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 assurance efforts by auditing claims processing activity, documenting findings, and contributing to the continuous improvement of operational standards and compliance.

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.
• Able 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.

Benefits

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.

Pay

$15.00 - $25.00