claims auditor

Integrated Pharmacy Solutions

<p>Job description:</p><p>We are looking for a Pharmacy Claims Auditor to perform a variety of pharmacy audit duties. To succeed in this role, you should be an exceptional communicator with an analytical mind, attention to detail and sound judgement. Willing to travel 50% of the time.</p><p><b>Responsibilities</b></p><ul><li>Schedule and prepare for onsite audit trips</li><li>Review pharmacy prescriptions for compliance to State and Federal regulations</li><li>Enter potential discrepancies into the IPS audit software</li><li>Complete store credentialing worksheet</li><li>Collect signature log verifications</li><li>Explain audit findings and recommend solutions</li><li><b>Must be able to travel 50% of the time.</b></li></ul><p><b>Skills</b></p><ul><li>Knowledge of the most common medications and usual dosages</li><li>Understanding of methods of filling prescriptions and submitting claims</li><li>Experience with third party (insurance) billing procedures</li><li>Interpreting prescriptions accurately</li><li>Ability to analyze large amount of pharmacy claims data</li><li>Awareness of pharmacy prescription laws and regulations</li><li>Attention to details, accuracy and quality</li><li>Computer proficient in Microsoft Office products as well as pharmacy computer systems</li><li>Excellent verbal and written communication skills</li><li>Sound judgement and decision-making ability</li><li>Strong organizational skills</li><li>Keen attention to detail</li></ul><p>Ideal candidates must be able to work independently, be self-motivated, have good organizational skills and excellent customer service skills. Ability to identify issues, investigate matters and creatively work to resolve unexpected and unanticipated problems. Travel is required.</p><p>Qualified candidates must be a registered Pharmacy Technician and ideally have 3 plus years&rsquo; experience as a Nationally Certified Pharmacy Technician.</p><p>Work Remotely</p><ul><li>Yes</li></ul><p>Job Type: Full-time</p><p>Benefits:</p><ul><li>401(k)</li><li>Dental insurance</li><li>Flexible spending account</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Retirement plan</li><li>Vision insurance</li></ul><p>Schedule:</p><ul><li>8 hour shift</li><li>Monday to Friday</li><li>Travel 50% of the time</li></ul><p>Experience:</p><ul><li>Pharmacy Technician: 3 years (Preferred)</li></ul><p>License/Certification:</p><ul><li>Pharmacy Technician License (Required)</li></ul><p>Work Location: Remote</p><p>Job Type: Full-time</p><p>Pay: $56,000.00 - $62,000.00 per year</p><p>Benefits:</p><ul><li>401(k)</li><li>Dental insurance</li><li>Employee assistance program</li><li>Flexible spending account</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li><li>Work from home</li></ul><p>Work Location: On the road</p>

Pharmacy Claims Auditor

Trinity Health

<b>Employment Type:</b><br>
Full time
<br><br>
<b>Shift:</b><br>
Day Shift
<br><br>
<b>Description:</b><br>
Position located in Westmont, Illinois - remote eligible. Benefit eligible (medical/dental) from the first day of employment.
<br><br>
Perform Quality Auditing of Claim Adjudicators and Customer Service Representatives. Audit capitation deductions, preparing summary of findings and disputes to the various HMOs. Review and respond to Stat Fax/Past Due Claim (PDC) inquiries from the HMOs.
<br><br>
<ul>
<li>Review claims for accuracy of information into the claims processing system and ensure Standard Operating procedures (SOPs) have been followed. Provide feedback to staff as errors are identified, including where procedures can be found on correct handling when appropriate.</li>
<li>Work closely with Operations Manager to identify areas requiring additional training, either on an individual basis or overall.</li>
<li>Review authorization/claim history to determine handling and appropriateness of deductions. Enter disputed deductions into Excel or Access, depending on the health plan. Review outstanding deductions and follow up with the health plan as needed. Update CHS files upon receipt of health plan’s response to indicate whether or not a credit was received.</li>
<li>Research, document and respond to HMO inquiries within appropriate time frames to avoid future capitation deductions. Responsible for contacting HMO for copies of claims that are not in claims processing system and require entry/adjudication. Responsible for contacting providers when claims have been processed to verify status of accounts.</li>
<li>Enhance department productivity by recommending improvements to the work flow processes and organizational structure. Contribute to team effort by accomplishing related results as determined by management. Attend meetings as necessary either internally or with the HMOs</li>
</ul>
<b>Position Requirements:</b><br>
<b>Minimum Education:</b><br>
<b>Required:</b> Associate Degree or 5-10 years of claims auditing and/or Managed care experience
<br><b>Preferred:</b> Bachelor Degree
<br><b>Specify Degree(s):</b> AAPC certification
<br><b>Residency:</b> N/A
<br><br>
<b>Minimum Experience:</b><br>
<b>Required:</b> 3-5 years of previous job-related experience
<br><b>Preferred:</b> 6-10 years of previous job-related experience
<br><b>Details:</b> Previous job related experience in a managed care environment, claims processing, claims auditing, analysis of claims errors. Familiarity with managed care products. Able to track errors and provide training if needed.
<br><br>
<b>Licensure/Certifications:</b><br>
<b>Preferred:</b> Certified Professional Coder (AAPC)
<br><b>Other:</b> RHIA, RHIT and AAPC
<br><br>
<b>Required Skills:</b><br>
Ability to plan, coordinate and develop multiple projects
<br><br>
<b>Compensation:</b><br>
<b>Pay Range:</b> $21.02 - 32.59 per hour
<br>Actual compensation will fall within the range but may vary based on factors such as experience, qualifications, education, location, licensure, certification requirements, and comparisons to colleagues in similar roles.
<br>Trinity Health Benefits Summary
<br><br>
Our Commitment
<br><br>
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are 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, veteran status, or any other status protected by federal, state, or local law.

CLAIMS AUDITOR

Hoag Health System

<div><p><b>Primary Duties and Responsibilities
</b></p><p>The Claims Auditor is responsible for performing pre-payment and post-payment audits ensuring financial and processing accuracy, compliance with regulatory and health plan requirements of claims processed.
</p><p>The Claims Auditor is responsible for auditing and confirming accuracy of the loading of:
</p><ul><li>Fee schedules
</li><li>Provider contracts
</li><li>Payor contracts
</li><li>Benefits
</li><li>Code changes
</li><li>System enhancements</li></ul></div>
<br><div><p><b>Education and Experience
</b></p><ul><li>High School Diploma or equivalent
</li><li>5 years of experience in a medical claims processing environment
</li><li>Knowledge of HMO/managed care regulatory guidelines
</li></ul><p><b>Preferred:
</b></p><ul><li>Experience with Epic Tapestry system
</li><li>3 years experience in claim audits, revenue recovery, or claims system configuration
</li></ul><p><b>License Required
</b></p><p>N/A
</p><p><b>License Preferred
</b></p><p>N/A
</p><p><b>Certifications Required
</b></p><p>N/A
</p><p><b>Certifications Preferred
</b></p><p>N/A</p></div>

Claims Auditor: Hoag Clinic Claims & Enrollment

Western Growers Family of Companies

<div><div>If you&rsquo;re looking for a career that provides affordable health benefit solutions to the people who support some of the most vital industries, we&rsquo;re looking for you.</div><div>
At Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a full suite of comprehensive and customized health benefits administration services for self-funded companies, including health management and wellness solutions, and pharmacy benefit management. As part of the Western Growers Family of Companies, we are committed to providing our employees with everything they need to succeed and grow. We know that taking care of our clients starts with taking care of our employees.</div><div>
As a keystone of our philosophy, we recognize that every person on our team comes to us with a unique background, history and story that adds strength to our organization. Additionally, employees are encouraged to recognize that there isn&rsquo;t a work life and a home life, there is one life. This recognition throughout the organization emphasizes the value of finding a healthy and happy balance in every employee&rsquo;s life. One way this is realized for employees of Pinnacle Claims Management is flexible work arrangements with work-from-home, in-office or hybrid options.</div><div>
With competitive compensation packages, premier investment support, enriching personal development and more, we strive for our employees&rsquo; job satisfaction and success.</div><div><b>
Compensation: $44,669.10 - $65,668.60 with a rich benefits package that includes profit-sharing.</b></div><div></div><div>
JOB DESCRIPTION SUMMARY</div><div>
Position reports to the Supervisor Benefit Distribution &amp; Installation and performs in-depth pharmacy and medical plan coding of new and existing business accounts. This position will ensure that all new and existing health (medical/dental/pharmacy) insurance plans underwritten by Western Growers Assurance Trust (WGAT) and those of Pinnacle Claims Management, Inc. (PCMI) are in compliance with the respective employers&rsquo; summary plan descriptions.</div><div></div><div><b>
QUALIFICATIONS</b></div><ul><li>BS/BA degree in computer science, business or related field and a minimum of two years of experience as a pharmacy, medical, dental claims auditor and/or plan testing experience, preferred.</li><li>Exceptional ability to interpret summary plan descriptions of employee medical, dental, pharmacy benefits.</li><li>Strong ability to work efficiently and effectively in a multiple task, multi-project, and multi-demanding environment to meet expected goals, dates, and milestones.</li><li>Excellent writing, editing, and proofreading skills to compose and edit correspondence, reports, emails, and other written materials.</li><li>Superior ability to analyze and interpret group health benefits provisions, administrative policies, and provider contracts.</li><li>Advanced skills in Microsoft Office applications, specifically word processing and spreadsheets.</li><li>Demonstrated ability to analyze and comprehend complex issues, and personalities using independent judgment, leadership, tact, diplomacy, and initiative.</li></ul><div>
</div><div><b>
DUTIES AND RESPONSIBILITIES
</b></div><div>Plan Coding</div><ul><li>Plan code new business and plan changes.</li><li>Verify new and existing plans loaded on the company&rsquo;s claim management system against the appropriate Summary Plan Description to determine the accuracy of present and future claims payments.</li><li>Respond to work orders received from examiners to investigate plan issues and irregularities.</li><li>Evaluate testing requests for all new plans prior to loading them into the production system.</li></ul><div>
Administrative</div><ul><li>Keep a detailed log of open and completed work</li><li>Document resolutions to closed work orders.</li><li>Add to Process management and Maintenance role:</li><li>Identify inefficiencies within the established processes and suggest possible solutions to save time, reduce risk, and/or reduce expenses.</li><li>Create and document a minimum of one new Standard Operating Procedure (SOP) annually.</li><li>Identify, initiate and implement at least one process improvement and/or innovation annually.</li><li>Maintain detailed log of plans that are currently being coded and in the process of being loaded.</li><li>Send confirmations to internal stakeholders when applicable plans have been loaded. Work with programmers to test claims and related system programs to verify impact within the Health Care Processing System (HCPS).</li></ul><div></div><div><b>
Other</b></div><ul><li>Utilize all capabilities to satisfy one mission &mdash; to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning, and executing work helpfully and collaboratively. Be willing to adjust efforts to ensure that work and attitude are helpful to others, being self-accountable, creating a positive impact, and being diligent in delivering results.</li><li>All other duties as assigned.</li></ul><div>
</div><div><b>
PHYSICAL DEMANDS/WORK ENVIRONMENT</b></div><div>
The physical demands and work environment described here represent those that an employee must meet to perform this job&rsquo;s essential functions successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to communicate with others. The employee frequently is required to move around the office. The employee is often required to use tools, objects, and controls. This noise level in the work environment is usually moderate.</div></div>

