1191 claims auditor jobs found

As one of the leading writers of Federal Crop Insurance, AgriSompo North America combines industry experience, resources, capital and talent to deliver both traditional and innovative crop insurance and productivity tools to farmers, ranchers, insurers and agribusinesses in the United States. Our organization operates within a culture rooted in ethics, integrity and a belief that accountability, collaboration and agility are crucial to long-term success.  AgriSompo North America is a part of AgriSompo, Sompo International’s global agriculture platform. This platform is an integrated underwriting, technology and distribution platform delivering innovate insurance and reinsurance solutions to agriculture partners worldwide.  Sompo International, AgriSompo’s parent company, is a global organization driven by its core values, a carrier that holds promise, trust and the commitment to protect.  Through operating subsidiaries, Sompo International writes agriculture, casualty and...

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...

Company Details   Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With our entrepreneurial culture and a strong emphasis on analytics, we can help employers better manage their risk. We offer a broad range of products, including employer stop loss, benefit captives, provider stop loss, HMO reinsurance, and specialty accident. The key to Berkley’s success is our nimble approach to risk – our ability to quickly understand, think through, and devise a plan that addresses each client’s challenges, coupled with the strong backing of a Fortune 500 company. Our parent company, W. R. Berkley Corporation , is one of the largest and best managed property/casualty insurers in the United States. #LI-AV1  #LI-Remote The company is an equal employment opportunity employer.   Responsibilities As a Stop Loss Claims Analyst (aka...

Tokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry, today offering over 100 products to commercial customers in 180 countries around the world.  Organic growth and over 60 successful acquisitions have grown our 2022 Gross Written Premium (GWP) to $5 Billion.  Our workforce has grown to 4,300 worldwide … big, but not so big that you cannot make a difference.  Our Good Company values, including integrity, empowerment, and commitment to customer service, and a culture of innovation, communication, and collaboration make TMHCC a great place to work.  For over 50 years, HCC Life Insurance Company, operating as Tokio Marine HCC A&H Group, has been at the forefront of medical stop-loss insurance. In addition to traditional stop loss, we offer captive and Taft-Hartley stop loss solutions, level-funded stop loss, Organ & Tissue Transplant insurance, and MedPlus insurance. Tokio Marine HCC – A&H Group is rated A++ (Superior) by A.M. Best...

The Health Claims Stop Loss Claims Auditor conducts detailed audits of high-complexity claims files to ensure compliance, accuracy, and adherence to company procedures and regulatory requirements. Your Impact Perform in-depth claims file reviews for accuracy and compliance. Document findings and provide recommendations for corrective action. Identify trends and collaborate with departments to improve claim practices. Support audit reporting and analytics. Successful Candidate Will Have Bachelor's degree preferred; CPCU, AIC, or other insurance certifications a plus. 4 - 6 years of claims or audit experience. Strong understanding of claims handling and insurance regulations. Analytical, organized, and skilled in Excel/audit systems. Brown & Brown, Inc. (NYSE: BRO) is a leading insurance brokerage firm delivering comprehensive and customized insurance solutions and specialization since 1939. With a global presence spanning 700+ locations...

The Supervisor, Claims Audit – A&H Core Team, is responsible for leading a team of claims auditors focused on reviewing and rendering decisions on liability for claims made under Medical Stop Loss policies issued to Skyward non captive insurance clients. This role oversees the claims audit process for accident and health captive programs, ensuring claims are handled accurately, efficiently, and in accordance with company standards and client expectations. The manager will guide and support staff, ensure compliance with audit protocols, and partner with stakeholders to drive quality results and client satisfaction. This position will work a hybrid schedule in our Kennesaw, GA office. Essential Duties and Responsibilities •    Supervise, train, and mentor the Claims Audit team, ensuring adherence to claims audit standards and achievement of performance goals •    Oversee audits of medical claims across Skyward insurance programs (monitoring over/under payments, duplicate...

Staff Attorney - LM07EE We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.              The Hartford is seeking to hire a Senior Litigation Analyst to join our Legal team.  We are looking for motivated attorneys to join this team responsible for reviewing outside counsel legal bill invoices and to conduct in office Legal Bill Review audits.  As a Senior Litigation Analyst you will be expected to provide a breadth and depth understanding around the billing process in specific practice areas.  You will be responsible for identifying deficiencies in our panel counsel billing at an increased volume over current levels.  As well as provide your legal practice experience and expertise to communicate directly with panel firms/attorneys to...

