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Forensic Accountant Insurance Claim Preparation Jobs

J.S. Held LLC

Family Law Forensic Accountant

Miami, FL · On-site

$175K - $250K/yr

Prepare and review work product to ensure accuracy. * Provide expert witness testimony and work ... Medical, Dental, and Vision Insurance * 401k Match * Commuter Benefit A reasonable estimate of the ...

Guidehouse

Forensic Accountant Junior

Arlington, VA · Hybrid

$54K - $69K/yr

Forensic Accounting Consulting Travel Required: Up to 10% Clearance Required: Ability to Obtain ... Medical, Rx, Dental & Vision Insurance * Personal and Family Sick Time & Company Paid Holidays

J.S. Held LLC

Family Law Forensic Accountant

Miami, FL · On-site +1

$175K - $250K/yr

Prepare and review work product to ensure accuracy. * Provide expert witness testimony and work ... Medical, Dental, and Vision Insurance * 401k Match * Commuter Benefit A reasonable estimate of the ...

J.S. Held LLC

Family Law Forensic Accountant

Miami, FL · On-site +1

$175K - $250K/yr

Prepare and review work product to ensure accuracy. * Provide expert witness testimony and work ... Medical, Dental, and Vision Insurance * 401k Match * Commuter Benefit A reasonable estimate of the ...

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Forensic Accountant Insurance Claim Preparation information

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$57K

$85.2K

$153K

How much do forensic accountant insurance claim preparation jobs pay per year?

As of Aug 13, 2026, the average yearly pay for forensic accountant insurance claim preparation in the United States is $85,177.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,500.00 and $85,000.00 per year, depending on experience, location, and employer.

What are some common challenges faced by forensic accountants when preparing insurance claims?

Forensic accountants working on insurance claim preparation often encounter challenges such as incomplete or inconsistent financial records, tight deadlines imposed by claim processes, and the need to clearly document and justify all calculations to withstand scrutiny from insurers and legal teams. They must also communicate complex financial findings to stakeholders who may not have accounting backgrounds, making effective reporting skills essential. Collaboration with legal, claims adjusters, and sometimes external auditors is frequent, requiring strong teamwork and adaptability.

What is the difference between Forensic Accountant Insurance Claim Preparation vs Forensic Accountant Litigation Support?

AspectForensic Accountant Insurance Claim PreparationForensic Accountant Litigation Support
CertificationsCPA, CFE, or CIA often preferredCPA, CFE, or CIA often preferred
Work EnvironmentInsurance companies, adjusting firms, or consultingLegal firms, courts, or law firms
Industry UsageInsurance claims, risk assessmentLegal disputes, court cases
Search IntentInsurance claim help, claim valuationLegal case support, expert testimony

While both roles involve financial analysis and certifications like CPA or CFE, Forensic Accountant Insurance Claim Preparation focuses on evaluating insurance claims and supporting insurance companies, whereas Forensic Accountant Litigation Support assists legal teams with financial evidence and expert testimony in court cases.

What does a forensic accountant in insurance claim preparation do?

A Forensic Accountant specializing in Insurance Claim Preparation helps clients prepare, support, and validate insurance claims, particularly those involving large or complex losses such as business interruption, property damage, or employee dishonesty. They analyze financial records, quantify losses, and ensure all documentation meets insurance policy requirements. Their expertise helps ensure accurate claim submissions and can support clients during negotiations with insurance companies or in legal proceedings, if necessary.

What are the key skills and qualifications needed to thrive as a forensic accountant in insurance claim preparation?

To thrive as a Forensic Accountant in Insurance Claim Preparation, you need strong analytical skills, deep accounting knowledge, attention to detail, and a degree in accounting or finance—often complemented by CPA or CFE certifications. Familiarity with forensic accounting software, spreadsheet tools like Excel, and insurance claim management systems is typically required. Exceptional communication, critical thinking, and integrity are crucial soft skills for presenting findings and collaborating with clients or legal teams. These skills ensure accurate claim analysis, fraud detection, and effective resolution of insurance claims.
More about Forensic Accountant Insurance Claim Preparation jobs
What cities are hiring for Forensic Accountant Insurance Claim Preparation jobs? Cities with the most Forensic Accountant Insurance Claim Preparation job openings:
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Forensic Accountant Insurance Claim Preparation jobs near you
Infographic showing various Forensic Accountant Insurance Claim Preparation job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $85,177 per year, or $41 per hour.

