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Workers Compensation Claims Auditor Jobs (NOW HIRING)

TEEMA

Workers Compensation Claims Examiner

Houston, TX · On-site

$36 - $41/hr

Senior Workers' Compensation Claims Examiner (Texas Licensed ) We are seeking an experienced Workers' Compensation Claims Examiner to join a collaborative claims team handling complex indemnity ...

Acrisure

Workers Compensation Claims Examiner

Atlanta, GA · On-site

$31.50 - $42.75/hr

Acrisure is seeking a Workers' Compensation Claims Examiner. This role is responsible for managing lost time workers' compensation claims from assignment through resolution while ensuring timely ...

Acrisure

Workers Compensation Claims Examiner

Atlanta, GA

$31.50 - $42.75/hr

Acrisure is seeking a Workers' Compensation Claims Examiner. This role is responsible for managing lost time workers' compensation claims from assignment through resolution while ensuring timely ...

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Workers Compensation Claims Auditor information

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How much do workers compensation claims auditor jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for workers compensation 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 does a workers compensation claims auditor do?

A Workers Compensation Claims Auditor is responsible for reviewing and evaluating workers' compensation claims to ensure they are processed accurately and in compliance with legal and company policies. They examine claim files, payments, and supporting documentation to detect errors, fraud, or inefficiencies. Their work helps organizations manage costs, maintain regulatory compliance, and improve claims handling processes. Auditors often provide recommendations for process improvements and may train staff on proper procedures. This role is critical in preventing unnecessary losses and ensuring fair treatment for injured employees.

What are the key skills and qualifications needed to thrive as a workers compensation claims auditor?

To thrive as a Workers Compensation Claims Auditor, you need in-depth knowledge of workers' compensation laws, claims processing, and auditing procedures, typically backed by experience in insurance or claims management. Familiarity with claims management systems, auditing software, and sometimes certifications like CPCU or AIC are highly valued. Strong analytical thinking, attention to detail, and effective communication are standout soft skills for this role. These abilities are crucial to ensure compliance, accuracy, and cost control in claims handling, ultimately protecting both employers and insurance carriers.

What is the difference between Workers Compensation Claims Auditor vs Workers Compensation Claims Adjuster?

AspectWorkers Compensation Claims AuditorWorkers Compensation Claims Adjuster
CredentialsTypically requires certifications like CPCU or ARM, with knowledge of insurance and auditingRequires state licensing, insurance adjuster licenses, and claims handling certifications
Work EnvironmentMostly office-based, reviewing claims and audit reportsField and office-based, investigating and settling claims
Employer & Industry UsageInsurance companies, third-party administrators, and auditing firmsInsurance carriers, third-party administrators, and self-insured employers

While both roles involve working with workers' compensation claims, the Claims Auditor primarily reviews and audits claims for accuracy and compliance, whereas the Claims Adjuster handles the investigation, negotiation, and settlement of claims. Understanding these differences helps in choosing the right career path or job search focus.

What are some common challenges faced by workers compensation claims auditors, and how can I prepare for them?

Workers Compensation Claims Auditors often encounter challenges such as staying current with changing state regulations, identifying inconsistencies in complex claims data, and managing a high volume of files while meeting strict deadlines. To prepare, it’s important to develop strong attention to detail, keep up-to-date on relevant legal requirements, and build effective communication skills for collaborating with claims adjusters and legal teams. Leveraging audit software and participating in ongoing training can also help you efficiently navigate these challenges and enhance your impact in the role.
More about Workers Compensation Claims Auditor jobs
What cities are hiring for Workers Compensation Claims Auditor jobs? Cities with the most Workers Compensation Claims Auditor job openings:
What states have the most Workers Compensation Claims Auditor jobs? States with the most job openings for Workers Compensation Claims Auditor jobs include:
What job categories do people searching Workers Compensation Claims Auditor jobs look for? The top searched job categories for Workers Compensation Claims Auditor jobs are:
Workers Compensation Claims Auditor jobs near you
Infographic showing various Workers Compensation Claims Auditor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $55,805 per year, or $26.8 per hour.

Claims Auditor - Workers Compensation (Temporary/Project Based)

Alan Gray LLC

Boston, MA • On-site

$40 - $60/hr

Temporary

Re-posted 13 days ago

Job description

Background

Alan Gray LLC is a leading audit and advisory firm with over 30 years of excellence in providing a range of services to insurance-industry clients. Our goal is to help our clients realize significant bottom-line savings. Our experienced team is committed to staying current with the latest industry information and advances in technology in order to provide excellent service to our clients.

Claims Auditor:

The claim auditor will review and provide comments on workers’ compensation claim files as part of ongoing best practices audits. The auditor will apply his or her experience and training, along with specific account instructions and pertinent regulations, to evaluate all aspects of claim handling, including coverage determinations, negotiations, internal and external communications, and the notation and documentation contained in the files under review.

Please Note - This is an evergreen posting designed to build a pipeline of qualified candidates that we can contact when projects and engagements require additional talent.

Key Objectives:

  • Investigate and evaluate workers' compensation claims as part of claim audits.
  • Review, analyze and provide opinions as to claim handling practices of claims handled by Third Parties.
  • Depending on experience and ability, the position may require project management responsibilities where the individual will direct and oversee audits and manage assigned auditors.
  • Review regulatory compliance and proper handling of moderate to complex claims.
  • Demonstrate proficiency in claim file management and customer service.

Qualifications:

  • Strong knowledge of workers’ compensation claim handling.
  • Minimum of 5 years of insurance claim experience.
  • Strong organizational, file management and time management skills.
  • Attention to detail; ability to prioritize.
  • Demonstrated focus on quality and continuous improvement.
  • Excellent written and oral communication skills.
  • Strong decision-making skills.
  • Adaptability and demonstrated ability to manage change.
  • Strong interpersonal skills; ability to work independently and on a team.
  • Analytical and strategic problem-solving skills.

Education and Experience:

  • Bachelor’s degree preferred.
  • Minimum of 5 years claims handling experience, including significant time handling workers’ compensation claims.
  • Ability to work independently.
  • Ability to work well with external parties as well as co-workers.
  • Excellent verbal and written communication skills.
  • Proficiency with current Microsoft Outlook and Office products.