ZipRecruiter

Log In

1

Insurance Claims Auditor Jobs (NOW HIRING)

Relationinsurance

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 ...

UHS

Claims Auditor/Trainer

Reno, NV

... insurance offering, a physician network and various related services located all over the U.S ... are claims processing, auditing, or training. · High school diploma or equivalent required;

Risk Strategies

Claims Auditor Sr

$51K - $75K/yr

The SeniorStop Loss Claims Auditor conducts detailed audits of high-complexity claims files to ... CPCU, AIC, or other insurance certifications a plus. * 4 - 6 years of claims or audit experience.

UHS

Claims Auditor/Trainer

Reno, NV · On-site

$26.65 - $38/hr

... insurance offering, a physician network and various related services located all over the U.S ... are claims processing, auditing, or training. • High school diploma or equivalent required;

Chubb

Claims/QC Auditor

Spokane Valley, WA

$38K - $65K/yr

Answer questions from adjusters, agents, field staff, and insures about claim status and procedures ... claims auditing experience or a baccalaureate degree.

next page

Showing results 1-20

People also search for

All JobsInsurance Claims Auditor Jobs

Insurance Claims Auditor information

See salary details

$14

$26

$47

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 - TPA

Relationinsurance

Tulsa, OK • On-site

Full-time

Medical, Retirement, PTO

Posted 28 days ago

Job description

WHAT WE'RE LOOKING FOR

The Claims Auditor ensures claims are processed in accordance with contractual, regulatory, and internal performance requirements. The individual in this role supports quality assurance efforts by auditing claims processing activity, documenting findings, and contributing to the continuous improvement of operational standards and compliance.

A GLIMPSE INTO YOUR DAY

  • Performs operational and quality audits of claims processing activity to ensure accuracy, compliance, and adherence to contractual, regulatory, and internal guidelines.
  • Reviews claims files, documentation, and processing workflows to confirm established procedures and standards are being followed.
  • Documents audit results and prepares timely, accurate audit reports, findings, and supporting records.
  • Tracks audit outcomes and identifies trends, recurring issues, or opportunities for improvement.
  • Communicates audit findings to appropriate stakeholders and supports followup actions as directed.
  • Actively participates in the development, review, and refinement of operational policies, procedures, and quality standards.
  • Supports internal performance and compliance initiatives by providing data, insights, and documentation as needed.
  • Facilitates collaboration and feedback across functional teams to promote consistent claims processing practices.
  • Facilitates meetings related to audits, quality initiatives, or process improvements, as needed.
  • Effectively utilizes available technology and tools, including emerging and AIenabled solutions, to support efficient workflows, accuracy, and a positive client service experience.
  • Special projects and other duties as assigned.

WHAT SUCCESS LOOKS LIKE IN THIS ROLE

  • High school diploma or equivalent.
  • Minimum 2 years of experience in claims processing and auditing.
  • Demonstrated ability to review claims activity for accuracy, consistency, and compliance with established rules and guidelines.
  • Strong attention to detail and analytical skills.
  • Effective verbal and written communication skills.
  • Ability to document findings clearly and maintain accurate records.
  • Proficiencyin Microsoft Word and Excel; ability to learn new systems and software applications.
  • Ability to manage multiple priorities and meet deadlines in a structured environment.
  • Commitment to confidentiality and appropriate handling of sensitive information.
  • Consistently demonstrates professionalism, tact, and discretion.

WHY CHOOSE RELATION?

  • Competitive pay.
  • A safe and healthy work environment provided by our robust benefit program including family health and wellness programs, 401K, employee assistance programs, paid time off, paid holidays and more.
  • Career advancement and development opportunities.

.

Note: The above is not all encompassing of the full position description.

Relation Insurance Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Relation, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is presented within this posting.

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

.

$15.00 - $25.00

Apply