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Insurance Claims Inspector Jobs in Baton Rouge, LA

Quick Roofing LLC

Roofing Sales Consultant

Gonzales, LA · On-site

$100K - $250K/yr

... performing inspections, and navigating them through the claims process with the support of a ... the insurance claim process · Prepare and present estimates and proposals · Close sales and ...

Quick Roofing LLC

Roofing Sales Consultant

Gonzales, LA

$100K - $250K/yr

... performing inspections, and navigating them through the claims process with the support of a ... and the insurance claim process Prepare and present estimates and proposals Close sales and ...

Quick Roofing

Roofing Sales Consultant

Gonzales, LA · On-site

$100K - $250K/yr

... performing inspections, and navigating them through the claims process with the support of a ... insurance claim process • Prepare and present estimates and proposals • Close sales and ...

The Lemoine Company

Project Manager

Baton Rouge, LA · On-site

Coordinate with subcontractors, equipment suppliers, vendors, inspectors, and testing agencies ... Identify, process, and negotiate change orders and potential claims. * Maintain accurate cost logs ...

whartonsmith

Project Manager

Baton Rouge, LA

Support the permitting, testing and inspection requirements of the project. * Familiar with owner ... Manage execution of contracts, bonds, insurance certificates, contract compliance, and warranties.

whartonsmith

Project Manager

Baton Rouge, LA · On-site

Support the permitting, testing and inspection requirements of the project. * Familiar with owner ... Manage execution of contracts, bonds, insurance certificates, contract compliance, and warranties.

Wharton-Smith

Project Manager

Baton Rouge, LA · On-site

Support the permitting, testing and inspection requirements of the project. * Familiar with owner ... Manage execution of contracts, bonds, insurance certificates, contract compliance, and warranties.

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Showing results 1-20

All JobsInsurance Claims Inspector JobsInsurance Claims Inspector Jobs in Baton Rouge, LA

Insurance Claims Inspector information

See Baton Rouge, LA salary details

$31.4K

$48.4K

$72.2K

How much do insurance claims inspector jobs pay per year?

As of Jul 17, 2026, the average yearly pay for insurance claims inspector in Baton Rouge, LA is $48,353.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,400.00 and $51,400.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Insurance Claims Inspector, and why are they important?

To thrive as an Insurance Claims Inspector, you need strong analytical skills, attention to detail, and a background in insurance or a related field—often supported by relevant certifications or coursework. Familiarity with claims management software, digital inspection tools, and industry regulations is typically required. Excellent communication, negotiation, and investigative abilities help inspectors gather accurate information and resolve disputes effectively. These skills are essential for ensuring fair claim assessments, minimizing fraud, and maintaining trust between insurers and clients.

What are some common challenges faced by Insurance Claims Inspectors during on-site assessments?

Insurance Claims Inspectors often encounter challenges such as accurately assessing damage in unpredictable environments, dealing with uncooperative policyholders, and balancing a high volume of claims, especially after major events like storms. Inspectors must also ensure their reports are thorough and objective, which requires strong attention to detail and effective communication with both clients and colleagues. Adapting to new technologies for claim documentation and staying current with industry regulations are also ongoing aspects of the role.

What does an Insurance Claims Inspector do?

An Insurance Claims Inspector is responsible for investigating insurance claims to determine the extent of an insurance company's liability. They review documentation, inspect property or vehicles, interview claimants and witnesses, and assess damage or loss. Their goal is to ensure that claims are valid and to help prevent fraud, while making fair and accurate assessments for payouts. They often work for insurance companies but may also be independent adjusters.

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

AspectInsurance Claims InspectorInsurance Adjuster
Required CredentialsHigh school diploma or equivalent; certifications like CPCU or AIC beneficialHigh school diploma; often requires adjuster licenses and certifications
Work EnvironmentField inspections at claim sites, offices, or homesOffice-based with site visits; may travel extensively
Employer & Industry UsageInsurance companies, third-party inspection firmsInsurance companies, independent adjusting firms
Common Search & ComparisonInsurance Claims Inspector vs Insurance Adjuster

Insurance Claims Inspectors primarily evaluate damage through on-site inspections, focusing on verifying claims. Insurance Adjusters handle a broader scope, including assessing damages, negotiating settlements, and managing claims processes. Both roles require similar certifications and often work in the same industry, but their responsibilities and work environments differ slightly.

