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Claims Auditor Jobs (NOW HIRING)

DMC Insurance, Inc.

Claims Auditor

Indianapolis, IN · On-site

We are seeking an experienced, highly motivated insurance professional to join our claims team. The Claim Auditor is responsible for auditing internal and external claim files for excess reporting ...

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 ...

mycenters

Claims Auditor

Staten Island, NY

Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims. Collaborates with other Health plan departments and Management to ensure claims are processed in accordance ...

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 ...

UHS

Claims Auditor/Trainer

Reno, NV

The Healthcare Claims Auditor/Trainer is responsible for ensuring the accuracy, compliance, and quality of claims processing across all lines of business. This role performs detailed audits, develops ...

Cardinal Health

$33/hr

Summary The Durable Medical Equipment Supplies Claims Auditor plays a key role in supporting Cardinal Health's Ethics and Compliance program by helping ensure claims-related processes are accurate ...

UHS

Claims Auditor/Trainer

Reno, NV · On-site

$26.65 - $38/hr

The Healthcare Claims Auditor/Trainer is responsible for ensuring the accuracy, compliance, and quality of claims processing across all lines of business. This role performs detailed audits, develops ...

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How much do claims auditor jobs pay per hour?

As of Aug 14, 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 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 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 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.

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.
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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 91% Full Time, 7% 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

DMC Insurance, Inc.

Indianapolis, IN • On-site

Other

Re-posted 19 days ago

Job description

We are seeking an experienced, highly motivated insurance professional to join our claims team. The Claim Auditor is responsible for auditing internal and external claim files for excess reporting compliance, reserving adequacy, quality assurance, adequate resolution plan. This is a position requiring tactful business relationships. The ideal candidate will add to and bolster DMC’s unique culture – a workplace built on enthusiasm, entrepreneurship, integrity, communication, proactive problem solving, and a genuine passion for helping our customers and agents.


RESPONSIBILITIES


  • Conduct audits on internal and external claim files/handling
  • Assess adequacy of reserves
  • Provide reports, analysis and recommendations
  • Effectively communicate results to management, the insured, and TPA
  • Work with internal customers on data governance
  • Make recommendations on claim best practices and loss mitigation



REQUIREMENTS

  • Minimum of 3 years of multi-state commercial auto liability experience
  • Claim auditing experience required
  • College degree is preferred
  • Excellent written and verbal communication skills
  • Some travel may be required
  • Strong working knowledge of the Microsoft Office suite of programs and an aptitude to learn new programs
  • Will abide by departmental policies and procedures, including authority levels, and to comply with DMC risk management controls


Apply