Insurance Auditor

Insurance Auditor Resume Keywords and Skills (Hard Skills)

Here are the keywords and skills that appear most frequently on recent Insurance Auditor job postings. In other words, these are the most sought after skills by recruiters and hiring managers. Go to Sample Templates ↓ below to see how to include them on your resume.

Remember that every job is different. Instead of including all keywords on your resume, identify those that are most relevant to the job you're applying to. Use the free Targeted Resume tool to help with this.

Choose a category
  • Medical Coding
  • Medical Billing
  • Electronic Medical Record (EMR)
  • Medical Records
  • Healthcare Management
  • U.S. Health Insurance Portability and Accountability Act (HIPAA)
  • Healthcare
  • Medicaid
  • Medicare
  • Medical Terminology
  • Auditing
  • Hospitals
  • Managed Care
  • Healthcare Information Technology (HIT)
  • Health Insurance
  • Insurance
  • Medicine
  • Accounting
  • Customer Service
  •   Show full list

Resume Skills: Auditing Tools & Software

  • TeamMate Audit Management
  • ACL Analytics
  • IDEA
  • Python (for data analysis)
  • GAAP
  • IFRS
  • SAP
  • Monarch
  • ACL
  • CaseWare

Resume Skills: Healthcare Claims

  • Claims Auditing
  • Claims Processing
  • Claims Resolution
  • Payment Adjustments
  • Compliance Monitoring
  • Medicare & Medicaid Regulations

Resume Skills: Software

  • ICD-10
  • HCPCS Level II
  • CPT
  • MS Office Suite (Advanced Excel, Word, PowerPoint)

Resume Skills: Database & Analytics

  • SAS
  • SQL
  • Tableau
  • Data Interpretation & Analysis

Resume Skills: Techniques

  • Risk Management
  • Quality Assurance
  • Process Improvement
  • Healthcare Fraud Detection
  • Medical Terminology
  • Medical Coding

Resume Skills: Healthcare Regulations

  • ACA
  • Medicaid
  • Medicare

Resume Skills: Risk Management Frameworks

  • COSO
  • ISO 31000
  • NIST

Resume Skills: Software Proficiency

  • MS Office
  • SQL
  • Excel
  • Access
  • Visio

Resume Skills: Insurance Expertise

  • Medical Insurance Policies
  • Group Insurance
  • Commercial Insurance
  • Health Insurance
  • Liability Coverage
  • Risk Assessment

Resume Skills: Technical

  • MS Office Suite
  • Oracle
  • SQL
  • QuickBooks
  • Crystal Reports
  • Adobe Acrobat

Resume Skills: Languages

  • English
  • Spanish
  Does your resume contain all the right skills? Paste in your resume in the AI Resume Scan ↓ section below and get an instant score.

Sample Insurance Auditor Resume: How To Include These Skills

Add keywords directly into your resume's work experiences, education or Skills section, like we've shown in the examples below. Use the examples below as inspiration.

