The Audit Quality Specialist position at AF Group in Lansing, MI involves conducting production and quality audits within various service center teams to ensure compliance with established procedures. The role requires a mix of analytical skills, knowledge of insurance processes, and the ability to collaborate with management and team members
Job Summary
The role focuses on auditing Service Center teams including Claims Support, Business Development, and Billing to ensure compliance with business rules and statutory regulations.
Candidates will partner with management and union representatives to establish production standards and analyze data trends to recommend process improvements.
The position requires thorough knowledge of the Workers Compensation Act and underwriting rules across multiple states while maintaining high levels of confidentiality.
Matching Summary
Match Score: 75
The Audit Quality Specialist position at AF Group in Lansing, MI involves conducting production and quality audits within various service center teams to ensure compliance with established procedures. The role requires a mix of analytical skills, knowledge of insurance processes, and the ability to collaborate with management and team members.
Skills & Requirements
Must-have
Conduct production and quality audits
Analyze claims billing and policy processes
Knowledge of Workers Compensation Act
Review documents for accuracy
Maintain strict confidentiality
Nice-to-have
Train and mentor team members
Participate in complex projects
Recommend best practice guidelines
Attend training sessions on regulations
Present ideas clearly to stakeholders
Key Requirements
Associate's degree in insurance or business
Two years AF Group experience OR three years insurance industry experience
Thorough knowledge of Workers Compensation classifications