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Insurance Claims Auditor Jobs (NOW HIRING)

Independent Living Systems

Claims Auditor

Miami, FL · On-site

We are seeking a Claims Auditor to join our team at Independent Living Systems (ILS). ILS, along ... Strong knowledge of health care claims processes, insurance billing, and regulatory requirements ...

University Health

Claims Auditor

San Antonio, TX · On-site

$19.55 - $29.75/hr

POSITION SUMMARY/RESPONSIBILITIES Responsible for development and maintenance of claims auditing ... Minimum of five years experience in insurance, medical or managed care environment including two ...

Health Source MSO

Claims Auditor

Alhambra, CA

Claims Auditor will be responsible for auditing claims processed by Claims Examiners ... Medical Insurance Dental Insurance Vision Insurance Life Insurance 401K Matching Paid Time Off

Relation Insurance

Claims Auditor - TPA

Tulsa, OK · On-site

WHAT WE'RE LOOKING FOR The Claims Auditor ensures claims are processed in accordance with ... Relation Insurance Inc. provides equal employment opportunities to all employees and applicants for ...

mycenters

Claims Auditor

Staten Island, NY

Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims ... Experience in health insurance product environment. Specific Technical Skills Required: Proficiency ...

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How much do insurance claims auditor jobs pay per hour?

As of Jun 18, 2026, the average hourly pay for insurance 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 the key skills and qualifications needed to thrive as an Insurance Claims Auditor, and why are they important?

To thrive as an Insurance Claims Auditor, you need a strong background in insurance policies, claims processes, and auditing principles, often supported by a degree in finance, accounting, or a related field. Familiarity with claims management software, auditing tools, and industry certifications like CPCU or AIC is commonly required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for evaluating claims accuracy and collaborating with stakeholders. These skills ensure accurate claims processing, regulatory compliance, and help reduce financial risk for the organization.

What does an Insurance Claims Auditor do?

An Insurance Claims Auditor reviews and evaluates insurance claims to ensure they are processed accurately and comply with company policies and industry regulations. They verify the validity of claims, check for errors or fraudulent activity, and assess whether the correct procedures were followed. By analyzing documentation and audit trails, they help insurance companies minimize risk and improve operational efficiency. Their work supports fair claim settlements and helps maintain trust between insurers and policyholders.

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

AspectInsurance Claims AuditorInsurance Claims Processor
Primary RoleReview and verify insurance claims for accuracy and complianceInput and process insurance claims for payment
Required SkillsAttention to detail, knowledge of insurance policies, auditing skillsData entry, customer service, basic insurance knowledge
Work EnvironmentOffice setting, often in insurance or healthcare companiesOffice or remote, handling claims processing tasks
CertificationsMay require insurance or auditing certificationsLess likely to require specialized certifications

Insurance Claims Auditors focus on reviewing and verifying claims for accuracy, ensuring compliance with policies, while Insurance Claims Processors handle the initial data entry and processing of claims. Both roles are essential in the insurance industry but differ in responsibilities and skill requirements.

What are some of the key challenges an Insurance Claims Auditor may face in their daily work?

Insurance Claims Auditors often encounter challenges such as identifying subtle discrepancies in large volumes of claims, ensuring compliance with complex regulatory standards, and keeping up with frequent changes in industry practices. They must balance efficiency with accuracy while reviewing claim files, and may need to communicate findings diplomatically with claims adjusters and management. Additionally, auditors may face tight deadlines, making strong organizational and time management skills essential for success in this role.
More about Insurance Claims Auditor jobs
What states have the most Insurance Claims Auditor jobs? States with the most job openings for Insurance Claims Auditor jobs include:
Insurance Claims Auditor jobs near you
Infographic showing various Insurance Claims Auditor job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 74% Full Time, 19% Part Time, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $55,805 per year, or $26.8 per hour.
Claims Auditor

Claims Auditor

Seminole Tribe of Florida

Hollywood, FL • On-site

Full-time

Medical

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Position: 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 auditing and reviewing employee's benefits 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 STOF employees and Tribal Member's health insurance claims are processed and resolved in a timely manner. The individual provides guidance to Tribal Members and 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 (3) years of experience working as claims auditor, benefits coordinator or experience processing insurance claims is required; or 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.

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