Plan Coder

<div><div>If you&rsquo;re looking for a career that provides affordable health benefit solutions to the people who support some of the most vital industries, we&rsquo;re looking for you.</div><div>
At Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a full suite of comprehensive and customized health benefits administration services for self-funded companies, including health management and wellness solutions, and pharmacy benefit management. As part of the Western Growers Family of Companies, we are committed to providing our employees with everything they need to succeed and grow. We know that taking care of our clients starts with taking care of our employees.</div><div>
As a keystone of our philosophy, we recognize that every person on our team comes to us with a unique background, history and story that adds strength to our organization. Additionally, employees are encouraged to recognize that there isn&rsquo;t a work life and a home life, there is one life. This recognition throughout the organization emphasizes the value of finding a healthy and happy balance in every employee&rsquo;s life. One way this is realized for employees of Pinnacle Claims Management is flexible work arrangements with work-from-home, in-office or hybrid options.</div><div>
With competitive compensation packages, premier investment support, enriching personal development and more, we strive for our employees&rsquo; job satisfaction and success.</div><div><b>
Compensation: $45,091 - $63,617 with a rich benefits package that includes profit-sharing</b></div><div></div><div><h1 class="jobSectionHeader"><b>
Job Description Summary</b></h1><div>
Position reports to the Supervisor, Benefit Installation &amp; Distribution and performs in-depth plan coding and testing of new and existing business accounts. This position will ensure that all new and existing health (medical/dental) insurance plans underwritten by the Western Growers Assurance Trust (WGAT) and those of Pinnacle, Inc. (PCMI) are in compliance with the respective employers&rsquo; summary plan descriptions.
</div><h1 class="jobSectionHeader"><b>Qualifications</b></h1><ul><li>
BS/BA degree in Business or related field and a minimum of three (3) to (5) five years of recent experience as a medical/dental claims auditor or plan testing experience, preferred.
</li><li>Exceptional understanding and ability to interpret summary plan descriptions of employee medical/dental benefits.
</li><li>Strong ability to work efficiently and effectively in a multiple task, multi-project, and multi-demandingenvironment to meet expected goals, dates, and milestones.</li></ul><ul><li>
 Ability to anticipate problems, recommend solutions, and exercise best judgement.</li><li>
Excellent writing, editing, and proofreading skills to compose and edit correspondence, reports, emails, and other written materials.</li><li>
Proficient ability to analyze and interpret group health benefits provisions, administrative policies, and provider contracts.
</li><li>Previous experience with conducting research and presenting complex information.</li><li>
Excellent communication and interpersonal skills.</li><li>
Superior organization skills and high attention to detail.</li><li>
Ability to learn complex business processes and appropriately apply knowledge to make informed decisions.</li><li>
Advanced skills in Microsoft Office applications.</li><li>
Knowledge of medical terminology. Familiar with ICD10, CPT, HCPC, and CDT codes.</li><li>
Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds.</li><li>
Home router with wired Ethernet (wireless connections and hotspots are not permitted).</li><li>
A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.)</li><li>
A functioning smoke detector, fire extinguisher, and first aid kit on site.</li></ul><div>
 Duties And Responsibilities</div><div>
Testing</div><ul><li>
Using close and comprehensive analyses, verify new and existing plans loaded on the Company&rsquo;s claim management system against the appropriate Summary Plan Description to determine the accuracy of present and future claims payments.
</li><li>Test all new plans prior to loading them into production (medical, dental and vision plans).
</li><li>Work with programmers to test claims and related system programs to verify impact within the HCPS.</li><li>
System analysis and testing of mass system updates.</li><li>
Plan coding of new business and plan changes for medical, dental, and vision plans.</li><li>
Communicate with other operational departments, as necessary, to ensure smooth integration of new plans for both WGAT and PCMI moving into production.</li></ul><div>
Reporting</div><ul><li>
Provide monthly reporting of all requested plan issues submitted from the Claims department.</li><li>
Identify inefficiencies within the established processes and suggest possible solutions to save time, reduce risk, and/or reduce expenses.
</li><li>Create and document Standard Operating Procedures (SOP).</li><li>
Identify, initiate and implement process improvements and/or innovation.</li></ul><div>
Other</div><ul><li>
Utilize all capabilities to satisfy one mission &mdash; to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning, and executing work helpfully and collaboratively. Be willing to adjust efforts to ensure that work and attitude are helpful to others, being self-accountable, creating a positive impact, and being diligent in delivering results.</li><li>
Maintain internet speed of 40 MB download and 10 MB upload and router with wired Ethernet.</li><li>
Maintain a HIPAA-compliant workstation and utilize appropriate security techniques to ensure HIPAA-required protection of all confidential/protected client data.</li><li>
Maintain and service safety equipment (e.g., smoke detector, fire extinguisher, first aid kit)</li><li>
All other duties as assigned.</li></ul><p>
Physical Demands/Work Environment</p><div>
The physical demands and work environment described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to communicate with others. The employee frequently is required to move around the office. The employee is often required to use tools, objects, and controls. This noise level in the work environment is usually moderate.</div></div></div>

Implementation Auditor

Pinnacle Claims Management

<div>
 <strong>
  Description
  <br/>
  <br/>
 </strong>
 If you&rsquo;re looking for a career that provides affordable health benefit solutions to the people who support some of the most vital industries, we&rsquo;re looking for you.
 <br/>
 <br/>
 At Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a full suite of comprehensive and customized health benefits administration services for self-funded companies, including health management and wellness solutions, and pharmacy benefit management. As part of the Western Growers Family of Companies, we are committed to providing our employees with everything they need to succeed and grow. We know that taking care of our clients starts with taking care of our employees.
 <br/>
 <br/>
 As a keystone of our philosophy, we recognize that every person on our team comes to us with a unique background, history and story that adds strength to our organization. Additionally, employees are encouraged to recognize that there isn&rsquo;t a work life and a home life, there is one life. This recognition throughout the organization emphasizes the value of finding a healthy and happy balance in every employee&rsquo;s life. One way this is realized for employees of Pinnacle Claims Management is flexible work arrangements with work-from-home, in-office or hybrid options.
 <br/>
 <br/>
 With competitive compensation packages, premier investment support, enriching personal development and more, we strive for our employees&rsquo; job satisfaction and success.
 <br/>
 <br/>
 <strong>
  Compensation: $44,669.10 - $65,668.60 with a rich benefits package that includes profit-sharing.
  <br/>
  <br/>
 </strong>
 <strong>
  Job Description Summary
  <br/>
  <br/>
 </strong>
 Position reports to the Supervisor Benefit Distribution &amp; Installation and performs in-depth pharmacy and medical plan coding of new and existing business accounts. This position will ensure that all new and existing health (medical/dental/pharmacy) insurance plans underwritten by Western Growers Assurance Trust (WGAT) and those of Pinnacle Claims Management, Inc. (PCMI) are in compliance with the respective employers&rsquo; summary plan descriptions.
 <br/>
 <br/>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   BS/BA degree in computer science, business or related field and a minimum of two years of experience as a pharmacy, medical, dental claims auditor and/or plan testing experience, preferred.
  </li>
  <li>
   Exceptional ability to interpret summary plan descriptions of employee medical, dental, pharmacy benefits.
  </li>
  <li>
   Strong ability to work efficiently and effectively in a multiple task, multi-project, and multi-demanding environment to meet expected goals, dates, and milestones.
  </li>
  <li>
   Excellent writing, editing, and proofreading skills to compose and edit correspondence, reports, emails, and other written materials.
  </li>
  <li>
   Superior ability to analyze and interpret group health benefits provisions, administrative policies, and provider contracts.
  </li>
  <li>
   Advanced skills in Microsoft Office applications, specifically word processing and spreadsheets.
  </li>
  <li>
   Demonstrated ability to analyze and comprehend complex issues, and personalities using independent judgment, leadership, tact, diplomacy, and initiative.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Duties And Responsibilities
  <br/>
  <br/>
 </strong>
 Plan Coding
 <br/>
 <br/>
 <ul>
  <li>
   Plan code new business and plan changes.
  </li>
  <li>
   Verify new and existing plans loaded on the company&rsquo;s claim management system against the appropriate Summary Plan Description to determine the accuracy of present and future claims payments.
  </li>
  <li>
   Respond to work orders received from examiners to investigate plan issues and irregularities.
  </li>
  <li>
   Evaluate testing requests for all new plans prior to loading them into the production system.
   <br/>
   <br/>
  </li>
 </ul>
 Administrative
 <br/>
 <br/>
 <ul>
  <li>
   Keep a detailed log of open and completed work
  </li>
  <li>
   Document resolutions to closed work orders.
  </li>
  <li>
   Add to Process management and Maintenance role:
  </li>
  <li>
   Identify inefficiencies within the established processes and suggest possible solutions to save time, reduce risk, and/or reduce expenses.
  </li>
  <li>
   Create and document a minimum of one new Standard Operating Procedure (SOP) annually.
  </li>
  <li>
   Identify, initiate and implement at least one process improvement and/or innovation annually.
  </li>
  <li>
   Maintain detailed log of plans that are currently being coded and in the process of being loaded.
  </li>
  <li>
   Send confirmations to internal stakeholders when applicable plans have been loaded. Work with programmers to test claims and related system programs to verify impact within the Health Care Processing System (HCPS).
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Other
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Utilize all capabilities to satisfy one mission &mdash; to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning, and executing work helpfully and collaboratively. Be willing to adjust efforts to ensure that work and attitude are helpful to others, being self-accountable, creating a positive impact, and being diligent in delivering results.
  </li>
  <li>
   All other duties as assigned.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  PHYSICAL DEMANDS/WORK ENVIRONMENT
  <br/>
  <br/>
 </strong>
 The physical demands and work environment described here represent those that an employee must meet to perform this job&rsquo;s essential functions successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to communicate with others. The employee frequently is required to move around the office. The employee is often required to use tools, objects, and controls. This noise level in the work environment is usually moderate.
</div>


