Durham, NC · On-site
$18 - $23/hr
The ideal candidate should have an interest and or educational background in the fields of claims, auditing, accounting and/or finance. Description/Role: Performs administrative role for Finance and ...
Durham, NC · On-site
$18 - $23/hr
The ideal candidate should have an interest and or educational background in the fields of claims, auditing, accounting and/or finance. Description/Role: Performs administrative role for Finance and ...
The ideal candidate should have an interest and or educational background in the fields of claims, auditing, accounting and/or finance. Description/Role: Performs administrative role for Finance and ...
The ideal candidate should have an interest and or educational background in the fields of claims, auditing, accounting and/or finance. Description/Role: Performs administrative role for Finance and ...
Chapel Hill, NC · On-site
$89K - $142K/yr
Experience supporting Special Investigations Unit (SIU), Fraud, Waste & Abuse (FWA), Payment Integrity, claims auditing, or provider payment review functions. * Knowledge of healthcare claims ...
Chapel Hill, NC · On-site
$89K - $142K/yr
Experience supporting Special Investigations Unit (SIU), Fraud, Waste & Abuse (FWA), Payment Integrity, claims auditing, or provider payment review functions. * Knowledge of healthcare claims ...
Durham, NC · On-site
$89K - $142K/yr
Experience supporting Special Investigations Unit (SIU), Fraud, Waste & Abuse (FWA), Payment Integrity, claims auditing, or provider payment review functions. * Knowledge of healthcare claims ...
Durham, NC · On-site
$89K - $142K/yr
Experience supporting Special Investigations Unit (SIU), Fraud, Waste & Abuse (FWA), Payment Integrity, claims auditing, or provider payment review functions. * Knowledge of healthcare claims ...
$89K - $142K/yr
Experience supporting Special Investigations Unit (SIU), Fraud, Waste & Abuse (FWA), Payment Integrity, claims auditing, or provider payment review functions. * Knowledge of healthcare claims ...
$89K - $142K/yr
Experience supporting Special Investigations Unit (SIU), Fraud, Waste & Abuse (FWA), Payment Integrity, claims auditing, or provider payment review functions. * Knowledge of healthcare claims ...
Whether reviewing insurance claims, auditing administrative processes, or managing financial records, you understand that small details matter. * A Proactive Problem Solver: You don't wait for issues ...
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Whether reviewing insurance claims, auditing administrative processes, or managing financial records, you understand that small details matter. * A Proactive Problem Solver: You don't wait for issues ...
Raleigh, NC · On-site
$95 - $130/hr
Hard Skills * accounting principles * financial controls * auditing practices * billing * revenue control * budget formulation * claims processing * cash collections * accounts receivable * Days ...
Raleigh, NC · On-site
$95 - $130/hr
Hard Skills * accounting principles * financial controls * auditing practices * billing * revenue control * budget formulation * claims processing * cash collections * accounts receivable * Days ...
Chapel Hill, NC · On-site
... claims; verifying essential documentation including insurance cards, insurance explanations of payment, provider narratives, and insurance consent; and regularly auditing patient records for accuracy ...
Chapel Hill, NC · On-site
... claims; verifying essential documentation including insurance cards, insurance explanations of payment, provider narratives, and insurance consent; and regularly auditing patient records for accuracy ...
... claims; scanning of such documentation in the electronic patient record as insurance cards, insurance explanation of payment, provider narratives and insurance consent and regularly auditing patient ...
... claims; scanning of such documentation in the electronic patient record as insurance cards, insurance explanation of payment, provider narratives and insurance consent and regularly auditing patient ...
Chapel Hill, NC · On-site
... claims; scanning of such documentation in the electronic patient record as insurance cards, insurance explanation of payment, provider narratives and insurance consent and regularly auditing patient ...
Chapel Hill, NC · On-site
... claims; scanning of such documentation in the electronic patient record as insurance cards, insurance explanation of payment, provider narratives and insurance consent and regularly auditing patient ...
... claims; scanning of such documentation in the electronic patient record as insurance cards, insurance explanation of payment, provider narratives and insurance consent and regularly auditing patient ...
... claims; scanning of such documentation in the electronic patient record as insurance cards, insurance explanation of payment, provider narratives and insurance consent and regularly auditing patient ...
Chapel Hill, NC · On-site
... claims; scanning of such documentation in the electronic patient record as insurance cards, insurance explanation of payment, provider narratives and insurance consent and regularly auditing patient ...
Chapel Hill, NC · On-site
... claims; scanning of such documentation in the electronic patient record as insurance cards, insurance explanation of payment, provider narratives and insurance consent and regularly auditing patient ...
Raleigh, NC · On-site
$45K - $60K/yr
Facilitates audits by providing records and documentation to auditors or running system audits such ... Coordinate workers' compensation claims with insurance company. Follow up on claims. * Lead safety ...
Raleigh, NC · On-site
$45K - $60K/yr
Facilitates audits by providing records and documentation to auditors or running system audits such ... Coordinate workers' compensation claims with insurance company. Follow up on claims. * Lead safety ...
