Audit Resources

Orion Audit has specialized in claim audits on employer sponsored employee benefit plans for more than fifteen years. Our mission is to facilitate validation, governance and transparency through claim audits; providing an objective and independent analysis. The results of our approach construct a platform for innovative cost saving solutions, typically uncovering significant savings for our clients. Orion’s auditors have extensive expertise in providing knowledge and experience in uncovering claims leakage, identifying opportunities for plan design efficiencies, independent overall diagnostic of employer benefit plans operations and cost savings.

Our audit resources include:

• Specialists with comprehensive experience in data analysis, data verification, strategic planning, provider investigations and report writing;
• Individuals with many years of insurance industry work experience with a specific focus on medical and dental insurance fraud and abuse;
• Pharmacy professionals with experience in community and specialty pharmacy, specifically addiction treatment, claims adjudication and pharmacy reimbursement models;
• Registered Dental Hygienists (RDH) with extensive clinical experience;
• Certified Fraud Examiner (CFE) with a specialized background in medical claims fraud and abuse; and
• IT specialists with a focus on support and development.