What are popular job titles related to Insurance Claims Inspector jobs in Baton Rouge, LA? For Insurance Claims Inspector jobs in Baton Rouge, LA, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Inspector jobs in Baton Rouge, LA look for? The top searched job categories for Insurance Claims Inspector jobs in Baton Rouge, LA are:
What cities near Baton Rouge, LA are hiring for Insurance Claims Inspector jobs? Cities near Baton Rouge, LA with the most Insurance Claims Inspector job openings:
Insurance Claims Inspector jobs near you
Infographic showing various Insurance Claims Inspector job openings in Baton Rouge, LA as of July 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $48,353 per year, or $23.2 per hour.
Program Integrity SURS Clinician

Program Integrity SURS Clinician

The University of New Orleans

Baton Rouge, LA • On-site

$52K - $69K/yr

Full-time

Posted 5 days ago

Job description

Thank you for your interest in LSU New Orleans.
Once you start the application process, you will not be able to save your work, so you should collect all required information before you begin. The required information is listed below in the job posting.
You must complete all required portions of the application and attach the required documents in order to be considered for employment.
Department
Compliance Operations
Job Summary
Job Description
  • Develop a case based on a complaint and/or data profile while identifying the initial billing problem(s) related to medical and non-medical care programs.
  • Research and analyze all reports and other evidence obtained to determine if aberrant billing has occurred. Apply medical expertise to determine the requests of pertinent records based on review of the sample.
  • Collaborate with a variety of medical consultants relative to questionable billing practices related to medical necessity of services. Work with applicable program management staff, contract staff and other staff from agencies involved in case reviews and investigations.
  • Research and discern pertinent information from Medicaid provider manuals, medical coding and diagnosis publications, Medicaid publications/rules/regulations and other medical resources.
  • Analyze claims and encounter data using a robust computer profiling system to isolate and identify aberrancies and outliers. Produce spreadsheets and other documents to support analyses and findings from the investigations and reviews.
  • Conduct on-site inspections and assessments of provider facilities and procure medical records, equipment lists, employee records, etc. deemed necessary to conduct a thorough and complete review. Possess the interpersonal and professional skills necessary to interview providers and their employees. Verify all medical equipment including laboratory used to bill Medicaid.
  • Interview physicians, office and support staff or other provider types to obtain crucial information needed to complete the reviews. Document and summarize information from interviews and observations from on-sites.
  • Utilize expertise and knowledge to interpret documentation, procedure codes and diagnoses included in provider and recipient histories and associated reports.
  • Interpret claims and encounter histories by utilizing professional clinical publications such as the Current Procedural Terminology (CPT) manuals and companion guides, Healthcare Common Procedure Coding System (HPCS) and International Classification of Diseases (ICD) books.
  • Prepare and maintain documentation for cases. Communicate verbally as well as through written correspondence to providers, recipients, attorneys, etc. Complete and document items timely throughout the review/investigation process.
  • Receive, monitor and track monies recovered as a result of the reviews/investigations. Prepare financial memorandums and promissory notes for payments relating to caseloads.
  • Develop cases while conferring with staff from the Centers for Medicare and Medicaid (CMS), Federal Bureau of Investigations (FBI), Medicaid Fraud Control Unit (MFCU), Office of Inspector General (OIG), United States Attorney and other governmental agencies participating in the review/investigations.
  • Formulate and research information by utilizing the Medicaid Management Information System (MMIS), Microsoft Word, Excel, Access and other applicable software.
  • Supply information needed for the statistical extrapolation process for overpayments.
  • Coordinate, plan, schedule and participate in Informal Hearings with LDH, providers, attorneys, analysts and others involved in the process. Prepares for and testifies in appeal procedures before an Administrative Law Judge and appears in court as an expert witness on behalf of Medicaid.
  • Recommend policy clarifications and changes based on observations and review findings.
  • Perform other related duties as assigned.

QUALIFICATIONS
REQUIRED:
  • Possession of a valid Louisiana Registered Nurse license to practice professional nursing.
  • Three years of professional nursing experience or experience with claims and/or medical record auditing experience with a public and/or private insurance entity.
  • Excellent analytical skills, effective organizational and time management skills.
  • Excellent communication skills both oral and written.
  • Proficient in the use of Microsoft Office products.

DESIRED:
  • Advanced Degree.
  • Five years of professional experience with claims and/or medical record auditing experience with a public and/or private insurance entity.
  • Five years of professional nursing experience.
  • Three years of professional experience with Louisiana Medicaid policies, publications and rules.
  • Professional industry auditing certification (CPC, CPMA, CIC, CFE) and/or other medical certification.

SALARY: 75-85k
Required Attachments
Please upload the following documents in the Resume/Cover Letter section.
  • Detailed resume listing relevant qualifications and experience;
  • Cover Letter indicating why you are a good fit for the position and LSU New Orleans;
  • Names and contact information of three references;

Applications that do not include the required uploaded documents may not be considered.
Posting Close Date
This position will remain open until filled.
Note to Applicant:
Applicants should fully describe their qualifications and experience with specific reference to each of the minimum and preferred qualifications in their cover letter. The search committee will use this information during the initial review of application materials.
References will be contacted at the appropriate phase of the recruitment process.
This position may require a criminal background check to be conducted on the candidate(s) selected for hire.
As part of the hiring process, applicants for positions at LSU New Orleans may be required to demonstrate the ability to perform job-related tasks.
LSU New Orleans seeks to recruit a highly productive workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non-merit factor.

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