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Drug Claims Auditor Jobs (NOW HIRING)

$70K - $75K/yr

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. Sedgwick is building a diverse ... Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive ...

Manager, Claims

NC ยท Remote

$70K - $94K/yr

Direct claims adjudication, reconciliation, auditing, and reporting activities. * Analyze claims ... All candidates must pass a drug test as a condition of employment. #Innovation #Technology #Careers ...

This individual will be responsible for drug authorizations, managing and working the edit and ... Manages data gathering and chart auditing as necessary for FMOLHS Revenue Cycle, LPG, and Oncology ...

... auditing, or related experience, which includes one (1) year in a team lead, instructional, or ... SWBC is a Substance-Free Workplace and requires pre-employment drug testing. Please note, SWBC does ...

... auditing, or related experience, which includes one (1) year in a team lead, instructional, or ... SWBC is a Substance-Free Workplace and requires pre-employment drug testing. Please note, SWBC does ...

... auditing, or related experience, which includes one (1) year in a team lead, instructional, or ... SWBC is a Substance-Free Workplace and requires pre-employment drug testing. Please note, SWBC does ...

Review claims to validate submitted codes and abstracted data including but not limited to ICD10CM ... Expert level knowledge of disease pathophysiology and drug utilization * Demonstrated proficiency ...

... auditing and/or risk management in a Healthcare setting. LICENSES AND CERTIFICATIONS * None ... Drug-free company. Equality Employment Opportunity/Affirmative Action for People with Disabilities ...

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Drug Claims Auditor information

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How much do drug claims auditor jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for drug 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 are popular job titles related to Drug Claims Auditor jobs?

For Drug Claims Auditor jobs, the most frequently searched job titles are:

Senior Claims Auditor

Hollywood, FL โ€ข On-site

Seminole Tribe of Florida
Public Administrationย โ€ขย 5 - 10K employees

Full-time

Medical

Re-posted 21 days ago


Job description

Position: Senior Claims Auditor
Job Type: Full Time
Department: Health & Human Services
Location: HOLLYWOOD
Posted: 02/23/2026
Job Description
The incumbent in this position is responsible for being the team lead in auditing and reviewing Tribal benefit activities and processing health claims, including analyzing payments, procedures and guidelines of benefits. The individual investigates the validity of claims, reviews and settles benefit claims and processes claims for payment ensuring that Tribal Member's health insurance claims are processed and resolved in a timely manner. The individual provides assistance and guidance to the Health Plan Program Manager, Health Plan team, Health & Human Services Leadership, Tribal Members and other relating employees on health insurance claims. The incumbent maintains accurate case files and issues reports on general claims activity. Bachelor's degree in Health Administration, Accounting, Business Administration, Human Resources Management or related field is required. A minimum of three (5) years of experience working as team lead, supervisor, claims auditor, benefits coordinator or experience processing insurance claims is required with at least two (2) years of experience as a Certified Professional Coder (CPC), is required. An equivalent combination of education/training and experience will be considered. Possession of a valid Florida Driver's License is required. Demonstrate excellent customer service and organizational skills. Demonstrate excellent written and verbal communication skills. Demonstrate proficiency utilizing Microsoft software packages. Ability to work a flexible schedule including evenings, weekends and holidays.
Benefits:
The Seminole Tribe of Florida provides a comprehensive benefits package.
The Seminole Tribe of Florida is a drug free workplace, drug screening is a requirement of employment. We exercise Native American preference.