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Claim Auditor Jobs (NOW HIRING)

Claims Auditor

San Antonio, TX · On-site

$19.55 - $29.75/hr

Minimum of five years experience in insurance, medical or managed care environment including two years of claim processing experience required. Previous auditing and/or Amisys experience preferred.

Claims Auditor will be responsible for auditing claims processed by Claims Examiners ... Must be familiar with facility (UB-04) and professional (CMS-1500) claim billing practices. Must ...

Claims Auditor will be responsible for auditing claims processed by Claims Examiners ... Must be familiar with facility (UB-04) and professional (CMS-1500) claim billing practices. Must ...

Overview This auditing role will focus on Coding & Clinical Chart Validation for our Outpatient and ... Enters claim into Cotiviti system accurately and in accordance with standard procedures. * Meets or ...

$45.67/hr

Overview This auditing role will focus on Coding & Clinical Chart Validation for our Outpatient and ... Enters claim into Cotiviti system accurately and in accordance with standard procedures. * Meets or ...

We are seeking a Claims Auditor to join our team at Independent Living Systems (ILS). ILS, along ... Analyze claim data and documentation to identify errors, inconsistencies, or potential fraud.

AUDITOR

Washington, DC · On-site

$57K/yr

Degree: auditing or a related field such as business administration, finance, public administration ... To claim SAA, submit documentation of one of the following: 1. Class standing -- You must be in the ...

Perform audits of dealer warranty claim submissions through in-depth review of repair order ... Certified Internal Auditor, Certified Fraud Examiner, or PMP Certification Meet Your Recruiter ...

Claims/QC Auditor

Spokane Valley, WA · On-site

$38K - $65K/yr

Opening claims, assigning claim numbers, entering claims data into computer, etc. in a timely manner. * Checking losses to ensure that all supporting documentation is included and auditing claims ...

Bankruptcy Auditor

Tulsa, OK · On-site

$64K/yr

If necessary, appear as a witness to testify as to the validity of a filed claim * Performs related ... Auditing methodology, techniques, and theories * Accounting principles and their application

Staff Auditor

Los Angeles, CA · On-site

$60K - $70K/yr

The Auditor will assist an audit lead in performing royalty compliance procedures of record labels ... claim schedules. * Communicate effectively with managers and auditees. * Conducting fieldwork ...

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Claim Auditor information

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How much do claim auditor jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for claim auditor in the United States is $26.83, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $29.81 per hour, depending on experience, location, and employer.

What are claim auditors?

Claim auditors are professionals who review and evaluate insurance claims to ensure their accuracy, legitimacy, and compliance with company policies and regulations. They analyze documentation, verify billing codes, and check for errors or fraud in submitted claims. The goal of a claim auditor is to minimize financial losses for insurers and ensure that policyholders and providers receive fair and proper payments. Claim auditors may work for insurance companies, third-party administrators, or healthcare organizations. Their work helps maintain the integrity of the claims process and supports efficient operations.

What is the difference between Claim Auditor vs Claims Processor?

AspectClaim AuditorClaims Processor
Required CredentialsTypically requires a certification in claims auditing or insuranceOften requires basic insurance or claims processing training
Work EnvironmentOffice setting, reviewing claims for accuracy and complianceOffice or call center, entering and processing claims data
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, healthcare providers

Claim Auditors focus on reviewing and verifying claims for accuracy and compliance, often requiring specialized certifications. Claims Processors handle the entry and initial processing of claims, typically with less emphasis on auditing skills. Both roles are essential in the insurance industry but differ in responsibilities and required credentials.

What are the key skills and qualifications needed to thrive as a Claim Auditor, and why are they important?

To thrive as a Claim Auditor, you need a strong understanding of insurance policies, claim processing procedures, and attention to detail, typically supported by a degree in business, finance, or a related field. Familiarity with claims management systems, auditing software, and sometimes certifications like Certified Professional Medical Auditor (CPMA) are commonly required. Analytical thinking, integrity, and effective communication are crucial soft skills for investigating claims and collaborating with stakeholders. These skills ensure accurate claim evaluation, fraud prevention, and compliance with regulatory standards.

What are some common challenges faced by Claim Auditors and how can they be addressed?

Claim Auditors often encounter challenges such as reviewing large volumes of complex claim files, interpreting varying policy guidelines, and ensuring compliance with both internal and external regulations. Staying organized and detail-oriented is crucial, as is keeping up-to-date with changes in policies or industry regulations. Effective communication with claims adjusters and other departments helps resolve discrepancies quickly and ensures accurate claim processing. Joining regular training sessions and leveraging audit software tools can also help streamline workflows and reduce errors.
More about Claim Auditor jobs
What cities are hiring for Claim Auditor jobs? Cities with the most Claim Auditor job openings:
What states have the most Claim Auditor jobs? States with the most job openings for Claim Auditor jobs include:
Infographic showing various Claim Auditor job openings in the United States as of May 2026, with employment types broken down into 89% Full Time, and 11% Part Time. Highlights an 87% Physical, 6% Hybrid, and 7% Remote job distribution, with an average salary of $55,805 per year, or $26.8 per hour.
Claims Auditor

Claims Auditor

University Health

San Antonio, TX • On-site

$19.55 - $29.75/hr

Full-time

Posted 24 days ago


University Of Nevada (Reno) rating

8.4

Company rating: 8.4 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

74th of 534 rated colleges and universities


Job description

POSITION SUMMARY/RESPONSIBILITIES
Responsible for development and maintenance of claims auditing program for all lines of business to improve claims processing standards and to monitor the quality of service delivered to our customers. Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid programs and knowledge of CFHP claims payment processing system, Amisys.
EDUCATION/EXPERIENCE
High school diploma or equivalency is required. Minimum of five years experience in insurance, medical or managed care environment including two years of claim processing experience required. Previous auditing and/or Amisys experience preferred.

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