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Claims Auditor Jobs (NOW HIRING)

Consociate Health

Claims Auditor

IL · On-site +1

$23 - $24/hr

The Claims Auditor position reports to the Chief Administrative Officer. This position audits claims processed by our claims department daily and is responsible to ensure accuracy and compliance.

Consociate Health

Claims Auditor

IL

$23 - $24/hr

The Claims Auditor position reports to the Chief Administrative Officer. This position audits claims processed by our claims department daily and is responsible to ensure accuracy and compliance.

Elevance Health

Claims Auditor Lead

Indianapolis, IN · Hybrid

Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work ...

Elevance Health

Claims Auditor Lead

Atlanta, GA · Hybrid

Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work ...

Stellantis

Supplier Claims Auditor

Auburn Hills, MI · On-site

The Supplier Claims Auditor is responsible for performing independent audits of supplier cancellation claims to ensure that only contractually obligated and substantiated costs are paid, driving ...

Elevance Health

Claims Auditor Lead

Wilmington, DE · Hybrid

Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work ...

Elevance Health

Claims Auditor Lead

Miami, FL · Hybrid

Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work ...

Elevance Health

Claims Auditor Lead

Midland, GA · Hybrid

Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work ...

Government of the Virgin Islands

$42K/yr

Ability to calculate payments of claims accurately. Ability to assist in analyzing reports and ... All work related to expenditures of monies is assigned to auditor. The employee is responsible to ...

Stellantis

Supplier Claims Auditor

Auburn Hills, MI · On-site

The Supplier Claims Auditor is responsible for performing independent audits of supplier cancellation claims to ensure that only contractually obligated and substantiated costs are paid, driving ...

Elevance Health

Claims Auditor Lead

Lake Mary, FL · Hybrid

Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work ...

Elevance Health

Claims Auditor Lead

Tampa, FL · Hybrid

Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work ...

Elevance Health

Claims Auditor Lead

Nashville, TN · Hybrid

Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work ...

Elevance Health

Claims Auditor Lead

Louisville, KY · Hybrid

Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work ...

Elevance Health

Claims Auditor Lead

Grand Prairie, TX · Hybrid

Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work ...

Elevance Health

Claims Auditor Lead

Lake Mary, FL · Hybrid

Claims Auditor Lead Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support ...

Stellantis

Supplier Claims Auditor

Auburn Hills, MI · On-site

The Supplier Claims Auditor is responsible for performing independent audits of supplier cancellation claims to ensure that only contractually obligated and substantiated costs are paid, driving ...

Elevance Health

Claims Auditor Lead

Columbus, GA · Hybrid

Claims Auditor Lead Claims Auditor Lead Hybrid 1: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support ...

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All JobsFinance and Insurance JobsInsurance JobsInsurance Claims Specialist JobsClaims Auditor Jobs

Claims Auditor information

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$47

How much do claims auditor jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for claims 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 is a claims auditor?

Claims Auditors are professionals responsible for reviewing and evaluating insurance claims to ensure accuracy, compliance with regulations, and adherence to company policies. They analyze claim files, verify documentation, and identify any discrepancies or potential fraud. Claims Auditors play a crucial role in minimizing errors, preventing financial losses, and maintaining the integrity of the claims process within insurance companies or healthcare organizations.

What does a claims auditor do?

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.

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

To thrive as a Claims Auditor, you need a strong understanding of insurance claims processes, compliance regulations, and attention to detail, typically supported by a degree in finance, business, or a related field. Familiarity with claims management systems, auditing software, and industry certifications like Certified Professional Medical Auditor (CPMA) can be highly beneficial. Analytical thinking, effective communication, and problem-solving skills help Claims Auditors identify discrepancies and collaborate across departments. These abilities are essential for ensuring accurate claims processing, minimizing errors, and maintaining organizational compliance.

What are some common challenges faced by claims auditors, and how can they be managed effectively?

Claims Auditors often encounter challenges such as tight deadlines, large volumes of complex claims, and the need to stay updated on frequently changing regulations. Managing these challenges effectively requires strong organizational skills, attention to detail, and proactive communication with team members and other departments. Utilizing advanced auditing software and participating in ongoing training can also help Claims Auditors maintain accuracy and efficiency in their reviews.

What is the difference between Claims Auditor vs Claims Processor?

AspectClaims AuditorClaims Processor
Required credentialsHigh school diploma or equivalent; some roles may require certifications in insurance or auditingHigh school diploma or equivalent; on-the-job training often provided
Work environmentOffice setting, reviewing claims for accuracy and complianceOffice setting, entering and processing insurance claims
Employer and industry usageInsurance companies, third-party administrators, healthcare providersInsurance 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.

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Claims Auditor jobs near you
Infographic showing various Claims Auditor job openings in the United States as of August 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $55,805 per year, or $26.8 per hour.

Claims Auditor

Consociate Health

IL • On-site, Remote

$23 - $24/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Job description


Consociate Health, a leading Third-Party Administrator, offers an opportunity to grow and develop your career in an environment that provides a fulfilling workplace for employees, and creates continuous learning and embraces the ideas and diversity of others.
As part of our Mission to make Healthcare more accessible and affordable for our clients through innovation solutions and expert consultation, we value the inherent qualities that are foremost in our Mission, Vision, Values- Compassion, Humility and Impact, which allow us all to create authentic relationships with our team and our clients.
Position Summary:
The Claims Auditor position reports to the Chief Administrative Officer. This position audits claims processed by our claims department daily and is responsible to ensure accuracy and compliance.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
  • Audits claims for coding accuracy, benefit payment, contract interpretations, and compliance with policies and procedures.
  • Selects claims through random processes and/or other criteria.
  • Makes recommendations to improve quality, workflow processes, policies and procedures.
  • Prepare monthly reports of processor accuracy.
  • Perform other duties as assigned.

GENERAL EXPECTATIONS:
  • Present a positive image of Consociate Health at all times.
  • Provide and promote the delivery of services with a prevailing attitude of respect and recognition of the personal worth and dignity of every individual whether they are a customer, co-worker, producer or supervisor.
  • Communicate in a clear and concise manner, while also demonstrating receptivity through active listening.
  • Identify and perform work that has not been specifically assigned, as needed.
  • Adheres to established safety standards and utilizes proper techniques to avoid work-related injuries.
  • Continuously seek opportunities for improvement and suggest ways in which procedures/systems may be modified to accomplish tasks/goal efficiently and effectively.
  • Demonstrate a teamwork philosophy by working cooperatively with others inside and outside the Administration Division.
  • Attend required in-service and staff meetings.
  • Preserve the confidentiality of all business-sensitive information, including but not limited to that of insured groups and individuals, and employees.

SERVICE EXPECTATIONS:
  • Greet all people in a prompt and courteous manner. Communicate in a warm and courteous manner, making eye contact and speaking in a tone of voice that matches words.
  • Provide assistance whether the request falls within your specific job duties.
  • Respond to internal and external requests in a timely manner, returning calls and emails promptly.
  • Makes decisions based on departmental needs.
  • Seek opportunities, provide value-added services, and eliminate tasks that do not serve our company.
  • Remain aware of products and services provided by Consociate Health.
  • Project a positive, professional image when working.

Benefits:
  • Paid time off
  • Paid Holidays
  • Medical, Dental and Vision Insurance
  • Basic Group Life, Short Term and Long Term Disability
  • Voluntary Life, Critical Illness and Accident Coverage
  • 401K Plan: Employees are immediately eligible with a 2% automatic enrollment. Consociate matches up to 4% of an employees' annual salary.

Experience and Skills
KNOWLEDGE, SKILLS AND ABILITY REQUIREMENTS:
  • High School Education Required.
  • Experience in Healthcare Claims Processing preferred.
  • Auditing experience a plus.

PHYSICAL AND MENTAL ABILITIES:
  • Ability to perform sedentary work for extended periods of time.
  • Ability to utilize personal computer (manual dexterity is required to operate a keyboard), telephone system, and communicate with a variety of customers.
  • The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects during the same period, and adapt to interruptions.

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