Choose a template
Your Name
Insurance Auditor
City, Country  •  (123) 456-789  •  [email protected]  •
Blue Cross Blue Shield May 2018 - Present
Senior Insurance Auditor
Navigated complex regulations and conducted audits for compliance with HIPAA and U.S Health Insurance Portability requirements, securing 100% compliance scores
Identified discrepancies in medical billing and coding practices leading to recovery of over $500K in overcharged costs annually
Leveraged Medical Records and Electronic Medical Record (EMR) systems to flag errors, enhancing audit accuracy by 78%
Initiated Audit best practices training for junior staff, improving team efficiency by 30%
Managed full cycle of audit operations for over 100 Managed Care programs, reducing discrepancies by 15% annually
United Health Group March 2015 - April 2018
Insurance Auditor
Analyzed and verified medical terminologies and coding in medical records, promptly resolving over 1200 cases of incorrect data
Promoted accuracy in Medicare and Medicaid billing, saving the company $700K in erroneous billings
Implemented efficient accounting methods in audit procedures, boosting audit speed by 45%
Provided Healthcare Information Technology (HIT) solutions that reduced audit resolution time by 21%
Resume Worded January 2012 - February 2015
Audit Associate
Monitored medical insurance procedure compliance, reducing infractions by 32%
Advised on HIPAA regulations, contributing to improved data security
Maintained company's health insurance portfolio, mitigating risk exposure by 22%
Resume Worded Institute April 2018
Certification in Auditing and Insurance Laws
Part-time certification program completed while working at United Health Group
Resume Worded University December 2011
Master of Business Administration - Finance
Specialization in Insurance Risk Management
Auditing Standards & Tools: GAAP, IFRS, SAP, IDEA, Monarch, ACL, CaseWare
Insurance Expertise: Medical Insurance Policies, Group Insurance, Commercial Insurance, Health Insurance, Liability Coverage, Risk Assessment
Technical Skills: MS Office Suite, Oracle, SQL, QuickBooks, Crystal Reports, Adobe Acrobat
Languages: English (Native), Spanish (Conversational)
Certifications: CIA - Certified Internal Auditor (2018), CPCU – Chartered Property Casualty Underwriter (2016)
Leadership & Volunteering: Mentor - Resume Worded Young Professionals Network, Volunteer Income Tax Assistant (VITA) Program
Professional Achievements: Recipient, ‘Insurance Auditor of the Year’ award at United Health Group (2017)
Professional Affiliations: Member, The Institute of Internal Auditors (IIA), Member, American Academy of Insurance Auditing (AAIA)
Your Name
Medical Claims Auditor
City, Country  •  (123) 456-789  •  [email protected]  •
Resume Worded June 2017 - Present
Senior Medical Claims Auditor
Evaluated 200+ medical claims daily using audit software, reducing claim error rate by 25%
Saved the firm $1.5M annually by identifying and rectifying incorrectly calculated Medicare and Medicaid claims
Utilized advanced Healthcare Management systems to track audits, increasing audit speed by 31%
Led training programs on the latest health insurance regulations for department staff, enhancing knowledge base
Successfully managed quarterly audits of Managed Care services, achieving 100% compliance January 2014 - May 2017
Medical Claims Auditor
Conducted regular audits of medical coding and billing, recovering overcharged costs of $500k annually
Implemented new audit procedures leveraging healthcare IT solutions that increased process efficiency by 28%
Advised on U.S. Health Insurance Portability and Accountability regulations to enhance data security and privacy
United Healthcare March 2010 - December 2013
Claims Associate
Managed a portfolio of 1500 health insurance claims ensuring prompt and accurate closure
Assisted in internal audits, identifying irregularities in 300+ claims saving the company $200K
Played a key role in improving accuracy of utilizing medical terminologies in claims processing by 35%
Resume Worded University May 2014
Master's in Healthcare Administration
Specialization in Health Informatics
Resume Worded Academic Center June 2010
Certified Professional Coder (CPC)
Successfully passed certification while working full-time at United Healthcare
Healthcare Claims: Claims Auditing, Claims Processing, Claims Resolution, Payment Adjustments, Compliance Monitoring, Medicare & Medicaid Regulations
Software: ICD-10, HCPCS Level II, CPT, MS Office Suite (Advanced Excel, Word, PowerPoint)
Database & Analytics: SAS, SQL, Tableau, Data Interpretation & Analysis
Techniques: Risk Management, Quality Assurance, Process Improvement, Healthcare Fraud Detection, Medical Terminology, Medical Coding
Awards: Resume Worded Excellence in Performance Award (2020), Top Performer Award (2016)
Professional Development: Regular attendance at healthcare industry workshops and seminars
Volunteering: Volunteers at local health camps, offering free medical billing consultation
Memberships: Active member of American Academy of Professional Coders (AAPC), and Healthcare Financial Management Association (HFMA)
Your Name
Internal Healthcare Auditor
City, Country  •  (123) 456-789  •  [email protected]  •
EXPERIENCE January 2019 - Present
Internal Healthcare Auditor
Implemented robust audit strategies, improving recovery of overpaid health insurance claims by 50%
Conducted end-to-end audit of medical billing saving organization $250K in the first quarter
Led a dedicated audit team ensuring adherence to HIPAA regulations, increasing data security by 65%
Devised a comprehensive training manual on efficient use of Healthcare Information Technology (HIT) to boost audit accuracy
Leveraged EMR systems for audits, increasing efficiency by 38% annually
Blue Cross Blue Shield June 2015 - December 2018
Compliance and Audit Officer
Developed and executed audit plans for Medicaid and Medicare claims, reducing discrepancies by 22%
Enhanced customer service by resolving 400+ claim disputes annually
Facilitated 100% compliance to U.S. Health Insurance Portability and Accountability Act by conducting regular staff training sessions
United Health Group August 2013 - May 2015
Audit Intern
Assisted in auditing medical records and medical claims thereby increasing efficiency by 15%
Collaborated with the internal audit team, preventing healthcare fraud totaling $900K
Played an instrumental role in scanning and archiving 10,000+ medical records electronically in line with HIPAA guidelines
Resume Worded University May 2013
Master of Healthcare Administration (MHA)
Specialized in Healthcare Knowledge Management
Resume Worded Academic Center October 2012
Certified Professional in Healthcare Internal Auditing (CPHIA)
Certification course completed part-time
Healthcare Regulations: HIPAA, ACA, MACRA, HITECH, Medicaid, Medicare
Auditing Tools & Software: TeamMate Audit Management, ACL Analytics, IDEA, Python (for data analysis)
Risk Management Frameworks: COSO, ISO 31000, COBIT, NIST
Software Proficiency: MS Office, SQL, Excel, Access, Visio
Certifications: Certified Healthcare Financial Professional (CHFP) - 2014
Volunteering & Leadership: American Association of Healthcare Internal Auditors (Member since 2013, Board Member since 2016), Healthcare Financial Management Association (Member since 2014)
Training: Advanced Healthcare Compliance Workshop - 2019
Publications: Published research on 'Optimizing Healthcare Compliance' in the Journal of Healthcare Administration - 2017

