An Insurance Auditor is a premium auditor, who undertakes the job of reviewing business documents and financial records of the company and ensures paying the proper amount of insurance premiums. Other core duties are listed on the Insurance Auditor Resume as – determining the worker’s compensation and liability insurance; auditing payroll and personnel records, collecting and analyzing data to detect deficient controls, duplicated efforts, and non-compliance with laws, regulations, and management policies; conferring with company officials about financial and regulatory matters, examining and evaluating financial and information systems, recommending controls; and examining inventory to verify journal and ledger entries.
Those at this position normally possess the following core skills – working knowledge of relevant software, excellent customer service skills, strong math, and accounting skills, accurate data entry skills, and sound independent judgment abilities. Insurance companies want their auditors to have at least a degree in accounting, finance, or economics.
Objective : Dedicated Insurance Auditor with 2 years of experience in compliance and risk assessment within the insurance sector. Proficient in analyzing claims, ensuring regulatory adherence, and optimizing audit processes. Committed to enhancing operational efficiency and safeguarding organizational integrity through meticulous data evaluation and reporting.
Skills : Risk Assessment, Regulatory Compliance, Data Analysis, Financial Auditing
Description :
Evaluate insurance claims and documentation to verify coverage and compliance with regulations.
Gather and analyze financial data to assess the performance of insurance policies.
Collaborate with agents and clients to resolve discrepancies and provide account updates.
Issue receipts and collect initial premiums while maintaining accurate records.
Update existing policies and claims to reflect changes in coverage and beneficiaries.
Prepare detailed reports summarizing audit findings and recommendations.
Assist in the development of internal policies to enhance audit processes.
Experience
0-2 Years
Level
Entry Level
Education
B.S. Accounting
Insurance Claims Auditor Resume
Objective : Accomplished Insurance Claims Auditor with 5 years of experience in claims analysis and compliance verification. Demonstrated expertise in enhancing audit processes, ensuring regulatory compliance, and delivering actionable insights through detailed data analysis. Passionate about driving improvements in operational efficiency and maintaining the highest standards of integrity in the insurance sector.
Conducted thorough audits of insurance claims to ensure compliance with regulatory standards.
Identified discrepancies in claims submissions and recommended corrective actions.
Analyzed call center interactions to enhance service quality and compliance.
Participated in training programs to keep up-to-date with industry regulations and audit practices.
Maintained confidentiality and adhered to ethical standards in all audit processes.
Provided detailed reports on audit findings to management for operational improvements.
Trained new employees on auditing procedures and compliance requirements.
Experience
2-5 Years
Level
Junior
Education
B.S. in BA
Insurance Auditor Resume
Headline : Skilled Insurance Auditor with 7 years of comprehensive experience in compliance, risk assessment, and claims analysis. Expert in conducting thorough audits, ensuring regulatory compliance, and utilizing data-driven insights to enhance operational efficiency. Eager to leverage my analytical proficiency to uphold integrity and drive improvements within the insurance industry.
Conduct comprehensive audits of client accounts across 50+ banks and credit unions, ensuring compliance with regulatory standards.
Communicate with clients and loan officers to verify transfer information, enhancing accuracy in reporting.
Prepare detailed reports and notices, processing payment information and managing forced placed policies for various accounts.
Handle inbound and outbound client communications to explain insurance products and procedures.
Investigate insurance policies to confirm accurate coverage for banks and credit unions, mitigating risk.
Digitize and organize historical records, improving data retrieval efficiency.
Analyze financial performance indicators and suggest actionable improvements to audit processes.
Experience
5-7 Years
Level
Senior
Education
B.S. Accounting
Insurance Compliance Auditor Resume
Summary : With a decade of expertise in insurance compliance auditing, I excel in evaluating regulatory adherence and risk management. My thorough analyses of claims and operational practices ensure optimal compliance and efficiency. I am dedicated to fostering integrity and driving improvements through precise data management and insightful reporting.
Skills : Data Analysis Software, Advanced Excel Skills, Insurance Regulatory Knowledge, Data Integrity Verification, Report Writing, Process Improvement
Description :
Conducted comprehensive audits for multiple insurance firms, focusing on worker's compensation and liability policies.
Traveled to various insured businesses to assess records, including payroll and sales, ensuring accurate premium calculations.
Scheduled and led client meetings to discuss audit findings and recommendations, enhancing client relationships.
Developed detailed summaries of audit results, presenting actionable insights to clients for improved compliance.
Recouped funds for clients by identifying incorrect carrier payments, enhancing financial recoveries.
Maintained up-to-date knowledge of regulatory changes to ensure compliance across all audits.
Collaborated with cross-functional teams to align auditing practices with organizational goals.
Experience
7-10 Years
Level
Management
Education
B.S. Accounting
Insurance Auditor Resume
Summary : Accomplished Insurance Auditor with a decade of experience in comprehensive risk assessment and compliance verification. Expert in conducting in-depth audits, analyzing claims data, and ensuring adherence to regulatory standards. Passionate about driving operational efficiency and enhancing the integrity of insurance processes through meticulous data analysis and reporting.
Calculated and analyzed contracts with insurance companies to ensure compliance with regulations.
Performed detailed reviews of itemized statements and daily accounts for accuracy.
Investigated problem accounts and maintained organized filing systems.
Managed phone communications and prepared expense reports.
Oversaw chemical and product inventory, assisting in payroll tasks.
Verified reported payrolls and sales, assigning them to appropriate classifications.
Utilized auditing software to generate comprehensive audit reports.
