures. Less

Audits claims to ensure accuracy of claims determinations. Manages and coordinates the reporting, review, and maintenance of data for use in supporting audit functions. Performs claims audits based on audit program and specified target audits as assigned. Documents audit findings... More

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