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Claims Quality Auditor Jobs (NOW HIRING)

... claims and monitoring supplier performance. • Effectively interacts with all departments ... auditors, and maintains quality system certification. • Maintains and follows all company ...

Claims Quality Assurance

Irving, TX · On-site

$70K - $116K/yr

The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards. The primary ...

Quality Manager Summary: The Quality Auditor serves as the lead quality authority for their ... Responsible for processing vendor claims and monitoring supplier performance. Effectively interacts ...

NY · On-site

$100 - $125/hr

Report to the Claims Quality Review Director Requirements * Bachelor's Degree or equivalent work ... Working knowledge of claim auditing and assigned line of business * Ability to analyze, interpret ...

New

The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards. The primary ...

Senior Quality Auditor

$23.23 - $39.61/hr

Audits and validates routine pre and post payment claims to determine correct adjudication as well ... Responsible for auditing provider data loaded into the claims processing systems, documenting and ...

Overview The Sr. Auditor, Quality Assurance position is responsible for ensuring that the audited claims meet quality standards necessary to generate high quality recoverable claims for the benefit ...

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Claims Quality Auditor information

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$14

$26

$47

How much do claims quality auditor jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for claims quality 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 quality auditor?

Claims Quality Auditors are professionals who review and assess insurance claims to ensure they are processed accurately, efficiently, and in compliance with company standards and regulatory requirements. They analyze claim files, identify errors or discrepancies, and provide feedback or recommendations to claims adjusters and management. Their work helps maintain high-quality service, reduce fraudulent claims, and improve overall claims processing within insurance organizations.

What skills and qualifications are needed to be a claims quality auditor?

To thrive as a Claims Quality Auditor, you need a solid understanding of insurance claims processes, regulatory compliance, and quality assurance practices, often supported by experience in claims handling or auditing. Familiarity with claims management systems, auditing software, and industry-specific certifications such as Certified Professional Coder (CPC) or Certified Claims Professional (CCP) is typically required. Strong attention to detail, analytical thinking, and effective communication help auditors identify discrepancies and provide actionable feedback. These skills ensure accuracy, reduce risk, and maintain compliance within insurance operations.

What challenges do claims quality auditors face and how can they be managed?

Claims Quality Auditors often encounter challenges such as interpreting complex policy language, staying updated with evolving regulations, and managing large volumes of claims within tight deadlines. To manage these effectively, auditors should regularly participate in training sessions, use standardized auditing tools, and collaborate closely with claims adjusters and supervisors. Maintaining open communication with team members and leveraging technology for data analysis can also help ensure consistent and accurate audit results.

What is the difference between Claims Quality Auditor vs Claims Examiner?

AspectClaims Quality AuditorClaims Examiner
Primary RoleReviews and assesses the accuracy and compliance of claims to improve qualityProcesses and evaluates individual insurance claims for approval or denial
Required CredentialsTypically requires insurance or claims processing certifications, attention to detailOften requires similar certifications, with focus on claim evaluation skills
Work EnvironmentQuality assurance teams, office settings, audits of claims filesClaims departments, customer service environments, direct claim processing

While both roles involve claims, Claims Quality Auditors focus on reviewing and improving claim accuracy and compliance, whereas Claims Examiners handle the initial processing and decision-making on individual claims. Understanding these differences helps in choosing the right career path or job search focus.

More about Claims Quality Auditor jobs
Infographic showing various Claims Quality Auditor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 3% Contract, and 1% Nights. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $55,805 per year, or $26.8 per hour.

