insurance auditor

Dr. Joy Dental Clinic

Job SummaryWe are seeking a detail-oriented Insurance Auditor with a BDS qualification and hands-on experience in the UAE healthcare sector. The ideal candidate must have strong knowledge of DHA regulations, insurance coding protocols, and particularly CDT codes used in dental billing. This role will be responsible for auditing all insurance claims and treatment codes before submission to ensure accuracy, compliance, and timely approvals.Key Responsibilities<ul><li>Audit and verify all dental procedure codes (CDT, ADA, and DHA codes) before final submission to insurance providers.</li><li>Ensure claims comply with DHA guidelines, insurance policy requirements, and clinic protocols.</li><li>Review treatment plans and supporting documents for accuracy and completeness.</li><li>Identify discrepancies, errors, or misuse of codes and provide corrective actions.</li><li>Communicate with doctors, front desk, and billing teams to clarify documentation and coding queries.</li><li>Minimize claim rejections/denials by ensuring proper coding and documentation.</li><li>Stay updated with DHA, HAAD, MOH, and international insurance regulations, coding updates, and compliance requirements.</li><li>Provide internal training and guidance to staff on insurance coding and claim submission processes.</li><li>Prepare periodic reports on claim rejections, approvals, and audit findings for management review.</li></ul>Requirements<ul><li>Bachelor of Dental Surgery (BDS) is mandatory.</li><li>Minimum 2&ndash;3 years of experience in the UAE healthcare sector, preferably in a dental clinic.</li><li>Strong knowledge of DHA regulations and CDT codes.</li><li>Prior experience in dental insurance auditing, claim submissions, or coding.</li><li>Excellent analytical and attention-to-detail skills.</li><li>Strong communication and interpersonal abilities to coordinate with doctors and administrative teams.</li><li>Proficiency in dental practice management software and MS Office.</li></ul>Job Type: Full-timePay: AED1.00 - AED2.00 per monthApplication Question(s):<ul><li>Are you qualified Dentist? </li><li>Have you worked on CDT coding and Auditing?</li></ul>

Insurance Auditor

Accu-Audits Inc

Job Summary We are seeking a detail-oriented and analytical Premium Auditor to join our team. The ideal candidate will be responsible for conducting thorough insurance premium audits of payroll and or sales records, ensuring compliance with state or national regulations. The Auditor will play a crucial role in providing an accurate workers' compensation and general liability audits identifying payroll or sales and properly classifying the exposure. No travel is required as all audits are completed remotely from the candidates home office.Duties<ul><li>Conduct comprehensive audits of financial records and statements to ensure accuracy and compliance with applicable laws and regulations.</li><li>Utilize statistical and quantitative analysis techniques to evaluate data and support audit findings.</li><li>Collaborate with various policyholders to gather relevant data for analysis, including payroll reports, financial reports, state and federal filings.</li><li>Prepare detailed audit reports summarizing findings, recommendations, and areas for improvement.</li><li>Maintain up-to-date knowledge of industry standards, regulations, and best practices in auditing and finance.</li></ul>Requirements<ul><li>Bachelor&rsquo;s or Associates' degree in Accounting, Finance, or a related field is required.</li><li>Strong financial acumen with experience in financial analysis.</li><li>Proficiency in data collection methods and tools..</li><li>Solid understanding of underwriting processes and principles.</li><li>Ability to work independently as well as collaboratively within a team environment.</li><li>Excellent communication skills, both written and verbal, to effectively convey audit findings to stakeholders.</li><li>Strong attention to detail and organizational skills are essential for success in this role.</li></ul>Join our team as an Auditor where your expertise will contribute significantly to our financial operations while fostering a culture of integrity and excellence within the organization.Job Type: Full-timePay: $20.00 - $25.00 per hourExpected hours: 30 &ndash; 40 per weekBenefits:<ul><li>Flexible schedule</li><li>Professional development assistance</li><li>Retirement plan</li><li>Work from home</li></ul>Work Location: Remote

Insurance Premium Auditor (Telephone)

ARMStrong Insurance Services

<div>ARMStrong Insurance Services is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the parent company, ARMStrong is proud to own and operate Brown &amp; Joseph, Paragon, SubroIQ, and NEIS, each a powerhouse in their own right, providing specialized expertise in debt management and financial services. 
 
NEIS, LLC has been a leader in the insurance audit and loss control prevention industry since 1945 and seeking a Premium Auditor as we continue to grow our team. Premium Auditors examine the financial records of businesses insured by commercial property and casualty insurers to make sure they are following laws and regulations. As a premium auditor, looking for evidence of fraud and checking that insured businesses adhere to these regulations are your primary responsibilities. Your job will be based from home with required daily travel to each audit location. Car travel will be on average of 2-4 days per week within your assigned territory.
Job Responsibilities:<ul><li>
Conduct insurance premium audits for Workers Compensation, General Liability, and Automobile policies by auditing policyholder&rsquo;s records, and applying manual rules and company standards.
</li><li>Prepare for the audit by identifying the necessary information and type of records needed</li><li>
Prepare schedule to maximize optimal use of time</li><li>
Correspond with insured via phone, email and mail to setup audit appointments.</li><li>
Examine the policyholder&rsquo;s records, gather data to determine correct classifications for business activities and write an effective description of operations</li><li>
Prepare complete audit document, explain results to insured and communicate the results to the home office</li><li>
Travel to multiple audit locations</li><li>
Hybrid position - work from home and complete remote audits 2-3 days per week</li></ul>
Job Requirements:<ul><li>
Associate&rsquo;s Degree or equivalent plus two years&rsquo; performing premium audits or equivalent combination of education and experience highly desired</li><li>
Ability to read, analyze and interpret financial documents</li><li>
General PC knowledge including Microsoft Excel and Word. Knowledge of Visual Audit is a plus.</li><li>
Ability to communicate well with customers and staff.</li><li>
Valid driver&rsquo;s license and satisfactory driving record
</li><li>Maintain automobile insurance while employed with bodily injury limits equal to or greater than $100,000 per person and $300,000 per accident or $300,000 combined</li></ul>
Compensation and Benefits:
<ul><li>$44-$46 per billable hour</li><li>
Weekly pay</li><li>
Part-Time Hours - flexible work days and schedule</li></ul>
We look forward to you joining the team!
ARMStrong Insurance Services is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.
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Premium Auditor (Hybrid)

Dubai Insurance TPA

1. JOB PURPOSEThe Auditor is responsible for external and internal audits and maintains the reports and processing DRG claims.2. RESPONSIBILITIES AND DUTIES&middot; Conducting Provider audit: Data analysis, Onsite visits for audits, preparing audit reports based on the analysis and onsite visit, Presentation of the findings during audit meetings, Closure of audits as per the FWA team process.&middot; Preparation of various reports in relation to the audits (Quarterly, HICAL, Audit log, finance team reports etc)&middot; Case Management of IP when referred&middot; Analysis and Feedback on triggers raised for OP , reimbursement claims&middot; Handling / responding the queries of Operations team (Claims, Approvals, Reimbursement, Customer care, Network) on Medical Coding (DRG, unbundling code, up coding, medically justify) when required.&middot; Interacting with other Teams (Claim Centre, Network Team and IT) on Medical coding, audits, etc.&middot; Reporting of various findings identified during audit that can affect or improve the process of operations team.&middot; Flagging or reporting of providers identified with FWA activity.3. KNOWLEDGE, SKILLS AND EXPERIENCE&middot; Bachelor&rsquo;s Degree (Nurse / Paramedical)&middot; American Medical Coding Education and certification.&middot; Experience in medical coding of 3-5 years&rsquo; within IP/OP and DRG claims.&middot; Industry knowledge (healthcare / insurance).&middot; Should be analytical, attentive to details and assertive.&middot; Excellent oral and written communication skills.&middot; Must be computer literate.&middot; Excellent command of the English language.Job Types: Full-time, PermanentPay: From AED8,000.00 per month

Medical Claims Auditor - Fraud waste

HLS Worldwide Pvt Ltd

Overview: We are looking for a detail-oriented and analytical Auditor to evaluate our company&rsquo;s internal controls, processes, and financial procedures. The ideal candidate will ensure compliance with company policies, identify risks, and recommend improvements to strengthen operational efficiency.Key Responsibilities:<ul><li>Conduct internal audits of financial, operational, and compliance processes.</li><li>Review and evaluate the effectiveness of internal controls, policies, and procedures.</li><li>Identify weaknesses, risks, and areas for process improvement.</li><li>Prepare clear and concise audit reports with findings and actionable recommendations.</li><li>Monitor implementation of corrective actions and follow up on open audit points.</li><li>Ensure compliance with company policies, regulatory requirements, and industry standards.</li><li>Perform risk assessments and contribute to annual audit planning.</li><li>Collaborate with finance, operations, procurement, and other departments for audit activities.</li><li>Verify accuracy of financial records, inventory management, and asset controls.</li><li>Assist management in improving governance, transparency, and process efficiency.</li></ul>Requirements:<ul><li>Bachelor&rsquo;s degree in Accounting, Finance, Business Administration, or related field.</li><li>Professional certification (CIA, ACCA, CA Inter) is a plus.</li><li>2&ndash;4 years of experience in internal audit or related roles.</li><li>Strong knowledge of auditing principles, internal controls, and risk management.</li><li>Excellent analytical, problem-solving, and report-writing skills.</li><li>High attention to detail, integrity, and confidentiality.</li><li>Proficiency in MS Excel and audit-related software.</li></ul>Benefits:<ul><li>Competitive salary and performance bonuses</li><li>Professional growth and learning opportunities</li><li>Friendly and collaborative work environment</li></ul>Job Type: Full-timePay: Rs45,000.00 - Rs55,000.00 per monthWork Location: In person

Audit Officer

Radisson Hotel Group

<div>Company Description 
Radisson Hotel Group is one of the world's largest hotel groups with ten distinctive hotel brands, and more than 1,500 hotels in operation and under development in 95+ countries. The Group&rsquo;s overarching brand promise is Every Moment Matters with a signature Yes I Can! service ethos. 
 
People are at the core of our business success and future. Our people are true Moment Makers and together we bring the culture, spirit, environment and opportunities that empower you to be your best, every day, everywhere, every time. Together, we make Every Moment Matter. 
Job Description 
Job Summary
The Income Auditor is responsible for verifying and reconciling daily hotel revenue, ensuring all income is accurately recorded, reported, and in compliance with hotel policies and accounting standards.
Key Responsibilities<ul><li>
Audit daily revenue reports from all outlets (Front Office, F&amp;B, Spa, Banquets, etc.)</li><li>
Verify room revenue, taxes, discounts, allowances, and complimentary rooms</li><li>
Reconcile PMS, POS, and Night Audit reports</li><li>
Ensure correct posting of charges to guest accounts and city ledger</li><li>
Review cash, credit card, and online payment transactions</li><li>
Investigate and report discrepancies or variances</li><li>
Prepare daily revenue reports and submit to management</li><li>
Ensure compliance with internal controls and SOPs</li><li>
Coordinate with Front Office, F&amp;B, and Accounts teams</li><li>
Assist during month-end closing and external/internal audits</li></ul> 
Additional Information 
Why Join Radisson Hotel Group?
Live the Magic of Hospitality - Be part of a team that creates exceptional experiences and memorable moments every day. Let your Yes I Can! spirit shine as you bring hospitality to life.
Build a Great Career - No matter your background or experience, we invest in your growth, learning, and career development&mdash;helping you reach your full potential.
Experience the Team Spirit - Join a workplace that&rsquo;s inclusive, fun, and meaningful. We celebrate diversity, support one another and foster a sense of belonging through our Employee Resource Groups and inclusion initiatives.
Lead with Your Ambition - Your ideas, passion and drive matter! We empower you to make a difference&mdash;in hospitality, your community and beyond.
Enjoy Global &amp; Local Perks - No matter where you&rsquo;re located, you&rsquo;ll enjoy exclusive global benefits - like special hotel rates for you and your loved ones at our hotels worldwide. Plus, you&rsquo;ll have access to local perks and rewards tailored to your country, making your experience even more rewarding!
Join us in shaping the future of hospitality! If you&rsquo;re ready to bring your talent, energy, and passion, we&rsquo;d love to hear from you.
Apply now and let&rsquo;s make every moment matter.
We welcome applicants from all backgrounds, abilities, and experiences. If you need any adjustments during the application process, please let us know.</div>

Income Auditor

<div>NOTE: Please ONLY apply if you have sufficient experience and skills required as per job description below. 
 
GENERAL JOB DESCRIPTION
The Eastern Hemisphere Licensee Auditor is responsible for conducting licensee audits and addressing technical matters across the Eastern Hemisphere, including Southeast Asia and the Pacific Rim (SEAP), China, Europe, Sub-Saharan Africa (ESSA), and CIS countries.
 
This role also supports the Licensee Manager &ndash; Eastern Hemisphere by managing transactions related to gauge and tooling rentals and purchases, as well as following up on invoicing and royalty-related activities. 
 
KEY RESPONSIBILITIES
<ul><li>Conduct audits of licensees within the assigned region, including tracking audit findings and driving audit reports to closure under the guidance of the Licensee Manager &ndash; Eastern Hemisphere.
</li><li>Ensure Eastern Hemisphere licensee audits are kept up to date and schedule on-site audits as required.
</li><li>Coordinate travel arrangements to perform licensee audits across the Eastern Hemisphere.
</li><li>Communicate directly with licensees to ensure compliance with Grant Prideco requirements and procedures.
</li><li>Liaise with Gauge Labs to resolve licensee gauge-related issues or concerns.
</li><li>Manage procurement-related transactions within the licensee management system, including:
</li><li>Job Authorizations (monthly royalty close-out and invoicing)
 </li><li>Uncompleted Jobs (verification and transaction closure)
</li><li>Procurement of Rentals (coordination with regional gauge labs, order processing, and invoicing)
</li><li>Procurement of Tooling (coordination with regional gauge labs, order processing, and invoicing)
 </li><li>Recalibration services (coordination with gauge labs, order processing, and invoicing)
</li><li>Qualification Requests (coordination with gauge labs, order processing, and invoicing)
 </li><li>QCS submissions (coordination with gauge labs, order processing, and invoicing)
</li><li>Ring and Plug Gauge Verification (coordination with gauge labs, order processing, and invoicing)
</li><li>Final Return of Gauges (coordination with gauge labs, order processing, and invoicing)
 </li><li>TDSS blank order processing
 </li><li>Maintain accurate and up-to-date licensee accounts within the system, verifying and updating all relevant information.
</li>Communicate with the licensee network on all matters related to Grant Prideco procedures, billing and invoicing, royalty charges, rental and sales charges, and support licensees through the procurement process in coordination with the Logistics department. 
<li>
</li></ul> 
QUALIFICATIONS / REQUIREMENTS:
<ul><li>Bachelor&rsquo;s degree in Mechanical Engineering, Mechanics, Oil &amp; Gas Engineering, or a related technical discipline (or equivalent relevant experience).
</li><li>Minimum 5&ndash;7 years of experience in auditing, quality assurance, licensing, manufacturing, or technical compliance roles, preferably within the oil &amp; gas or industrial sector is an advantage.
</li><li>Demonstrated experience conducting licensee, supplier, or internal audits, including report writing and closure of audit findings.
</li><li>Strong working knowledge of NOV Grant Prideco standards, procedures, and licensing requirements, or the ability to acquire this knowledge quickly.
 </li><li>Experience working with gauge systems, tooling, or dimensional inspection processes is strongly preferred.
</li><li>Familiarity with royalty tracking, invoicing, and licensing-related commercial processes is an advantage.
</li><li>Ability to manage multiple stakeholders across different regions and cultures within the Eastern Hemisphere.
</li><li>Willingness and ability to travel internationally as required to support audit activities.
</li><li>Strong communication skills in English, both written and verbal, with the ability to present audit findings clearly and confidently to diverse audiences.
</li><li>Proven presentation and speaking skills, including conducting meetings, briefings, and discussions.
</li><li>Proficient in ERP / licensee management systems and Microsoft Office applications (Word, Excel, Power point etc).
</li></ul>DUTIES / RESPONSIBILITIES:
<ul><li>Perform licensee audits across the Eastern Hemisphere in accordance with Grant Prideco standards and requirements.
</li><li>Administer and manage all transactions within the licensee management application, as well as other activities assigned by the reporting manager.
</li><li>Act as a key liaison between the licensee network and internal stakeholders, including Licensee Management, Gauge Labs, Logistics, and Finance.
 </li><li>Prepare audit reports, track findings, and drive corrective actions to closure.
</li><li>Communicate regularly with the Licensee Management Team on licensee status, audit outcomes, and compliance matters.
</li><li>Participate actively in department meetings, licensee meetings, and assigned events.
</li><li>Maintain accurate and up-to-date licensee records and system data.
</li><li>Conduct all interactions with licensees and customers in a professional and ethical manner at all times.
</li><li>Ensure all activities comply with NOV Grant Prideco policies, confidentiality, and ethical standards
 </li><li>Identify and escalate compliance risks or recurring issues as appropriate.
 </li><li>Perform additional duties as assigned by the reporting manager.</li></ul></div>

Licensee Auditor EHO (O&G, Grant Prideco)

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