Forensic Accountant - Healthcare

Vivo HealthStaff

Little Rock, AR • Remote

$50 - $75/hr

Full-time

Re-posted 20 days ago

Job description

Forensic Accountant - HealthcareWe are seeking an experienced Forensic Accountant to join our Healthcare practice. In this role, you will investigate complex financial matters within healthcare organizations-including hospitals, physician groups, payers, and life sciences companies-and translate your findings into clear, defensible analysis that supports litigation, regulatory inquiries, and dispute resolution.The ideal candidate combines deep healthcare financial expertise with hands-on litigation experience and a working command of modern AI and large language model (LLM) tools used to accelerate document review, data analysis, and reporting. You will work closely with attorneys, expert witnesses, compliance teams, and clients to reconstruct financial events, quantify damages, and uncover irregularities.Key ResponsibilitiesConduct forensic investigations into healthcare billing, coding, reimbursement, revenue cycle, and cost-reporting matters, including potential fraud, waste, and abuse.Analyze large, complex financial and claims datasets to identify anomalies, quantify damages, and reconstruct transactions.Support litigation and dispute matters, including preparing schedules, exhibits, and expert report content, and assisting with deposition and trial preparation.Investigate allegations involving False Claims Act, Stark Law, Anti-Kickback Statute, payer/provider disputes, M&A disputes, and contractual underpayment or overpayment.Apply AI/LLM tools to accelerate document review, summarize evidence, draft work product, and surface patterns across unstructured records-while validating outputs for accuracy and defensibility.Interpret healthcare contracts, fee schedules, and reimbursement methodologies (e.g., DRG, RVU, fee-for-service, capitation, value-based arrangements).Prepare clear written reports and findings suitable for counsel, regulators, and the courts.Collaborate with multidisciplinary teams of attorneys, data analysts, clinicians, and compliance professionals.Maintain meticulous documentation and chain-of-custody standards to ensure findings are evidence-based and admissible.Required QualificationsActive CPA license (in good standing).Demonstrated healthcare industry experience, with working knowledge of healthcare billing, coding, reimbursement, and regulatory frameworks.Litigation experience, including supporting expert reports, damages calculations, depositions, and/or testimony in a forensic or dispute context.Hands-on experience with AI/LLM tools applied to financial analysis, document review, or investigative workflows.Strong analytical skills with the ability to work with large, complex, and unstructured datasets.Excellent written and verbal communication skills, including the ability to explain technical findings to non-technical audiences.High standard of professional integrity, objectivity, and attention to detail.Preferred QualificationsAdditional forensic or fraud credentials (e.g., CFE, CFF, ABV, MAFF).Experience with healthcare-specific data sources and claims systems (e.g., 837/835 EDI, CMS data, EHR/practice management exports).Familiarity with the False Claims Act, Stark Law, Anti-Kickback Statute, and HIPAA.Proficiency with data analytics and visualization tools (e.g., SQL, Python, Power BI, Tableau, Alteryx).Experience prompting, evaluating, and validating LLM outputs for accuracy, bias, and reliability in a professional setting.Prior experience in a public accounting, consulting, or expert-services environment.
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About Vivo HealthStaff

Sourced by ZipRecruiter

Vivo HealthStaff provides permanent recruitment services for both clinical and administrative positions in the healthcare sector. Over the past 2 years, our clients have seen a 98% retention rate with Vivo HealthStaff placements.

Industry

Health care and social assistance

Company size

11 - 50 Employees

Headquarters location

Dublin, CA, US

Year founded

2016

Social media

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