Senior Accident & Health Claims Auditor

AXIS Capital; Princeton (NJ); Hybrid; USD 95,000 - 130,000; Full time

Benefits offered by this job

Medical plans

Health and wellness programs

Tuition reimbursement

Paid vacation

Job summary

AXIS Capital in Princeton, NJ is seeking an experienced Senior Claims Specialist to provide expertise in managing various claims within the Accident and Health division. Responsibilities include auditing TPAs, overseeing guidelines for specialty claims, and leading special projects. Candidates should have a background in Accident & Health claims, strong analytical skills, and be proficient with Microsoft Office.

The role offers a competitive salary range of $95,000–$130,000 and a comprehensive benefits package, including health plans and retirement plans.

Qualifications

• Prior special Accident & Health insurance claim management experience.
• Prior experience auditing and reviewing TPAs.
• Knowledge of ERISA and state claim handling requirements.

Responsibilities

• Conduct annual and desk auditing of TPAs.
• Assist in due diligence audit of potential TPAs.
• Monitor oversight procedures for TPAs.

Skills

Accident & Health insurance claim management

Auditing TPAs

Data analysis

Excellent communication skills

Education

Bachelor’s degree or equivalent industry experience

Tools

Microsoft Office Suite

Job description

AXIS Capital in Princeton, NJ is seeking an experienced Senior Claims Specialist to provide expertise in managing various claims within the Accident and Health division. Responsibilities include auditing TPAs, overseeing guidelines for specialty claims, and leading special projects. Candidates should have a background in Accident & Health claims, strong analytical skills, and be proficient with Microsoft Office.

The role offers a competitive salary range of $95,000–$130,000 and a comprehensive benefits package, including health plans and retirement plans.