Quality Auditor

Amcor plc

Richmond, VA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 hours ago


Job description

Job Description
Job Title: Quality Auditor
Reports To: Quality Manager
Summary: The Quality Auditor serves as the lead quality authority for
their individual plants. Work closely with Quality Coordinator, develops, implements, maintains, and continually improves the facility's quality management
system to ensure compliance with internal, customer, and regulatory
requirements.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may
be assigned.
• Provides supervision of Quality Inspectors/Auditors.
• Provides technical support to plant personnel on various quality functions and
specialized software applications.
• Serves as the facility ISO 9000 Management Representative.
• Communicates quality results to the organization, and as needed to the
customer.
• Establishes and maintains the organization's quality documentation system,
which includes the quality policy, quality objectives, quality manual, quality
procedures, work instructions, quality records, and other supportive quality
documents to ensure compliance with specified requirements.
• Serves as a liaison with the customer regarding quality issues, and works closely
with the customer to continually improve the organization's quality management
system in order to meet or exceed the customer's requirements.
• Manages internal and supplier audit process; establishes scheduling; prepares
checklists; assigns audit teams; conducts audits; issues corrective actions; and
monitors effectiveness of corrective actions.
• Responsible for processing vendor claims and monitoring supplier performance.
• Effectively interacts with all departments, suppliers, and customers in support of
integrated management system processes.
• Serves as a technical resource for problem-solving regarding quality issues and
chromatographic problems, both at the local and sector levels.
• Serves as liaison with external auditors, and maintains quality system
certification.
• Maintains and follows all company policies and procedures for OHSE, personal
protection, and hazard materials/waste handling according to established
guidelines.
• Participates in continuous improvement efforts intended to add value and to
promote customer satisfaction.
• Supports and promotes OHSE objectives and ISO 14000, and OHSAS 18000
requirements.
QUALIFICATIONS
The individual in this position must be able to work flexible hours, including weekends
when needed. To perform this job successfully, an individual must be able to perform
each essential duty satisfactorily. The requirements listed below are representative of
the knowledge, skill, and/or ability required. Reasonable accommodations may be made
to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE
• Bachelor's degree (B.A. or B.S.) from a four-year college or university in chemistry,
engineering, quality, business, or related field.
• 3-5 years of related experience, or an equivalent combination of education and
experience. Experience should include supervision of a work group, management of
quality systems, computer software experience, including database management,
and technical expertise in chromatography and statistical process control; strong oral
and written communication skills, knowledge of ISO Standard requirements, and
experience with Agilent gas chromatographs, chromatographic software and quality
management software systems is desirable.
• C.I. training to include LSS, Green Belt, Quality systems.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by
an employee to successfully perform the essential functions of this job. Reasonable
accommodations may be made to enable individuals with disabilities to perform the
essential functions.
While performing the duties of this job, the employee is regularly required to walk; use
hands to finger, handle, or feel; talk or hear; and taste or smell. The employee frequently
is required to stand, sit, and reach with hands and arms. The employee is occasionally
required to stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or
move up to 10 pounds. Specific vision abilities required by this job include close vision,
distance vision, color vision, peripheral vision, depth perception, and ability to adjust
focus. Must be able to travel both domestic and international.
Our Expectations
We expect our people to be guided by The Amcor Way and demonstrate our Values every day to enable the business to win. We are winning when:
  • Our people are engaged and developing as part of a high-performing Amcor team
  • Our customers grow and prosper from Amcor's quality, service, and innovation
  • Our investors benefit from Amcor's consistent growth and superior returns
  • The environment is better off because of Amcor's leadership and products

Accelerate the possible by joining a winning Amcor team that's transforming the packaging industry and improving lives around the world.
At Amcor, we unpack possibility through our innovative and responsible packaging to provide solutions that benefit our customers, our people and our planet. More than 10,000 consumers worldwide encounter our products every second and rely on us for safe access to food, medicine and other goods. We value their trust by making safety our guiding principle. It's our core value and integral to how we do business.
Beyond this core principle, our shared values and behaviors unite us as we work together to elevate customers, shape lives and protect the future. We champion our customers and help them succeed. We play to win - adapting quickly in an everchanging world - and make smart choices to safeguard our business, our communities and the people we serve for generations to come. And we invest in our world-class team, empowering our colleagues to unpack their potential, because we believe when our people grow, so does our business.
To learn more about playing for Team Amcor, visit www.amcor.com I LinkedIn I Glassdoor I Facebook I YouTube
Equal Opportunity Employer/Minorities/Females/Disabled/Veterans/Sexual Orientation/Gender Identity
Amcor is an Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.
If you would like more information about your EEO rights as an applicant under the law, please click on the "Know Your Rights: Workplace Discrimination is Illegal" Poster. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the employment process, please call 224-313-7000 and let us know the nature of your request and your contact information.
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We verify the identity and employment authorization of individuals hired for employment in the United States.
Benefits
When you join Amcor, you will have access to a comprehensive benefits and compensation package that includes:
  • Medical, dental and vision plans
  • Paid time off, starting at 40 hours per year for full-time hourly employees, may vary by location
  • Company-paid holidays starting at 8 days per year and may vary by location
  • Wellbeing programs & Employee Assistance Program
  • Health Savings Account/Flexible Spending Account
  • Life insurance, AD&D, short-term & long-term disability, and voluntary benefits
  • Paid Parental Leave
  • Retirement Savings Plan with company match
  • Tuition Reimbursement (dependent upon approval)
  • Discretionary bonus program (initial eligibility dependent upon hire date)