[Hiring] Claims Internal Auditor @Imagine360

Role Description

Imagine360 is seeking a Claims Internal Auditor to join the team! This position uses a systematic, disciplined approach to review and evaluate the effectiveness and efficiency of operations, processes, controls, and practices, as well as related procedures, according to the approved audit plan.

Position Location: 100% remote

• Develops the scope for operational, implementation, renewal, and internal controls audits, selecting/developing appropriate audit steps necessary to promote effective audit coverage.
• Responsible for reviewing and assessing processes, controls, practices, and related procedures according to approved audit plans for selected areas of the organization to ensure legal compliance and consistency of internal controls.
• Proposes value-added recommendations to improve the effectiveness and efficiency of operational and management processes and system controls.
• Collects and analyzes results of audits to identify discrepancies between work processes and documented standards, deficient controls, root causes of non-conformance, or non-compliance with laws, regulations, or plan documents.
• Conducts ad-hoc investigations and reviews as requested by management.
• Coordinates with external and client auditors to ensure data and information is provided to and received from auditors and auditing entities; provides timely response to audit reports and completes overviews for management review.
• Maintains integrity of data within Internal Audit database; develops and runs a variety of database reports for internal and external reporting requirements, and ad hoc reports as requested.

Qualifications

• High School Diploma or GED required.
• Two-year associates degree preferred.
• 2+ years of claims, eligibility or related industry work experience required.

Skills and Abilities

• Proficient use of computers and software including but not limited to Microsoft Office products.
• Strong written, oral communication and presentation skills including the ability to explain audit findings and to influence others to implement audit recommendations.

Benefits

• Multiple Health plan options.
• Company paid employee premiums for disability and life insurance.
• Parental Leave Policy.
• 20 days PTO to start / 10 Paid Holidays.
• Tuition reimbursement.
• 401k Company contribution.
• Company paid Short & Long term Disability plus Life Insurance.
• Professional development initiatives / continuous learning opportunities.
• Opportunities to participate in and support the company's diversity and inclusion initiatives.

Company Description

Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.

Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation.