Claims Auditor – TPA

Job not on LinkedIn

🔥 0 minutes ago

🌪️ Oklahoma – Remote

🌪️ Oklahoma – Remote

💵 $23 - $33 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

🚫👨‍🎓 No degree required

👻 Ghost score 1%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Relation Insurance Services

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

💼 Consulting

🏗️ Construction

🏥 Healthcare

Consulting • Construction • Healthcare

Relation Insurance Services is a trusted partner in insurance brokerage, offering personalized solutions across various sectors. The company emphasizes building strong relationships based on trust and understanding client challenges, whether in personal or business contexts. With expertise in industries such as agribusiness, construction, finance, and technology, Relation Insurance Services leverages data-driven insights and long-term carrier relationships to navigate the complexities of insurance, ensuring clients feel safer and more in control of their insurance decisions.

📋 Description

• Perform operational and quality audits of claims processing activity • Review claims files, documentation, and processing workflows • Document audit results and prepare audit reports, findings, and supporting records • Track audit outcomes and identify trends, recurring issues, and improvement opportunities • Communicate audit findings and support follow-up actions • Participate in developing, reviewing, and refining operational policies, procedures, and quality standards • Support internal performance and compliance initiatives with data, insights, and documentation • Facilitate collaboration and feedback across functional teams • Facilitate meetings related to audits, quality initiatives, or process improvements • Use technology, including emerging and AI-enabled solutions, to support efficient workflows, accuracy, and client service • Complete special projects and other assigned duties

🎯 Requirements

• High school diploma or equivalent • Minimum 2 years of experience in claims processing and auditing • 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 • Professionalism, tact, and discretion

🏖️ Benefits

• Family health and wellness programs • 401K • Employee assistance programs • Paid time off • Paid holidays • Career advancement and development opportunities • Discretionary annual incentive program eligibility