CCC Intelligent Solutions Inc. (CCC) is a leading cloud platform for the multi-trillion-dollar insurance economy , creating intelligent experiences for insurers, repairers, automakers, part suppliers, and more. At CCC, we’re making life just work by empowering more than 35,000 businesses with industry-leading technology to get drivers back on the road and to health quickly and seamlessly. We’re pushing boundaries with innovative AI solutions that simplify and enhance the claims and repair journey. Through purposeful innovation and the strength of its connections, CCC technologies empower the people and industry relied upon to keep lives moving forward when it matters most. Learn more about CCC at www.cccis.com .   The Role CCC is now hiring in Orlando, FL for a Vehicle Inventory Rep & Auditor with target compensation of $450 per month with the potential to earn more plus mileage and new hire incentives.  This is a piece‑rate role compensated based on completed...

CCC Intelligent Solutions Inc. (CCC) is a leading cloud platform for the multi-trillion-dollar insurance economy , creating intelligent experiences for insurers, repairers, automakers, part suppliers, and more. At CCC, we’re making life just work by empowering more than 35,000 businesses with industry-leading technology to get drivers back on the road and to health quickly and seamlessly. We’re pushing boundaries with innovative AI solutions that simplify and enhance the claims and repair journey. Through purposeful innovation and the strength of its connections, CCC technologies empower the people and industry relied upon to keep lives moving forward when it matters most. Learn more about CCC at www.cccis.com .   The Role CCC is now hiring in Savannah, GA for a Vehicle Inventory Rep & Auditor with target compensation of $400 per month with the potential to earn more plus mileage and new hire incentives.  This is a piece‑rate role compensated based on completed...

Why Join GEICO? At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.   Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive on relentless innovation to exceed our customers' expectations while making a real impact on local communities nationwide.   Founded in 1936, GEICO is a member of the Berkshire Hathaway family of companies and one of the largest auto insurers in the United States. When you join our company, we want you to feel valued, supported, and proud to work here. That's why we offer the GEICO Pledge: Great Company, Great Culture, Great Rewards, and Great Careers. The Director, SOX Program Management Office (PMO) leads the company’s Sarbanes-Oxley compliance program end-to-end and serves as the single accountable management owner for the design, documentation, and operating governance of Internal...

CCC Intelligent Solutions Inc. (CCC) is a leading cloud platform for the multi-trillion-dollar insurance economy , creating intelligent experiences for insurers, repairers, automakers, part suppliers, and more. At CCC, we’re making life just work by empowering more than 35,000 businesses with industry-leading technology to get drivers back on the road and to health quickly and seamlessly. We’re pushing boundaries with innovative AI solutions that simplify and enhance the claims and repair journey. Through purposeful innovation and the strength of its connections, CCC technologies empower the people and industry relied upon to keep lives moving forward when it matters most. Learn more about CCC at www.cccis.com .   The Role CCC is now hiring in Davenport, IA for a Vehicle Inventory Rep & Auditor with target compensation of $200 per month with the potential to earn more plus mileage and new hire incentives. This is a piece‑rate role compensated based on completed...

Salary range is: $51,755.35 - $70,000.00 This position is bonus and/or commission eligible. CCC Intelligent Solutions Inc. (CCC) is a leading cloud platform for the multi-trillion-dollar insurance economy , creating intelligent experiences for insurers, repairers, automakers, part suppliers, and more. At CCC, we’re making life just work by empowering more than 35,000 businesses with industry-leading technology to get drivers back on the road and to health quickly and seamlessly. We’re pushing boundaries with innovative AI solutions that simplify and enhance the claims and repair journey. Through purposeful innovation and the strength of its connections, CCC technologies empower the people and industry relied upon to keep lives moving forward when it matters most. Learn more about CCC at www.cccis.com .   The Role The Staff Accountant is a key member of the corporate accounting team, supporting the monthly close, financial reporting, and compliance processes in a...

CCC Intelligent Solutions Inc. (CCC) is a leading cloud platform for the multi-trillion-dollar insurance economy , creating intelligent experiences for insurers, repairers, automakers, part suppliers, and more. At CCC, we’re making life just work by empowering more than 35,000 businesses with industry-leading technology to get drivers back on the road and to health quickly and seamlessly. We’re pushing boundaries with innovative AI solutions that simplify and enhance the claims and repair journey. Through purposeful innovation and the strength of its connections, CCC technologies empower the people and industry relied upon to keep lives moving forward when it matters most. Learn more about CCC at www.cccis.com .   The Role CCC is now hiring in Gulfport, MS for a Vehicle Inventory Rep & Auditor with target compensation of $300 per month with the potential to earn more plus mileage and new hire incentives. This is a piece‑rate role compensated based on completed...

