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Health Insurance Auditor Jobs (NOW HIRING)

ARMStrong Insurance Services

Phone Auditor

Dallas, TX · Remote

ARMStrong Insurance Services is the leading and most trusted name in the world of debt recovery and ... Benefit package with health, dental, vision, life and disability coverage options * 401(k) ...

Suffolk County Government

Auditor

Hauppauge, NY

$54K - $88K/yr

The exam is "Auditor" Please Proceed As Follows: * Locate at the top right side of the site in the ... Health Insurance: Suffolk offers a comprehensive health insurance plan, including medical, dental ...

State of South Dakota

Legislative Auditor

Brookings, SD · On-site

$63K - $66K/yr

Job ID: 35204 - Legislative Auditor Agency: Department of Legislative Audit Location: Brookings ... Health Insurance ($0 employee-only premium option) * Well-Being Program * Employee Assistance ...

Suffolk County, NY

Auditor

Hauppauge, NY · On-site

$54K - $88K/yr

The exam is "Auditor" Please Proceed As Follows: * Locate at the top right side of the site in the ... Health Insurance: Suffolk offers a comprehensive health insurance plan, including medical, dental ...

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Health Insurance Auditor information

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$17

$26

$45

How much do health insurance auditor jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for health insurance auditor in the United States is $26.24, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $34.38 per hour, depending on experience, location, and employer.

What is a Health Insurance Auditor?

A Health Insurance Auditor is a professional responsible for reviewing and evaluating healthcare claims, billing records, and insurance documents to ensure accuracy, compliance with regulations, and prevention of fraud. They analyze medical records and insurance policies to verify that services billed are medically necessary and properly documented. Their work helps healthcare organizations, insurance companies, and government agencies maintain financial integrity and comply with healthcare laws and standards.

What are some common challenges Health Insurance Auditors face during claim reviews, and how can these be addressed?

Health Insurance Auditors often encounter challenges such as incomplete documentation, discrepancies between provider records and claims, and keeping up with frequently changing regulations. These issues can be addressed by maintaining up-to-date knowledge of industry standards, developing strong attention to detail, and fostering good communication with healthcare providers to clarify information. Additionally, utilizing audit management software and participating in regular training can help auditors stay organized and efficient in their reviews.

What are the key skills and qualifications needed to thrive as a Health Insurance Auditor, and why are they important?

To thrive as a Health Insurance Auditor, you need a solid understanding of healthcare billing, auditing procedures, and regulatory compliance, typically supported by a degree in healthcare administration, accounting, or a related field. Familiarity with claims management systems, electronic health records (EHRs), and certifications like Certified Professional Medical Auditor (CPMA) are common requirements. Attention to detail, analytical thinking, and effective communication are essential soft skills for identifying discrepancies and explaining audit findings. These skills and qualifications ensure accurate claims processing, regulatory compliance, and the prevention of fraud or financial loss for healthcare organizations and insurers.

What is the difference between Health Insurance Auditor vs Claims Examiner?

AspectHealth Insurance AuditorClaims Examiner
CredentialsCertifications like CPC, CPC-H, or CIA often preferredCertifications like CPC or claims-specific training common
Work EnvironmentTypically in offices, performing audits on claims and recordsUsually in claims departments reviewing and processing claims
Industry UsageUsed across insurance companies, government agencies, and consulting firmsPrimarily employed by insurance companies and healthcare providers

Health Insurance Auditors focus on reviewing claims and records for accuracy and compliance, often conducting audits to prevent fraud and ensure proper billing. Claims Examiners process and review individual claims for payment. While both roles involve claims, auditors have a broader scope, including compliance and auditing standards, whereas examiners handle day-to-day claim processing.

More about Health Insurance Auditor jobs
What cities are hiring for Health Insurance Auditor jobs? Cities with the most Health Insurance Auditor job openings:
What states have the most Health Insurance Auditor jobs? States with the most job openings for Health Insurance Auditor jobs include:
What job categories do people searching Health Insurance Auditor jobs look for? The top searched job categories for Health Insurance Auditor jobs are:
Health Insurance Auditor jobs near you
Infographic showing various Health Insurance Auditor job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 93% Full Time, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $54,574 per year, or $26.2 per hour.

Premium Insurance Auditor (Hybrid)

ARMStrong Insurance Services

Saint Paul, MN • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Job description

ARMStrong Insurance Services is the leading and most trusted name in the world of debt recovery and financial solutions. With a track record of excellence and reliability, we have proudly served businesses across various industries for decades, ensuring efficient B2B collections and tailored debt recovery solutions. As the parent company, ARMStrong is proud to own and operate Brown & Joseph, Paragon, SubroIQ, and NEIS each a powerhouse in their own right, providing specialized expertise in debt management and financial services.
NEIS, LLC has been a leader in the insurance audit and loss control prevention industry since 1945 and seeking a Premium Auditor as we continue to grow our team. Premium Auditors examine the financial records of businesses insured by commercial property and casualty insurers to make sure they are following laws and regulations. As a premium auditor, looking for evidence of fraud and checking that insured businesses adhere to these regulations are your primary responsibilities. Your job will be based from home with required daily travel to each audit location. Car travel will be on average of 2-4 days per week within your assigned territory.
Job Responsibilities: 

  • Conduct insurance premium audits for Workers Compensation, General Liability, and Automobile policies by auditing policyholder’s records, and applying manual rules and company standards.
  • Prepare for the audit by identifying the necessary information and type of records needed
  • Prepare schedule to maximize optimal use of time
  • Correspond with insured via phone, email and mail to setup audit appointments.
  • Examine the policyholder’s records, gather data to determine correct classifications for business activities and write an effective description of operations
  • Prepare complete audit document, explain results to insured and communicate the results to the home office
  • Travel to multiple audit locations
  • Hybrid position - work from home and complete remote audits 2-3 days per week 

Job Requirements: 

  • Associate’s Degree or equivalent plus two years’ performing premium audits or equivalent combination of education and experience highly desired 
  • Ability to read, analyze and interpret financial documents
  • General PC knowledge including Microsoft Excel and Word. Knowledge of Visual Audit is a plus.
  • Ability to communicate well with customers and staff.
  • Valid driver’s license and satisfactory driving record
  • Maintain automobile insurance while employed with bodily injury limits equal to or greater than $100,000 per person and $300,000 per accident or $300,000 combined

Compensation and Benefits:

  • Benefit package with health, dental, vision, life and disability coverage options
  • 401(k) retirement plan option with company matching
  • Generous paid time off policy and 7 paid holidays 
  • Salary is $45.00 - $53.00 per billable hour 
  • Weekly pay
  • 401(k) plan with company matching and immediate vesting 

We look forward to you joining the team!

ARMStrong Insurance Services is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical​​​ condition, pregnancy, genetic information, gender, sexual orientation, gender identity or ​expression, veteran status, or any other status protected under federal, state, or local law.

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