Find out the top 10 core skills you need to master as an internal claims auditor and what hard skills you need to know to succeed in this job.
An Internal Claims Auditor is responsible for auditing, approving or rejecting each claim before payments are made. This position is key in examining, monitoring and analyzing of activities related to a company's organizations.
The primary duties of this position includes, determining whether the proposed payments are for a valid or legal reason, ensuring that proper documentation and itemization are provided, and that payment is for legal, delivering legitimate claims against the company are paid accurately, ensuring that the purpose and transactions are properly approved prior to accepting the voucher or invoice for payment, enforcing all the provisions of the law, the commissioner's regulations, board policies and administrative regulations regarding the management are keenly followed.
Core Skills Required to be an Internal Claims Auditor
Core skills describe a set of non-technical abilities, knowledge, and understanding that form the basis for successful participation in the workplace. Core skills enable employees to efficiently and professionally navigate the world of work and interact with others, as well as adapt and think critically to solve problems.
Core skills are often tagged onto job descriptions to find or attract employees with specific essential core values that enable the company to remain competitive, build relationships, and improve productivity.
An internal claims auditor should master the following 10 core skills to fulfill her job properly.
Phone Skills:
Phone Skills are useful to present a professional company image through the telephone to the customers while making them feel well informed and appreciated without necessarily seeing their faces.
An Internal Claims Auditor is required to master and project an enthusiastic natural tone to make both the customers and staff feel comfortable during the conversation while creating room for a productive and friendly exchange.
Interpersonal Skills:
Interpersonal Skills are a set of abilities that enable a person to positively interact and work with others effectively while avoiding office disputes and personal issues with each other.
An Internal Claims Auditor must learn the importance of these skills in the workplace and emphasis on every employee possessing them to build a more cohabit able and productive workplace with the help of each.
Knowledge of Company Processes:
Knowledge of Company Processes is the in-depth understanding of a collection of related, structured activities that serve a particular goal for a group of customers or clients who are valuable to the enterprise.
An Internal Claims Auditor ought to maintain consistency across the daily processed while keeping a keen eye on the overall plan of the organization by ensuring the company processes are performed and followed.
Dealing with Difficult People:
Dealing with Difficult People is learning how to tactfully calm down an obnoxious person who is either verbally attacking you or stealthily criticizing you or your professional contribution.
An Internal Claims Auditor must learn how to combat and tone the demanding customers or staff who are competing for power, privilege or spotlight which defy logic not with fights but with the truth and more listening skills as well as lots of patience.
Supervisory Skills:
Supervisory Skills is the ability to lead and manage people effectively in a difficult and challenging atmosphere in the day to day life.
An Internal Claims Auditor must cultivate, develop and refine management and supervisory skills to strengthen the present as well as build the future of the business by becoming competent in such roles like problem-solving, communication, managing people, time management, leadership, planning, etc.
Leadership Skills:
Leadership Skills are soft skills that assist leaders in positively interacting with employees or team members to make the workplace a great place.
An Internal Claims Auditor must be able to lead effectively by learning how to deal with all types of people in a way that motivates, enthuse and build respect in a bid to understand and develop his leadership skills.
Dependability:
Dependability is the characteristic of being able to be counted on and relied upon by providing services that be trusted within a period.
An Internal Claims Auditor needs to be dependable and hire reliable employees who can be counted on as consistent and beneficial to the business, building their niche as an essential element of the larger team without worrying about bringing less than your efforts.
Potential for Advancement:
The potential for Advancement is the ability to make something better by being more skillful, more efficient, and more useful to produce high-quality results.
An Internal Claims Auditor needs to invest in his employees by creating room for individual advancement that encourages stronger job performance because it positions the employees to demonstrate just how well they can perform their jobs through motivation and feedback that are critical to the employee performance.
Quality Management:
Quality Management is the management approach to the long-term success through customer satisfaction that directly involves the employees in the continual improvement of the daily tasks.
An Internal Claims Auditor should consider the quality management earnestly for the success of the business by improving the processes, products, services, the discipline and the culture in which they work under to warrant the improvement of profitability and productivity.
Scheduling:
Scheduling is creating daily workflow charts that the employees are supposed to follow when working and submitting their projects.
An Internal Claims Auditor must be dedicated to establishing and maintaining the schedule using either manual or technology methods to ensure it is always updated according to the tasks, the employees responsible or the time allocated to each task without fail or delay.
Hard Skills Required to be an Internal Claims Auditor
Hard skills are job-specific skill sets, or expertise, that are teachable and whose presence can be tested through exams. While core skills are more difficult to quantify and less tangible, hard skills are quantifiable and more defined.
Hard skills are usually listed on an applicant's resume to help recruiters know the applicant's qualifications for the applied position. A recruiter, therefore, needs to review the applicant's resume and education to find out if he/she has the knowledge necessary to get the job done.
An internal claims auditor should have a good command of the following hard skills to succeed in her job.