Experience
10+ Years
Level
Executive
Education
BBA
Insurance Internal Auditor Resume
Objective : Proficient Insurance Internal Auditor with 5 years of experience in risk assessment and compliance analysis. Adept at conducting thorough audits, ensuring regulatory adherence, and providing actionable insights. Committed to enhancing operational processes and maintaining high standards of integrity through detailed data evaluation and reporting.
Skills : Risk Assessment Coordination, Audit Planning And Execution, Regulatory Compliance Leadership, Team Collaboration
Description :
Conducted comprehensive audits to assess compliance with industry regulations and internal policies.
Analyzed medical documentation to determine coverage eligibility for specific procedures.
Scheduled and coordinated audit appointments with clients to ensure efficient processes.
Reviewed client records to validate insurance policy adherence.
Compiled and presented audit findings in detailed reports for management review.
Gathered audit information through direct communication and data analysis.
Recognized for exceptional performance in a collaborative and innovative environment.
Experience
2-5 Years
Level
Consultant
Education
B.S. Finance
Insurance Auditor Resume
Objective : Proficient Insurance Auditor with 2 years of experience in evaluating compliance and assessing risk within the insurance industry. Skilled at conducting audits, analyzing claims data, and ensuring adherence to regulatory standards. My focus is on delivering actionable insights to enhance operational efficiency and maintain organizational integrity through precise data analysis.
Skills : Reporting Skills, Attention To Detail, Cost-benefit Analysis, Communication Skills, Problem Solving, Time Management
Description :
Coordinated workers' compensation and general liability audit appointments through effective communication with insured clients.
Notified agents and insured parties about audit schedules to ensure transparency.
Performed daily audits of insurance claims to verify compliance with industry standards.
Utilized strong analytical skills to collect, prepare, and organize insurance information for audits.
Managed document control to maintain accurate records throughout the audit process.
Collaborated with cross-functional teams to enhance audit outcomes and stakeholder satisfaction.
Provided detailed reports on audit findings to support decision-making processes.
Experience
0-2 Years
Level
Fresher
Education
B.S. Finance
Insurance Financial Auditor Resume
Headline : Results-oriented Insurance Financial Auditor with 7 years of experience specializing in compliance, risk assessment, and financial analysis. Proven track record in conducting comprehensive audits, ensuring regulatory adherence, and implementing process improvements. Committed to enhancing financial accuracy and operational integrity within the insurance industry through data-driven insights.
Coordinated and executed comprehensive audits for diverse clients, including small and large businesses, ensuring compliance with industry standards.
Conducted detailed analyses of payroll journals and financial reports to identify discrepancies and ensure accuracy.
Applied classification guidelines from NCCI WC Manual Rules and PAAS bulletins to determine actual exposure effectively.
Reviewed medical claims to ascertain primary carrier responsibilities, enhancing claims processing efficiency.
Collaborated with healthcare providers on contracting and credentialing, optimizing service delivery.
Identified and addressed opportunities for process improvement across the department, leading to enhanced operational workflows.
Presented technical audit findings and recommendations to stakeholders, facilitating informed decision-making.
Experience
5-7 Years
Level
Senior
Education
B.S. Accounting
Insurance Auditor Resume
Objective : Accomplished Insurance Auditor with 5 years of expertise in evaluating compliance and conducting risk assessments within the insurance sector. Skilled in analyzing claims data and ensuring adherence to regulatory standards. Proven ability to enhance audit processes and provide actionable insights that improve operational efficiency and safeguard organizational integrity.
Supported the Facility CFO by preparing and submitting detailed reports on analytical findings.
Conducted audits for diverse businesses, including manufacturing and commercial sectors.
Conduct thorough audits of insurance policies for compliance and accuracy.
Reviewed and verified critical data on insurance applications and policies to ensure accuracy.
Completed competencies for the position within the introductory period, demonstrating quick adaptation.
Audited payroll and sales data for compliance with workers' compensation and general liability policies.
Interpreted and enforced regulatory laws and guidelines to ensure adherence and compliance.
Experience
2-5 Years
Level
Junior
Education
B.S. Accounting
Insurance Auditor Resume
Summary : With a decade of specialized experience in insurance auditing, I excel in assessing compliance and risk management. My strong analytical skills enable me to conduct thorough audits and ensure adherence to regulatory standards. I am dedicated to improving operational efficiency and enhancing organizational integrity through precise data evaluation and insightful reporting.
Skills : Project Management, Adaptability, Customer Service, Record Keeping, Data Integrity
Description :
Conducted detailed audits on adjustable commercial accounts to ensure compliance and accuracy.
Reviewed financial documents to identify potential risks and unreported exposures.
Collaborated with management to accurately classify employee roles, ensuring proper coverage under workmen's compensation.
Summarized audit findings in compliance with industry regulations and standards.
Executed physical, phone, and mail audits for local insurance carriers, enhancing service delivery.
Managed full accounting functions, including accounts payable, receivable, payroll, and reconciliations.
Maintained comprehensive human resources files and managed workers' compensation claims effectively.
Creating an account is free and takes five seconds.
You'll get access to the PDF version of this resume template.
Choose an option.
Sign up with Google
Sign up with Facebook
Sign up with Linkedin
This helps us make sure you're human and prevents spammers from abusing our services.
By continuing, you agree to our Privacy Policy and Terms.
Unlock the Power of Over 10,000 Resume Samples.
Take your job search to the next level with our extensive collection of 10,000+ resume samples. Find inspiration for your own resume and gain a competitive edge in your job search.
Get Hired Faster with Resume Assistant.
Make your resume shine with our Resume Assistant. You'll receive a real-time score as you edit, helping you to optimize your skills, experience, and achievements for the role you want.
Get Noticed with Resume Templates that Beat the ATS.
Get past the resume screeners with ease using our optimized templates. Our professional designs are tailored to beat the ATS and help you land your dream job.
