Overview

Responsibilities

• Assist the MSA QC Supervisor in completing PIP and WC compliance checklist reviews
• Gather exhibits required, identify items needing sign off from other departments outside of MSA, and assist with compiling regulations for sign off
• Establish audit parameters/thresholds, gather and compile data for closed claim and process audits for all identified MSA business units as specified by Department Supervisor
• Prepare target audit samples using SAS EG, Excel, and/or other tools
• Collect and report audit findings
• Consolidate data into report for supervisor review
• Identify trends or patterns
• Perform pre- and post-payment audits on WC and PIP medical payment in accordance with established procedures. Accurately maintain and document audit findings. Identify trends or patterns in errors for supervisor
• Perform ad hoc tasks assigned by the Supervisor and/or MSA Management

Requirements

• High School diploma or GED required, bachelor's degree preferred
• 2 years proficient experience in using Microsoft, Excel and PowerPoint required
• Knowledge of the following systems a plus: Decision Point, Agile Point, Claim Center and Onbase
• Team player with demonstrated ability to work in a highly collaborative environment
• Good analytical, organizational and time-management skills
• Decision-making and multi-tasking capabilities
• Strong verbal and written communication skills