Remote Benefit Audit Agent

Job Description

***Remote Benefit Audit Agent Needed***

***Next training class starts November 29, 2021***

***Pay Rate: $21.50 Hourly***

Please email me at the email listed below:

Rene Email: [email protected]

Qualifications

1st Shift start times between 8:00 AM
– 5:00 PM

Job Title: Benefit Audit Agent

Rate: $21.50/hour

Job Summary

The Benefit Audit Agent is responsible for reviewing unemployment insurance claims against wages earned to determine if benefits were appropriately collected.

Using critical thinking skills, the Agent will analyze all information, notes, and documentation against State and Federal policy and determine what additional information is needed to validate appropriate claim payments.

They will then perform outreach to employers to obtain the necessary information, notate that in the claim file, and forward detailed notes as required to resolve the issue.

The position requires using time management to work a caseload effectively and in order of priority set by leadership, critical thinking skills to identify the needs on each unique claim, and communication skills ensuring that information gathered is clearly notated in the claim.

Job Duties

Benefit Audit Agents will perform job duties such as:

* Analyzing claim information to identify discrepancies or missing information

* Assessing the information against requirements based on UI Code, Policies, and Procedures

* Sending employers standard forms to obtain additional information or clear up a discrepancy

* Working closely with subject matter experts to gain further understanding of how to address outstanding issues or identify when a claim needs to be escalated

* Reviewing and resolving complex issues referred by other front-line staff

* Reviewing wage and income information, benefits payments, and cross-matching to determine if payments were made appropriately

* Notating all actions taken on a claim clearly and thoroughly

* Demonstrating the ability to make logical decisions

* Demonstrating the ability to manage a workload in a way that meets timeliness requirements

* All other duties as assigned by management to support claim processing

Note: This position will work full-time, Remote, Monday through Friday 8am to 5pm Pacific Time.

Experience & Qualifications

* 3-5 years’ experience in claim or case audits

* Proficient technical writing skills to support detailed case notes

* Critical thinking & time management skills

* Strong computer skills to facilitate the navigation of multiple systems

Please email me at the email listed below:

Rene Email: [email protected]

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