Compare Your Resume To These Insurance Auditor Skills (ATS Scan)

Paste your resume below and our AI will identify which keywords are missing from your resume from the list above (and what you need to include). Including the right keywords will help you get past Applicant Tracking Systems (i.e. resume screeners) which may scan your resume for keywords to see if you're a match for the job.

How do I add skills to an Insurance Auditor resume?

Review the job posting closely.

Go through the Insurance Auditor posting you're applying to, and identify hard skills the company is looking for. For example, skills like Healthcare Management, Medical Billing and Medicaid are possible skills. These are skills you should try to include on your resume.

Add industry skills like U.S. Health Insurance Portability and Accountability Act (HIPAA) and Healthcare.

Add other common skills from your industry - such as Medical Coding, Electronic Medical Record (EMR) and Medical Records - into your resume if they're relevant.

Add skills into your work experience.

Incorporate skills - like Auditing, Insurance and Hospitals - into your work experience too. This shows hiring managers that you have practical experience with these tools, techniques and skills.

Emphasize your accounting skills.

As the job title suggests, accounting is a pretty common skill for Insurance Auditor roles. Use the infographic for examples of how to show accounting experience.

Use the exact job title.

Try to add the exact job title, Insurance Auditor, somewhere into your resume to get past resume screeners. See the infographic for how to do this.

Word Cloud for Insurance Auditor Skills & Keywords

The following word cloud highlights the most popular keywords that appear on Insurance Auditor job descriptions. The bigger the word, the more frequently it shows up on employer's job postings. If you have experience with these keywords, include them on your resume.

Top Insurance Auditor Skills and Keywords to Include On Your Resume

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Insurance Auditor Resume Templates

Here are examples of proven resumes in related jobs and industries, approved by experienced hiring managers. Use them as inspiration when you're writing your own resume. You can even download and edit the resume template in Google Docs.

Resume Example
Life Insurance Agent

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Health Insurance Agent

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Senior Internal Auditor

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Life Insurance Agent

Resume Example

Resume Example
Highlights (Free)

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Frequently Asked Questions

What are the top skills you should add to your Insurance Auditor resume?

Some effective Insurance Auditor skills you can add to your resume include:

  • Medical Coding
  • Medical Billing
  • Electronic Medical Record (EMR)
  • Medical Records
  • Healthcare Management
  • U.S. Health Insurance Portability and Accountability Act (HIPAA)
  • Healthcare
  • Medicaid

Target your Resume to a Job Description

While the keywords above are a good indication of what skills you need on your resume, you should try to find additional keywords that are specific to the job. To do this, use the free Targeted Resume tool. It analyzes the job you are applying to and finds the most important keywords you need on your resume.

It is personalized to your resume, and is the best way to ensure your resume will pass the automated resume filters.

Start targeting your resume

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