Audit claims for accuracy according to audit policies, procedures, and guidelines while encouraging team and individual contributions toward the company's quality initiatives and improvement efforts.
Participate in team efforts to develop or update department standards and provide feedback on department's performance in reaching service and performance level goals.
Remain continuously current on changes and/or additions to all other applicable departments' policies, procedures, and guidelines.
Thoroughly investigate problems and identify and report inconsistencies or ambiguities in manuals, policies, and guidelines.
Compile performance statistics and identify potential trends.
Generate reports.
Participate in testing implemented system changes.

Two years of experience as a Claim processor or an equivalent combination of education and job-related experience, depending on current business needs.
Ability to understand and apply mathematical concepts.
Demonstrated proficient PC skills and familiarity with corporate software, such as Word, Excel, and Outlook.
Knowledge of claims coding, and applicable systems including Facets, eVIPS, and Radar.
Audit experience desirable.
Ability to organize and prioritize work.
Must be detail-oriented and self-motivated.
Must be able to communicate effectively both orally and in writing.
Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired.

Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
Annual employer contribution to a health savings account.
Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
Award-winning wellness programs that reward you for participation.
Employee Assistance Fund for those in need.
Commute and parking benefits.

Performance Integrity Analyst I

Key skills