Durham, NC · On-site
$89K - $115K/yr
Demonstratedeep knowledge of the monthly HEDIS data load lifecycle, including claims, enrollment ... Support HEDIS audits byvalidatingsource data, responding to auditor requests, documenting data ...
Durham, NC · On-site
$89K - $115K/yr
Demonstratedeep knowledge of the monthly HEDIS data load lifecycle, including claims, enrollment ... Support HEDIS audits byvalidatingsource data, responding to auditor requests, documenting data ...
... Claims Act, FDA promotional requirements, PhRMA Code, etc.). * Experience supporting compliance monitoring, auditing, policy administration, or operational compliance programs. * Experience with ...
... Claims Act, FDA promotional requirements, PhRMA Code, etc.). * Experience supporting compliance monitoring, auditing, policy administration, or operational compliance programs. * Experience with ...
Raleigh, NC · On-site
... Claims Act, FDA promotional requirements, PhRMA Code, etc.). * Experience supporting compliance monitoring, auditing, policy administration, or operational compliance programs. * Experience with ...
Raleigh, NC · On-site
... Claims Act, FDA promotional requirements, PhRMA Code, etc.). * Experience supporting compliance monitoring, auditing, policy administration, or operational compliance programs. * Experience with ...
Raleigh, NC · On-site
Participates in loss control programs: employee injuries, health claims, equipment damage, material ... Maintains all necessary records and files for reporting and auditing purposes. * Handles safety ...
Raleigh, NC · On-site
Participates in loss control programs: employee injuries, health claims, equipment damage, material ... Maintains all necessary records and files for reporting and auditing purposes. * Handles safety ...
Raleigh, NC · On-site
Participates in loss control programs: employee injuries, health claims, equipment damage, material ... Maintains all necessary records and files for reporting and auditing purposes. * Handles safety ...
Raleigh, NC · On-site
Participates in loss control programs: employee injuries, health claims, equipment damage, material ... Maintains all necessary records and files for reporting and auditing purposes. * Handles safety ...
Raleigh, NC · On-site
$80K - $109K/yr
... auditing, conducting investigations, managing, and proposing solutions to mitigate losses as well ... Partner with AAP's Risk and Claims staff to address specific along with current and long - term ...
Raleigh, NC · On-site
$80K - $109K/yr
... auditing, conducting investigations, managing, and proposing solutions to mitigate losses as well ... Partner with AAP's Risk and Claims staff to address specific along with current and long - term ...
$80K - $109K/yr
... auditing, conducting investigations, managing, and proposing solutions to mitigate losses as well ... Partner with AAP's Risk and Claims staff to address specific along with current and long - term ...
$80K - $109K/yr
... auditing, conducting investigations, managing, and proposing solutions to mitigate losses as well ... Partner with AAP's Risk and Claims staff to address specific along with current and long - term ...
$14.02 - $16.97
13% of jobs
$18.93 is the 25th percentile. Wages below this are outliers.
$16.97 - $19.93
18% of jobs
$19.93 - $22.88
15% of jobs
The median wage is $23.37 / hr.
$22.88 - $25.83
23% of jobs
$27.25 is the 75th percentile. Wages above this are outliers.
$25.83 - $28.78
13% of jobs
$28.78 - $31.74
5% of jobs
$31.74 - $34.69
1% of jobs
$34.69 - $37.64
3% of jobs
$37.64 - $40.60
5% of jobs
$40.60 - $43.55
1% of jobs
$43.55 - $46.50
2% of jobs
$14
$26
$46
As a claims auditor, your job is to review, process, and audit all claims, charges, and demands made of your company. Claims auditors usually handle requests for insurance benefits, but you can also work in schools or other industries that have frequent exposure to potential litigation. To accomplish your job, you review proposed claims, gather information, talk to witnesses, examine existing procedures, and otherwise try to determine the validity of an application. You may be asked to determine whether or not purchase orders are in line with policies, resolve problems with duplicate charges, and ensure the proper allocation of goods and services.
| Aspect | Claims Auditor | Claims Processor |
|---|---|---|
| Required credentials | High school diploma or equivalent; some roles may require certifications in insurance or auditing | High school diploma or equivalent; on-the-job training often provided |
| Work environment | Office setting, reviewing claims for accuracy and compliance | Office setting, entering and processing insurance claims |
| Employer and industry usage | Insurance companies, third-party administrators, healthcare providers | Insurance companies, healthcare providers, claims processing centers |
Claims Auditors focus on reviewing and verifying the accuracy of claims, ensuring compliance with policies and regulations. Claims Processors handle the initial entry and processing of claims, often working under supervision. While both roles are essential in the claims cycle, Claims Auditors have a more analytical and compliance-oriented role, whereas Claims Processors focus on data entry and claim submission.
For Claims Auditor jobs in Raleigh, NC, the most frequently searched job titles are:
The top searched job categories for Claims Auditor jobs in Raleigh, NC are:
Cities near Raleigh, NC with the most Claims Auditor job openings:
Durham, NC • On-site
$18 - $23/hr
Full-time
Medical, Dental
Re-posted 23 days ago
