Claims Auditor

Virginia Farm Bureau Mutual Insurance; Richmond (VA); On-site; USD 72,000 - 75,000; Full time

Job summary

Virginia Farm Bureau is seeking a Claims Auditor to join our Richmond-area team. The role focuses on reviewing claim files for accuracy, auditing payments and reserves, and ensuring adherence to procedures to strengthen service outcomes.

The position supports coaching and process improvements with adjusters and management. Minimum education includes a bachelor’s degree or equivalent, plus 3–5 years of P&C auditing and 8 years of claims adjusting experience.

Qualifications

• Bachelor’s degree or equivalent experience.
• 3-5 years P & C auditing experience.
• 8 years of claim adjusting/examining experience.

Responsibilities

• Review claim files for accuracy, completeness, and proper documentation.
• Audit payments, reserves, coverage decisions, and claim notes.
• Identify discrepancies, quality trends, and corrective action opportunities.
• Prepare audit findings, summaries, reports, and recommendations for claims leadership.
• Partner with adjusters, supervisors, and management for coaching and process improvement.
• Maintain knowledge of policies, regulatory requirements, and audit standards.
• Enter W-9s into the Finys system and index into Imageright.
• Reconcile out-of-balance transactions and Hartford Steam Boiler discrepancies.
• Perform due diligence and reimbursements per Va guidelines for unclaimed property.
• Back-up Finys system security and ensure proper access for claims staff.
• Review reinsurance reports for reserve accuracy and reinsurer invoicing.
• Rotate entering cash receipts and reviewing ledgers with the audit team.
• Assist in training new auditors and claims adjusters.
• Liaise with other departments as needed and serve on committees.
• All other duties as assigned by the Claims Audit Manager.

Skills

Claims auditing

Analytical skills

Attention to detail

Communication skills

Confidentiality

Claim systems proficiency

Education

Bachelor’s degree or equivalent experience

Tools

Finys

Imageright

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Claims Auditor

Claims Full Time 75 - West Creek, Richmond, VA, US

Salary Range: $72,000.00 To $75,000.00 Annually

Claims Auditor Position Summary:

Review insurance claim files, payment activity, documentation, and related procedures to help ensure accuracy, compliance, and quality in claims handling. This role supports operational integrity by identifying errors, trends, training opportunities, and process improvements that help reduce risk and strengthen service outcomes.

Primary Duties:

• Review claim files for accuracy, completeness, proper documentation, and adherence to company procedures.
• Audit payments, reserves, coverage decisions, recovery activity, and claim notes to confirm appropriate handling.
• Identify discrepancies, compliance concerns, quality trends, and opportunities for corrective action.
• Prepare audit findings, summaries, reports, and recommendations for claims leadership.
• Partner with adjusters, supervisors, and management to support coaching, process improvement, and consistent claims practices.
• Maintain knowledge of applicable insurance policies, regulatory requirements, internal guidelines, and audit standards.

Additional Duties:

• Enter W-9s into the Finys claims system and index them into Imageright upon completion.
• Reconciliation of all claims out of balance transactions including Hartford Steam Boiler discrepancies.
• Complete due diligence & reimbursements by the State of Virginia guidelines for unclaimed property prior to the annual deadline.
• Serve as a backup for Finys system security to help ensure claims employees have appropriate access and can operate correctly within the claims system.
• Review property and casualty reinsurance reports to ensure accuracy of reserves and bill the reinsurer when necessary.
• Rotate entering cash receipts and reviewing check and digital payment ledgers with other members of the audit team.
• Assist in training new auditors and claims adjusters.
• Serve as a liaison to other departments as needed.
• Be available to serve on committees/teams as requested by the Claims Audit Manager or the Vice President of Claims.
• All other duties assigned by the Claims Audit Manager.

Minimum Education/Experience Qualifications:

• Bachelor’s degree or equivalent experience.
• 3-5 years P & C auditing experience.
• 8 years of claim adjusting/examining experience.

Minimum Skill Qualifications:

Experience in claims handling, auditing, quality review, insurance operations, or a related field.

• Strong analytical skills and attention to detail, with the ability to interpret claim documentation and policy language for property and casualty contracts.
• Knowledge of Unfair Claims Settlement Practices Act, reinsurance contracts, salvage process, subrogation, and litigation.
• Knowledge of IRS rules and regulations regarding W-9s, B Notices and 1099 filings.
• Effective written and verbal communication skills for documenting findings and explaining recommendations.
• Ability to manage multiple audits, meet deadlines, and maintain confidentiality.
• Proficiency with claim systems, reporting tools, spreadsheets, and standard office applications.

Preferred Qualifications:

• Knowledge of VFB computer systems/programs.
• AIC or SCLA designation preferred.

At VA Farm Bureau, we provide an exceptional benefits package, including ongoing job development and support in all roles, paid training and continuing education reimbursement, medical and dental insurance available on your first day, generous employee 401K contribution, excellent Paid Time off (PTO) plan and more!

Virginia Farm Bureau Companies provide equal employment opportunity in all aspects of employment without regard to race, color, national origin, religion, gender, pregnancy, age, disability, orientation or veteran status.