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Insurance Auditor Jobs in Remote, OR (NOW HIRING)

Flex Merchandiser

Bandon, OR · On-site

$15.30/hr

Activities vary each day and include auditing products, counting inventory, setting new fixtures ... Vision Insurance * Prescription Drug Discounts * Rain Instant Pay * Employee discounts * 401K ...

Activities vary each day and include auditing products, counting inventory, setting new fixtures ... Vision Insurance * Prescription Drug Discounts * Rain Instant Pay * Employee discounts * 401K ...

Activities vary each day and include auditing products, counting inventory, setting new fixtures ... Vision Insurance * Prescription Drug Discounts * Rain Instant Pay * Employee discounts * 401K ...

Quality Manager

Sutherlin, OR · On-site

$115K - $130K/yr

This position is responsible for directing Quality Analysts and quality auditors in support of ... life insurance, accidental death and dismemberment (AD&D)*, adoption financial reimbursement ...

This position is responsible for directing Quality Analysts and quality auditors in support of ... life insurance, accidental death and dismemberment (AD&D)*, adoption financial reimbursement ...

Pharmacy Biller

Coos Bay, OR

$17.25 - $22.25/hr

This role reviews claims, resolves denials, and supports patients with billing and insurance ... Maintains accurate and complete billing documentation and records for auditing and reporting ...

This position is responsible for directing Quality Analysts and quality auditors in support of ... life insurance, accidental death and dismemberment (AD&D)*, adoption financial reimbursement ...

Insurance Auditor information

See Remote, OR salary details

$17

$26

$45

How much do insurance auditor jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for insurance auditor in Remote, OR is $26.21, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $34.33 per hour, depending on experience, location, and employer.

How to become an insurance auditor?

The qualifications you need to become an insurance auditor include a bachelor’s degree in accounting, statistics, or a related field. It is a long career path that requires years of experience before certification. A strong background in economics, mathematics, and finance is part of the necessary qualifications for this job. You need accreditation from the Society of Actuaries and the Casualty Actuarial Society, depending on the type of insurance with which you work. Both organizations offer associate and fellow pathways for these credentials. Your advancement potential rests with their completion. Analytical skills and attention to detail are vital for ensuring accurate reporting.

What are the key skills and qualifications needed to thrive as an insurance auditor, and why are they important?

To thrive as an Insurance Auditor, a strong background in accounting, auditing principles, and insurance industry regulations—often supported by a bachelor’s degree in finance, accounting, or a related field—is essential. Familiarity with audit management software, Excel, and sometimes certifications such as CPA or CISA are typically required. Excellent analytical thinking, attention to detail, and clear communication help auditors effectively review records and interact with clients. These skills are crucial for ensuring compliance, identifying discrepancies, and maintaining the integrity of insurance processes.

What are some common challenges faced by insurance auditors during field audits, and how can they be managed?

Insurance Auditors often encounter challenges such as incomplete documentation, discrepancies in records, or clients who are unfamiliar with audit processes. To manage these, auditors should maintain clear communication with clients before and during the audit, outlining required materials and expectations. Staying organized, adapting to varying record-keeping practices, and using checklists or audit software can also help ensure accuracy and efficiency. Building rapport and demonstrating professionalism can make the process smoother for both auditors and clients.

What is the difference between Insurance Auditor vs Insurance Claims Adjuster?

AspectInsurance AuditorInsurance Claims Adjuster
CredentialsTypically requires a CPA, CPCU, or similar certificationsOften requires state licensing and adjuster certifications
Work EnvironmentPrimarily office-based, reviewing financial records and policiesField and office-based, investigating and settling claims
Industry UsageUsed mainly by insurance companies for compliance and financial accuracyUsed by insurance companies and public adjusters to evaluate claims

Insurance Auditors focus on reviewing insurance company financials and compliance, while Insurance Claims Adjusters evaluate individual claims to determine coverage and settlement. Both roles require specific certifications and work within the insurance industry, but their daily tasks and work environments differ significantly.

What does an insurance auditor do?

An insurance auditor reviews insurance policies, claims, and financial records to ensure accuracy and compliance with regulations. They analyze data, verify policy details, and assess risk to help insurance companies prevent fraud and maintain proper underwriting standards. Auditors often use specialized software and require attention to detail and knowledge of insurance laws.

What cities near Remote, OR are hiring for Insurance Auditor jobs?

Cities near Remote, OR with the most Insurance Auditor job openings:

Infographic showing various Insurance Auditor job openings in Remote, OR as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 18% Part Time, and 6% Contract. Highlights an 75% Physical, 1% Hybrid, and 24% Remote job distribution, with an average salary of $54,520 per year, or $26.2 per hour.

Bluespine-Payment Accuracy and Concept Lead (AI-Driven)

Team8

OR • On-site, Remote

Full-time

Re-posted 2 days ago


Job description

Description
Bluespine is an innovative new startup in the health-IT domain. By employing cutting-edge technologies, Bluespine is developing an engine that detects errors in medical billing, which causes billions of dollars in losses across the entire industry. Bluespine can offer personalized precision by tailoring assessments to each unique medical claim, considering the relevant provider, payer, and plan, and ensuring unparalleled accuracy.
We are looking for a Payment Accuracy and Concept Lead to discover medical billing errors and fraudulent billing patterns of medical claims for commercial payers.
Utilized Bluespine platform to develop and enhance new audit concepts using healthcare. Leads concept creation across multiple audit verticals, collaborating with R&D for testing
Responsibilities
  • Leverages the Bluespine platform to develop and refine new audit concepts in healthcare. Leads concept creation across multiple audit verticals.
  • Works closely with Medical Coders, Data Sciences, and Engineering teams to ensure alignment and drive impactful results
  • Lead in-depth research of new ideas and concepts

Requirements
  • Extensive knowledge of medical terminology, medical records, health information management, medical coding, DRG methodologies, CPT/HCPCS coding guidelines, physician specialty guidelines, reimbursement programs, claims adjudication processes, member contract benefits, and provider billing systems and practices.
  • Previous auditing or consulting experience in a provider or payer environment is preferred

Advantages
  • Registered Nurse required; Bachelor's or Graduate degree
  • Previous auditing or consulting experience with self-insured companies