Claims Audit and Controls Specialist

Welcome to the intersection of energy and home services. At NRG, we’re driven by our passion to create a smarter, cleaner and more connected future.

Vivint Smart Home, an NRG owned company, is a leading smart home company in the United States, dedicated to redefining the home experience with intelligent products and services. We find purpose in proactively protecting and keeping our customers connected to home, no matter where they are. Join the Smart Home team to create smarter, safer and more sustainable homes.

Job Summary

The Claims Audit and Controls Analyst – Service Contracts is responsible for evaluating, monitoring, and strengthening internal controls across the service contract claims lifecycle. This role ensures claim accuracy, contractual compliance, regulatory adherence, and operational efficiency within a service contract environment. The analyst autonomously conducts audits of service contract claims, identifies control gaps and financial risk, recommends corrective action and partners with cross-functional teams to implement those actions to reduce claim leakage, prevent improper payments, and improve overall claims quality.

Key Responsibilities

• Conduct routine and ad hoc audits of service contract claims to assess compliance with service contract terms, internal policies, and applicable regulatory requirements.
• Evaluate the effectiveness of controls within the claims process, including adjudication, payment authorization, vendor invoicing, and reimbursement.
• Identify control gaps, process inefficiencies, claim leakage, emerging risks, and potential fraud or abuse within service contract claims.
• Analyze claims, parts, labor, and vendor data to detect trends, recurring errors, pricing discrepancies, and systemic issues impacting claim outcomes.
• Document audit findings and prepare clear, concise reports outlining root causes, financial impact, and recommended corrective actions.
• Present audit results to leadership, and other business stakeholders.
• Collaborate with claims operations, service contract administration, compliance, and finance teams to develop and implement corrective action plans.
• Monitor remediation efforts and validate that corrective actions are implemented effectively and sustained over time.
• Support the development, maintenance, and enhancement of policies, procedures, and control frameworks.
• Stay current on service contract regulations, industry standards, and best practices related to claims processing, contract interpretation, and internal controls.

Required Qualifications

• Bachelor’s degree in Business, Finance, Accounting, Risk Management, or equivalent relevant experience.
• 3+ years of experience in claims auditing, claims operations, internal audit, compliance, or risk management.
• Strong understanding of claims processes, including contract terms, coverage determination, exclusions, and payment controls.
• Demonstrated analytical skills with the ability to interpret large claims data sets and identify trends, anomalies, and risk indicators.
• Excellent written and verbal communication skills.
• Strong attention to detail and ability to manage multiple priorities
• Proficiency in Microsoft Excel and experience with claims/reporting tools.

Preferred Qualifications

• Direct experience with service contracts or similar administered products.
• Knowledge of state service contract regulations, administrator compliance requirements, and consumer protection standards.
• Experience auditing third-party administrators, repair facilities, dealers, or vendor payment processes.
• Familiarity with audit management systems, claims platforms, or data visualization tools.

Key Competencies

• Service contract risk assessment and control evaluation
• Claims audit methodology and contract interpretation
• Data analysis and financial impact assessment
• Process improvement and control design
• Cross-functional collaboration and stakeholder management
• Integrity, objectivity, and confidentiality

NRG Energy is committed to a drug and alcohol-free workplace. To the extent permitted by law and any applicable collective bargaining agreement, employees are subject to periodic random drug testing, and post-accident and reasonable suspicion drug and alcohol testing. EOE AA M/F/Vet/Disability. Level, Title and/or Salary may be adjusted based on the applicant's experience or skills.  

Official description on file with Talent.