CCC Intelligent Solutions Inc. (CCC) is a leading cloud platform for the multi-trillion-dollar insurance economy , creating intelligent experiences for insurers, repairers, automakers, part suppliers, and more. At CCC, we’re making life just work by empowering more than 35,000 businesses with industry-leading technology to get drivers back on the road and to health quickly and seamlessly. We’re pushing boundaries with innovative AI solutions that simplify and enhance the claims and repair journey. Through purposeful innovation and the strength of its connections, CCC technologies empower the people and industry relied upon to keep lives moving forward when it matters most. Learn more about CCC at www.cccis.com .   The Role CCC is now hiring in Gilbert, AZ for a Vehicle Inventory Rep & Auditor with target compensation of $350 per month with the potential to earn more plus mileage and new hire incentives. This is a piece‑rate role compensated based on completed...

CCC Intelligent Solutions Inc. (CCC) is a leading cloud platform for the multi-trillion-dollar insurance economy , creating intelligent experiences for insurers, repairers, automakers, part suppliers, and more. At CCC, we’re making life just work by empowering more than 35,000 businesses with industry-leading technology to get drivers back on the road and to health quickly and seamlessly. We’re pushing boundaries with innovative AI solutions that simplify and enhance the claims and repair journey. Through purposeful innovation and the strength of its connections, CCC technologies empower the people and industry relied upon to keep lives moving forward when it matters most. Learn more about CCC at www.cccis.com .   The Role CCC is now hiring in Chandler, AZ for a Vehicle Inventory Rep & Auditor with target compensation of $350 per month with the potential to earn more plus mileage and new hire incentives. This is a piece‑rate role compensated based on completed...

Job Description Are you looking for your next opportunity?   Sompo has a unique opportunity for a Sr. Auditor to join our North America Internal Audit team. This is an excellent opportunity to work in a dynamic, global organization and gain exposure to a broad range of operations, risks, and senior stakeholders This role will execute risk-based audits that assess the effectiveness of governance, risk management, and internal controls, helping to strengthen the overall control environment. You’ll partner closely with business leaders to identify risks, provide assurance, and deliver clear, actionable insights that drive meaningful improvements. This position offers the chance to build deep expertise across insurance operations while contributing to high-impact audit engagements, leveraging data analytics, and helping shape the evolution of Internal Audit practices. If you’re a curious, analytical professional who enjoys solving complex problems and making a...

A career at Auto-Owners is challenging and rewarding.  Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated Field Premium Auditor to join our team. The position requires the person to: Audit insured records to determine the proper exposure classifications and premium basis and provides reports and recommendations to Underwriting. For assigned policies, determine the proper exposure classification, premium basis and scope of operations through the use of observation, discussion with insureds and the review of accounting records. Report and discuss exposures present on an insured's property to...

Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex. Grow your career with a rapidly growing company that invests in its people and their ability to drive real progress. Position Overview: We are seeking a detail-oriented and analytical Reinsurance Claims Analyst to join our team. The successful candidate will be responsible for managing and analyzing ceded claims, ensuring accurate reporting and compliance with reinsurance agreements. This role requires a strong understanding of reinsurance principles, excellent analytical skills, and the ability to work effectively with internal and external stakeholders. Key...

At AF Group, our affiliate brands deliver innovative insurance solutions and exceptional customer experiences. Consistently recognized by Business Insurance as one of the industry’s “Best Places to Work,” we are proud of our culture and the talented people who make it possible. Join us—and let’s do amazing things together. This Level II Field Premium Auditor position is a residency-based role located in Central or Northern California. SUMMARY: Responsible for performing both virtual and field premium audits within a multi-functional business unit, with a primary focus on Workers’ Compensation and General Liability policies, and operating within established authority levels. Reviews accounting and financial records to accurately determine exposure and premium for policyholders’ employees and subcontractors. RESPONSIBILITIES/TASKS:  Performs virtual and field audits, within established authority level. Contacts agents to review audit results, prior to invoicing on...

CCC Intelligent Solutions Inc. (CCC) is a leading cloud platform for the multi-trillion-dollar insurance economy , creating intelligent experiences for insurers, repairers, automakers, part suppliers, and more. At CCC, we’re making life just work by empowering more than 35,000 businesses with industry-leading technology to get drivers back on the road and to health quickly and seamlessly. We’re pushing boundaries with innovative AI solutions that simplify and enhance the claims and repair journey. Through purposeful innovation and the strength of its connections, CCC technologies empower the people and industry relied upon to keep lives moving forward when it matters most. Learn more about CCC at www.cccis.com .   The Role CCC is now hiring in North Seattle, WA for a Vehicle Inventory Rep & Auditor with target compensation of $300 per month with the potential to earn more plus mileage and new hire incentives. This is a piece‑rate role compensated based on...