Stellantis

<p></p><div><div>Job ID: 2016811<br>
Career Area: Legal<br>
Position Type: Salaried</div>
<div>Location: Headquarters &amp; Technology Center &ndash; Auburn Hills<br>
48326, US<br>
Date Posted: April 9, 2026<br>
Brand: FCA Group</div></div>
<br><div><p>The Supplier Claims Audit Manager is responsible for leading, supervising, and executing supplier cancellation claim audits to ensure that only contractually obligated and substantiated costs are paid, delivering measurable cost avoidance for Stellantis.</p>
<p>
In addition to performing complex audits, this role provides day‑to‑day functional leadership to Supplier Claims Auditors, including work planning, technical guidance, coaching, and quality review of audit workpapers and conclusions.</p>
<p>
The Lead Auditor will interact extensively with suppliers, Purchasing, Supply Chain, Engineering, Finance, and Program Management, applying sound judgment across engineering program governance, tooling approval trails, supply chain compliance, and commercial pricing mechanisms. The role requires both hands‑on audit execution and oversight of audit delivery to ensure consistency, quality, and timeliness.</p>
<p>
This position includes on‑site verification of supplier inventories, production tooling, and other assets included in cancellation claims, and close coordination with Corporate Leadership Development (CLD) program participants, dealer field auditors, and other audit and operational teams. The Lead Auditor will prepare clear, executive‑ready reporting and serve as a primary point of contact for audit matters within the supplier claims domain.</p>
<p>
Travel requirement: up to 30%, primarily within the Midwest.</p>
<p><b>
Key Responsibilities:</b></p>
<ul>
<li>Audit Execution &amp; Technical Leadership</li>
<li>Lead and execute complex supplier cancellation claim audits end‑to‑end, including planning, fieldwork, documentation, and reporting</li>
<li>Perform and review substantive testing of supplier claims to validate cost eligibility and contractual compliance</li>
<li>Conduct and oversee on‑site verification of inventories, tooling, and other claimed assets</li>
<li>Evaluate claims against engineering program governance decisions, approved scope, and tooling approval and release trails</li>
<li>Analyze claims using commercial pricing mechanisms, including piece price structures, tooling amortization, and cost recovery models</li>
<li>Supervision &amp; Quality Assurance</li>
<li>Provide day‑to‑day supervision, coaching, and technical guidance to Supplier Claims Auditors</li>
<li>Review audit workpapers, evidence, and conclusions to ensure quality, consistency, and adherence to Stellantis audit standards</li>
<li>Support workload planning and prioritization to manage volume, complexity, and deadlines</li>
<li>Stakeholder Engagement &amp; Reporting</li>
<li>Serve as a key audit contact for Purchasing, Engineering, Supply Chain, Finance, and Audit leadership</li>
<li>Communicate audit results, risk assessments, and recommendations clearly and confidently to senior stakeholders</li>
<li>Prepare executive‑level reporting summarizing audit results, key issues, and financial impact</li>
<li>Analytics, AI &amp; Continuous Improvement</li>
<li>Leverage data analytics and AI‑enabled tools to identify trends, anomalies, and emerging risks within supplier claims data</li>
<li>Support the enhancement of supplier claims audit methodologies, including automation, standardization, and scalability</li>
<li>Contribute to broader audit initiatives, training, and knowledge‑sharing across the Audit &amp; Compliance organization</li></ul></div>
<br><div><p><b>EOE/Disability/Veteran</b></p>
<p>At Stellantis, we assess candidates based on qualifications, merit, and business needs. We welcome applications from all people without regard to sex, age, ethnicity, nationality, religion, sexual orientation, disability, or any characteristic protected by law. We believe that diverse teams reflect our identity as a global company, enabling us to better address the evolving needs of our customers and care for our future.</p>
<p>Our benefits reflects the STELLANTIS commitment to helping you reach your personal and professional goals. In addition to an environment that promotes career development, we offer benefits for a healthy lifestyle and a rewarding future, designed to take care of you and your family, in various stages of life.</p>
<p>
As a global company, our employee packages will vary by country, customary norms and the legal entity into which you are hired.</p>
<p>
We care about your privacy. For more information on how your personal data is processed, please read the specific Privacy Statement provided by the respective entities whose job offer you have selected.</p></div><p></p>

Supplier Claims Audit Manager

Search 3114+ Claims auditor jobs near you this April. New roles added regularly across leading industries. Apply today.

3114 claims auditor jobs Near Me

Pharmacy Claims Auditor

CLAIMS AUDITOR

Claims Auditor: Hoag Clinic Claims & Enrollment

Plan Coder

Implementation Auditor

Plan Coder

Supplier Claims Audit Manager