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Tpa Auditor Jobs (NOW HIRING)

Relation Insurance

Claims Auditor - TPA

Tulsa, OK · On-site

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 ...

Relationinsurance

Claims Auditor - TPA

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 ...

Relationinsurance

Claims Auditor - TPA

Tulsa, OK

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 ...

DMC Insurance, Inc.

Claims Auditor

Indianapolis, IN · On-site

Effectively communicate results to management, the insured, and TPA * Work with internal customers ... Claim auditing experience required * College degree is preferred * Excellent written and verbal ...

Quantix

Healthcare Claims Auditor

Ann Arbor, MI

Successful candidates will have a solid understanding of healthcare claims processing having gained experience working for a health plan or a TPA. Required Skills: 1) Healthcare Claims Auditing. 2) ...

Wipro Limited

Head of TPA Operations & Delivery

Tampa, FL · On-site

$200K - $280K/yr

Head of TPA Operations & Delivery City: Tampa State/Province: Florida Posting Start Date: 7/2/26 ... Establish and maintain robust internal controls and auditing procedures to ensure operational and ...

SERVPRO of Adamstown, Mohnton

Mitigation Estimator

Denver, PA · On-site

$51K - $71K/yr

Communicate professionally with insurance adjusters and TPA auditors to justify estimates, resolve discrepancies, and secure timely approvals. Qualifications & Requirements Requirements: Dedicated ...

GDIT

TPA core services Sr. DBA

WV · On-site +1

$107K - $109K/yr

No TPA Core Services Senior Database Administrator (DBA) Contribute to the strategic direction of ... Drive improvements in performance, scalability, backup and recovery, data integrity, and auditing ...

Zurich NA

TPA Service Specialist TravelGuard

Schaumburg, IL · On-site

$97K/yr

This role will involve auditing TPA's claim handling and ensuring service level agreements are met. They will be responsible for reviewing claims above the TPA's authority and providing approval as ...

Zurich NA

TPA Service Specialist TravelGuard

Parsippany, NJ · On-site

$99K/yr

This role will involve auditing TPA's claim handling and ensuring service level agreements are met. They will be responsible for reviewing claims above the TPA's authority and providing approval as ...

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Tpa Auditor information

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How much do tpa auditor jobs pay per year?

As of Sep 10, 2026, the average yearly pay for tpa auditor in the United States is $72,633.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,000.00 and $98,500.00 per year, depending on experience, location, and employer.

What is a TPA auditor?

TPA Auditors are professionals who review and evaluate the work of Third Party Administrators (TPAs), typically in industries such as insurance, employee benefits, or retirement plans. Their main responsibility is to ensure that TPAs are complying with relevant laws, regulations, and contract requirements. They examine records, procedures, and financial transactions to identify errors, inefficiencies, or potential compliance issues. By doing so, TPA Auditors help organizations maintain integrity, reduce risks, and improve overall performance.

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

To thrive as a TPA Auditor, you need strong analytical abilities, attention to detail, and a solid understanding of insurance or benefits administration, often backed by a degree in accounting, finance, or a related field. Familiarity with auditing software, claims management systems, and regulatory compliance tools is typically required, along with certifications like CPA or CFE being advantageous. Excellent communication, problem-solving, and organizational skills help auditors effectively collaborate with clients and present findings clearly. These skills ensure accurate evaluations, regulatory compliance, and the delivery of actionable insights that protect organizational interests.

What are some common challenges TPA auditors face when working with multiple clients simultaneously?

TPA Auditors often juggle audits for several clients at once, which can present challenges in managing competing deadlines and adapting to different client processes. Each client may use unique systems or follow varying compliance requirements, requiring auditors to quickly learn and adjust. Strong organizational skills and clear communication are vital to ensure accuracy and maintain positive client relationships. Additionally, TPA Auditors frequently collaborate with both internal audit teams and client contacts to clarify findings and resolve discrepancies.

What are popular job titles related to Tpa Auditor jobs?

For Tpa Auditor jobs, the most frequently searched job titles are:

Claims Auditor - TPA

Tulsa, OK • On-site

Relation Insurance
Insurance Services • 501 - 1,000 employees
Learn more about Relation Insuranceexternal

Full-time

Medical, Retirement, PTO

Re-posted 21 days ago

Relation Insurance rating

7.1

Company rating: 7.1 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

255th of 315 rated insurance

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 follow-up 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 AI-enabled 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.
  • Proficiency in 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.
$23.00 - $33.65

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