Senior Claims Auditor

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No.: OC-63932 Name: Senior Claims Auditor
Type: Civil Service Exams Deadline: 08/01/19 05:00PM
Exam Date: 09/28/19 08:30AM Price: $15.00
Salary: $50,000 - $90,000 (Rochester City School District)

Description of Duties

This is a claims auditing position responsible for supervising the claims audit function of a school district or other agency. Duties involve coordinating, planning, and performing claims audits including the analysis of payments, procedures and guidelines of benefits. Duties also involve interpreting detailed paid claims reports, eligibility reports, payment reports,and other various reports and records to determine the eligible types of services while maintaining quality, quantity, and turn-time standards. Ensures provisions of the New York State Education Law, School Board policies and administrativeregulations pertaining to the management areas of responsibility are enforced. This position differs from Claims Auditor
by virtue of supervising staff, evaluating department audit and workflow processes, identify process improvements, implementing process changes, ensuring a timely workflow of claims audits, and dealing with management regarding all claims audits performed. The employee reports directly to, and works under the general supervision of the Board of
Education or other higher-level staff member. General supervision is exercised over Claims Auditors.

Minimum Qualifications

Graduation from high school or possession of an equivalency diploma PLUS graduation from a regionally accredited or New York State registered college or university with a Bachelor’s degree in Accounting, Finance or Organizational Management plus two (2) years paid full-time or its part-time equivalent* experience in accounting or claims auditing.

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